遗传性血管性水肿C1INH基因I440V变异及其对结构的影响  

I440V mutation in C1 esterase inhibitor gene in a patient with hereditary angioedema and its influence to the structure of C1 esterase inhibitor

作　　者：吴焱[1] 邓列华[1] 赵刚[1] 胡云峰[1] 殷董[1] 林泽[1] 赵永铿[1] 

机构地区：[1]暨南大学附属第一医院皮肤科,广州510630

出　　处：《中华皮肤科杂志》2009年第6期406-408,共3页Chinese Journal of Dermatology

摘　　要：目的通过基因测序了解遗传性血管性水肿（HAE）患者C1酯酶抑制剂（C1INH）基因第八外显子的变异情况。方法从HAE患者外周血白细胞中提取基因组DNA，PCR扩增第八外显子片段后插入pUC19质粒载体再转化入感受态大肠杆菌TG1菌株，培养扩增质粒DNA，提取纯化后进行基因测序。将患者血清进行SDS～PAGE及Western印迹，以了解该变异对C1INH结构的可能影响。结果在1例Ⅰ型HAE患者的第八外显子中发现一个变异位点，16776A〉G，致440位的异亮氨酸突变成缬氨酸（1440V），SDS—PAGE及Western印迹显示该患者血清中C1INH全部表现为96000片段而非正常的105000片段。结论1440V是一个新的C1INH基因变异，位于C1INH反应中心环的P4位，变异可能导致C1INH分子构象发生改变。Objective To assess the mutation in exon 8 of C1 esterase inhibitor （C1INH） gene in a patient with hereditary angioedema （HAE）. Methods Genomic DNA was extracted from a female patient with HAE as well as her mother and a normal human control. The fragment of exon 8 of C1INH gene was amplified by PCR and inserted into plasmid carrier pUC19 with the help of ligase. Then, the recombinant plasmid was transformed into competent cells of E. coli TG1 strains. After culture of positive transformant, plasmid DNA was extracted and subjected to sequencing. SDS-PAGE and Western blot were performed on the sera of the patient to detect the concentration and function of C1INH protein. Results An A1677G mutation at exon 8 of C1INH gene, which resulted in a substitution of isoleucine to valine at codon 440, was found in the patient who suffered from HAE type I. Additionally, SDS-PAGE and Western blot revealed that the molecular weight of CIINH protein was 96 000, but not 105 000 observed in normal human control. Conclusion The newly identified mutation I440V, which is located at P4 residue of reactive center loop in CIINH, may result in conformational alteration of C1INH.

关 键 词：血管神经性水肿 C1酯酶抑制剂 变异(遗传学) 

分 类 号：R758.5[医药卫生—皮肤病学与性病学]