新生儿33 321例耳聋基因筛查结果分析

doi:10.11852/zgetbjzz2018-26-11-03

中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (11): 1168-1171.DOI: 10.11852/zgetbjzz2018-26-11-03

新生儿33 321例耳聋基因筛查结果分析

徐文华¹,张志成¹,梅金鑫¹,耿小芳²

1 固始县妇幼保健院妇女儿童医院,河南信阳 465200;
2 新乡医学院医学检验学院,河南新乡 453003

收稿日期:2018-07-25 修回日期:2018-09-12
通讯作者: 梅金鑫,E-mail:meijinxin2008@163.com
作者简介:徐文华(1964-),男,河南人,主任医师,本科学历,主要研究方向为妇幼保健管理
基金资助:
固始县人民政府重点民生项目(2014076)

Analysis of the deafness-related gene screening results of 33 321 newborns

XU Wen-hua¹, ZHANG Zhi-cheng ¹,MEI Jin-xin ¹, GENG Xiao-fang²

1 Women′s and Children′s Hospital, Gushi Maternal and Child Health Care Hospital, Xinyang, Henan 465200, China;
2 School of Medical Examination, Xinxiang Medical University, Xinxiang, Henan 453003, China

Received:2018-07-25 Revised:2018-09-12
Contact: MEI Jin-xin, E-mail: meijinxin2008@163.com

摘要/Abstract

摘要： 目的探讨新生儿耳聋基因筛查的意义,对携带耳聋基因儿童的家长提出预警并指导其进行听力学随诊和生活防护。方法经产妇及家属知情同意后,收集本地区2014年8月—2018年2月出生的33 321例新生儿足跟血,用基质辅助激光解吸电离飞行时间质谱技术进行4个常见耳聋相关基因20个突变点的检测。结果 33 321例新生儿检测出阳性1 693例,占总人数的5.08%。分别为GJB2基因杂合突变893例,携带率为2.68%;SLC26A4基因杂合突变546例,携带率为1.64%;GJB3基因杂合突变123例,携带率为0.37%;线粒体12SrRNA基因均质或异质突变96例,携带率为0.29%。另发现GJB2基因纯合或复合杂合突变8例,SLC26A4基因纯合或复合杂合突变2例,双基因杂合突变25例。结论新生儿耳聋基因筛查对听力障碍患儿的早期发现、早期诊断和早期干预具有重要意义。

关键词: 耳聋基因, 筛查, 新生儿

Abstract: Objective To explore the significance of newborn screening for mutations of deafness-related genes, in order to provide ear and hearing care guidance to parents.Methods With the informed consent of the parturient and her family, totally 33 321 cases of neonatal heel blood were collected from August 2014 to February 2018, matrix assisted laser desorption ionization time-of-flight mass spectrometry was used to detect 20 mutation sites of 4 deafness-related genes.Results Among 33 321 neonates, 1 693(5.08%) neonates were positive. The number of neonates carrying heterozygous mutations in GJB2, SLC26A4, and GJB3 were 893, 546 and 123, respectively. And the corresponding carrier rates were 2.68%, 1.64% and 0.37%, respectively. The number of neonates carrying homogeneous or heterogeneous mutation in mitochondrial 12S rRNA gene was 96 with a carrier rate of 0.29%. In addition, 8 cases of homozygous or complex heterozygous mutations in GJB2 gene and 2 cases of homozygous or complex heterozygous mutations in SLC26A4 gene were identified. There were also 25 cases of double heterozygous mutations.Conclusion Deafness-related gene screening in newborn is crucial for early detection, diagnosis and intervention in children with hearing impairment.

Key words: deafness-related gene, screening, neonate

中图分类号:

R179

徐文华,张志成,梅金鑫,耿小芳. 新生儿33 321例耳聋基因筛查结果分析[J]. 中国儿童保健杂志, 2018, 26(11): 1168-1171.

XU Wen-hua, ZHANG Zhi-cheng ,MEI Jin-xin , GENG Xiao-fang. Analysis of the deafness-related gene screening results of 33 321 newborns[J]. journal1, 2018, 26(11): 1168-1171.

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