| 摘要: | 
			 
		     | 目的筛查分析宁波地区非综合型耳聋(NSHL)患儿耳聋基因热点突变情况,了解该地区耳聋患儿分子流行病学特征。方法选取宁波市特殊教育中心就读的重度、极重度NSHL患儿168例,应用遗传性耳聋基因检测试剂盒,采用多重突变阻滞扩增系统毛细管电泳检测技术进行4个遗传性耳聋基因的29个位点的突变筛查。结果本研究NSHL患儿中检出耳聋基因热点突变58例(34.52%),其中单一GJB2基因热点突变者43例,单一SLC26A4基因热点突变者9例,GJB2基因合并SLC26A4基因热点突变者3例,12SrRNA基因热点突变3例;GJB2、SLC26A4、12SrRNA基因热点总突变率分别为27.38%、7.14%和1.79%。在所有热点突变中,以GJB2235delC突变率最高(23.21%),其次是GJB2299delAT(5.36%)。结论宁波地区NSHL患儿热点突变耳聋基因以GJB2基因和SLC26A4基因为主,且GJB2235delC是最常见突变位点。 | 
			
	         
				| 关键词:  遗传性耳聋  非综合征型耳聋  热点突变  基因诊断 | 
			 
                | DOI:10.12056/j.issn.1006-2785.2017.39.12.2017-595 | 
            
                | 分类号: | 
			 
             
                | 基金项目:浙江省教育厅科研项目(Y201534685) | 
          |  | 
           
                | Screening  of  hot-spot  deafness  gene  mutations  among  children  with  non-syndromic  hearing  loss  in  Ningbo  region | 
           
			
                | GAO Weiwei, LU Wenxiang, ZHANG Lei, BAI Yunfei | 
           
		   
		   
                | Ningbo College of Health Sciences | 
		   
             
                | Abstract: | 
			
                | Objective To screen the hot-spot deafness gene mutation in  children with  non-syndromic hearing  loss (NSHL) in Ningbo region. Methods One hundred and sixty eight NSHL children were enrolled from Ningbo Special Education Center for the study. The screening of 29 hot-spot mutations of 4 deafness genes was performed by multiple ARMS capillary electrophoresis using AGCU genetic deafness gene detection kit. Results Among 168 children, the deafness gene  mutations were detected in 58 cases (34.52%), including 43 cases with single hotspot mutation in GJB2 gene, 9 with hotspot mutations in single SLC26A4 gene, and 3 with GJB2 gene and SLC26A4 gene mutation, and 3 with 12S rRNA gene mutation. The total hot spot mutation rate of GJB2 gene was 27.38%, that of SLC26A4 gene was 7.14%, and that of 12S rRNA gene was 1.79%. The mutation rate of GJB2 235delC was the highest (23.21%), followed by GJB2 299 del AT (5.36%) in all hotspots. Conclusion GJB2 and SLC26A4 are the main genes associated with non-syndromic deafness patients in Ningbo area, and GJB2 235delC is the most common mutation site. | 
	       
                | Key words:  Hereditary hearing loss    Non-syndromic hearing loss    Hot-spot mutation    Genetic diagnosis |