摘要
为评估定量荧光PCR(QF-PCR)方法在男性不育遗传学诊断中的应用价值,文章对78例非梗阻性男性不育患者,采用精液常规检测精子情况,并检测患者性激素水平;采用QF-PCR方法对患者性染色体多态性STR位点及特异性位点进行检测;采用常规染色体G显带方法进行核型分析;PCR检测AZF微缺失。结果显示78例非梗阻性男性不育患者中发现无精子症患者18例,少精子症患者20例,总检出率为48.72%。采用QF-PCR方法检出3例47,XXY患者,2例46,XX(SRY+)性反转患者,1例AZFc区微缺失患者,与细胞培养染色体分析和AZF微缺失PCR检测结果相符。与传统方法相比,QF-PCR技术能更迅速、直接、可靠地检测到男性不育患者的染色体异常区域,及早发现染色体细微结构异常,有助于染色体异常造成的男性不育症的鉴别诊断。
To assess the clinical practice of quantitative fluorescence PCR(QF-PCR) in genetic diagnosis of male infertil-ity patients,78 nonobstructive male infertility patients were pooled for semen routine screening and sexual hormone deter-mination;QF-PCR was applied to detect the polymorphic short tandem repeat(STR) and specific sequence tagged site(STS) of sex chromosomes;routine chromosome G-band was used for karyotype analysis and PCR was used for the detection of AZF microdeletion.Routine screening of semen found 18 azoospermia and 20 oligospermia patients(48.72%).Three pa-tients with 47,XXY,two with 46,XX(SRY+)and one with AZFc microdeletion were detected using QF-PCR technique which were verified by chromosome G-band and PCR.This study suggests that QF-PCR is a comprehensive,rapid and reliable method for detecting abnormal chromosomal regions and microstructures compared with traditional tests and pro-vides a better candidate for diagnosis of male infertility caused by chromosomal anomalies and gene mutation.
出处
《遗传》
CAS
CSCD
北大核心
2011年第8期895-900,共6页
Hereditas(Beijing)