目的 了解中国线粒体脑肌病患儿的线粒体DNA(mtDNA)3271T>C、8356T>C、9176T>C/G和13513G>A位点的突变情况.方法 选择2005年10月至2009年10月500例线粒体脑肌病患儿,提取外周血DNA,用PCR-限制性片段长度多态性(RFLP)方法进行mtDNA 3271T>C、8356T>C、9176T>C/G和13513G>A位点的突变筛查分析;用DNA直接测序方法验证PCR-RFLP的结果.结果 在500例线粒体脑肌病患儿中未发现3271T>C、8356T>C、9176T>C/G和13513G>A位点的突变.结论 在中国线粒体脑肌病患儿中线粒体3271T>C、8356T>C、9176T>C/G和13513G>A位点不是常见突变.
Objective To investigate the spectrum of mitochondrial DNA (deoxyribonucleic acid)3271T>C, 8356T > C, 9176T > C/G and 13513G > A mutations in Chinese patients with mitochondrial encephalomyopathies. Methods Peripheral blood samples were collected from 500 mitochondrial encephalomyopathic patients clinically diagnosed as mitochondrial encephalomyopathy lactic acidosis & stroke-like episodes (MELAS), myoclonus epilepsy & ragged-red fibers (MERRF) or Leigh's syndrome from October 2005 to October 2009. The methods of PCR- polymerase chain reaction-restriction fragment length polymorphism ( RFLP ) and PCR-sequencing were performed to identify the mutations. Results No patients with the 3271T > C, 8356T > C, 9176T > C/G or 13513G > A mutations were identified.Conclusion The mutations of 3271T > C, 8356T > C, 9176T > C/G and 13513G > A are rare causes of mitochondrial encephalomyopathies in Chinese patients.