目的:应用遗传性耳聋基因芯片对孕妇进行耳聋基因突变检测,统计常见耳聋突变的携带率。方法:选择产科门诊无听力障碍和听力异常家族史的孕妇,抽取外周血,提取基因组DNA,应用遗传性耳聋基因芯片检测4个中国人群中最常见的耳聋相关基因的9个突变热点,即GJB2(35delG、176dell6bp、235delC、299delAT)、GJB3(C538T)、SLC26A4(IVS7—2A〉G、A2168G)和线粒体DNA12SrRNA(A1555G、C1494T)。结果:共检测474例孕妇外周血,检出耳聋基因突变携带者24例(5.1%),其中GJB2杂合突变16例,SLC26A4杂合突变4例,GJB3杂合突变3例,线粒体12SrRNA突变1例。结论:常见耳聋基因突变在孕妇群体中有较高的携带率,235delC和IVs7—2A〉G杂合突变较常见。
Objective: Applicating genetic deafness gene chip for detection of gene mutation of deafness in pregnant women, to study the carrying rate of common deafness mutation. Methods: The pregnant women without hearing impairment and hearing disorders fami- ly history in obstetric clinic were selected, signed the informed consent, took blood, and took extraction of genomic DNA. Application of ge- netic deafness gene chip for detecting 9 mutational hot spot of the most common 4 Chinese deafness genes, namely GJB2 (35delG, 176del16bp, 235delC, 299delAT), GJB3 (C538T), SLC26A4 (IVS72A 〉 G, A2168G) and mitochondrial DNA 12S rRNA (AI555G, C1494T) . Results: Peripheral blood of 474 pregnant women were detected, detection of deafness gene mutation carriers in 24 cases (5.1%), including 16 cases of the GJB2 heterozygous mutation, 4 cases of SLC26A4 heterozygous mutation, 3 cases of GJB3 heterozygous mutation, and 1 case of mitochondfial 12S rRNA mutation. Conclusion: The common deafness genes mutation has a high carrying rate in pregnant women group, 235delC and IVS7 -2A 〉 G heterozygous mutation are common.