RFLPS OF THE LDL-RECEPTOR GENE - THEIR USE IN THE DIAGNOSIS OF FH AND IN EVALUATION OF DIFFERENT LEVELS OF GENE-EXPRESSION ON NORMAL SUBJECTS

被引:7
作者
BERTOLINI, S
COVIELLO, DA
MASTURZO, P
ZUCCHETTO, E
ELICIO, N
BALESTRERI, R
ORECCHINI, G
CALANDRA, S
HUMPHRIES, S
机构
[1] Atherosclerosis Prevention Centre - Dept. of Internal Medicine, University of Genoa, Genoa, 6 - 16132, Viale Benedetto XV
[2] Institute of Biology and Genetics, University of Genoa, Genoa, 6 - 16132, Viale Benedetto XV
[3] Institute of Clinical Medicine, University of Perugia, Perugia
[4] Institute of General Pathology, University of Modena
[5] The Centre for Genetics of Cardiovascular Disorders, The Rayne Institute London
关键词
FAMILIAL HYPERCHOLESTEROLEMIA; LDL-RECEPTOR GENE-POLYMORPHISM;
D O I
10.1007/BF00145345
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The usefulness of the RFLPs of the LDL-receptor gene in early diagnosis of Familial Hypercholesterolemia (FH) was investigated in 122 FH-families. Four RFLPs, produced by digestion with the enzymes PvuII, ApaLI and AvaII/XbaI were able to detect the affected gene and to follow the inheritance of the disease in 72 out of 97 families (74%). In the remaining 25 families, unambiguous diagnosis was possible in 66% of the cases by use of PvuII, ApaLI and BstEII/EcoRI RFLPs. The RFLPs were also useful to distinguish true homozygotes from compound heterozygotes and to detect families where recombination events occurred or where hypercholesterolemia was not due to a defect of the LDL-receptor gene. In a normal population PvuII RFLP account for 9.6% of the total variance of the LDL cholesterol levels adjusted for confounding variables. The P2 allele was associated with lower LDL cholesterol concentrations (average excess -9.1 mg/dl). This finding allows us to presume there is a DNA sequence, close to the variable PvuII cutting site in intron 15, which could act as an enhancer of the LDL-receptor gene expression.
引用
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页码:18 / 25
页数:8
相关论文
共 29 条
[1]  
Botstein D., White R.L., Skolnick M., Davis R.W., Construction of a genetic linkage map in man using restriction fragment length polymorphisms, Am. J. Hum. Genet., 32, pp. 314-331, (1980)
[2]  
Chakravarti A., Buetow K.H., A strategy for using multiple linked markers for genetic counseling, Am. J. Hum. Genet., 37, pp. 984-997, (1985)
[3]  
Chakravarti A., Buetow K.H., Antonarakis S.E., Waber P.G., Boehm C.D., Kazazian H.H., Nonuniform recombination within the human beta globin gene cluster, Am. J. Hum. Genet., 36, pp. 1239-1258, (1984)
[4]  
Chakravarti A., Elbein S.C., Permutt M.A., Evidence for increased recombination near the human insulin gene: implication for disease association studies, Proc. Natl. Acad. Sci. USA, 83, pp. 1045-1049, (1986)
[5]  
Daga A., Fabbi M., Mattioni T., Bertolini S., Corte G., PvuII polymorphism of LDL receptor gene and Familial hypercholesterolemia, Arteriosclerosis, 8, pp. 845-850, (1988)
[6]  
Daga A., Mattioni T., Balestreri R., Coviello D.A., Corte G., Bertolini S., Use of three DNA polymorphisms of the LDL receptor gene in the diagnosis of familial hypercholesterolemia, Hum. Genet., 84, pp. 412-416, (1990)
[7]  
Geisel J., Weisshaar B., Oette K., Doerfler W., A new ApaLI restriction fragment length polymorphism in the low density lipoprotein receptor gene, J Clin Chem Clin Biochem, 26, pp. 429-433, (1988)
[8]  
Goldstein J.L., Brown M.S., Familial Hypercholesterolemia, The metabolic basis of inherited disease, pp. 1215-1250, (1989)
[9]  
Hegele R.A., Emi M., Nakamura Y., Lalouel J.M., White R., Three RFLPs upstream of the low density lipoprotein receptor (LDLR) gene, Nucleic Acids Res., 17, (1989)
[10]  
Hegele R.A., Plaetke R., Lalouel J.M., Linkage disequilibrium between DNA markers at the low-density lipoprotein receptor gene, Genet. Epidemiol., 7, pp. 69-81, (1990)