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Mutations in the adenomatous polyposis coli (APC) gene in patients with familial adenomatous polyposis (FAP) with congenital hypertrophy of the retinal pigment epithelium (CHRPE).January 1998 (has links)
by Keung Wing Ying. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1998. / Includes bibliographical references (leaves 115-128). / Abstract also in Chinese. / Abstract --- p.I / Acknowledgments --- p.IV / Abbreviations --- p.V / List of Tables --- p.VII / List of Figures --- p.VIII / Chapter Chapter 1 --- Introduction --- p.1 / Chapter 1.1 --- Familial Adenomatous Polyposis (FAP) --- p.1 / Chapter 1.1.1 --- Occurrence and prevalence --- p.1 / Chapter 1.1.2 --- Clinical features --- p.2 / Chapter 1.1.3 --- Laboratory studies --- p.5 / Chapter 1.1.4 --- Diagnosis --- p.6 / Chapter 1.1.5 --- Management --- p.8 / Chapter 1.2 --- Congenital Hypertrophy of the Retinal Pigment Epithelium (CHRPE) --- p.8 / Chapter 1.2.1 --- Clinical features --- p.9 / Chapter 1.2.2 --- Pathogenesis --- p.11 / Chapter 1.2.3 --- Histology --- p.12 / Chapter 1.2.4 --- Differential diagnosis --- p.13 / Chapter 1.2.5 --- CHRPE as an early clinical marker for FAP --- p.14 / Chapter 1.3 --- The Adenomatous Polyposis Coli (APC) Gene --- p.16 / Chapter 1.3.1 --- Discovery --- p.16 / Chapter 1.3.2 --- Structure and function --- p.17 / Chapter 1.3.3 --- Sequence alterations in the APC gene --- p.18 / Chapter 1.3.4 --- APC mutations associated with specific clinical features --- p.21 / Chapter 1.3.5 --- APC gene mutations in Chinese --- p.22 / Chapter 1.3.6 --- Methods for detecting mutation in the APC gene and linkage analysis --- p.23 / Chapter Chapter 2 --- Study Objectives --- p.44 / Chapter Chapter 3 --- Methodology --- p.45 / Chapter 3.1 --- Subjects --- p.45 / Chapter 3.2 --- CHRPE analysis --- p.45 / Chapter 3.2.1 --- Ophthalmoscopic examination --- p.45 / Chapter 3.2.2 --- Diagnostic criteria of CHRPE --- p.45 / Chapter 3.3 --- Materials and Equipment --- p.46 / Chapter 3.3.1 --- Enzymes --- p.46 / Chapter 3.3.2 --- DNA markers --- p.46 / Chapter 3.3.3 --- Reagent kits --- p.46 / Chapter 3.3.4 --- Primers for PCR --- p.46 / Chapter 3.3.5 --- Chemicals and reagents --- p.47 / Chapter 3.3.6 --- Radioisotopes --- p.47 / Chapter 3.3.7 --- Solutions and buffers --- p.47 / Chapter 3.3.8 --- Equipment --- p.48 / Chapter 3.4 --- Methods --- p.49 / Chapter 3.4.1 --- Blood collection --- p.49 / Chapter 3.4.2 --- DNA extraction --- p.49 / Chapter 3.4.3 --- DNA quantitation --- p.50 / Chapter 3.4.4 --- Polymerase Chain Reaction (PCR) --- p.50 / Chapter 3.4.5 --- Agarose gel electrophoresis --- p.51 / Chapter 3.4.6 --- Single Strand Conformation Polymorphism (SSCP) --- p.52 / Chapter 3.4.7 --- Direct DNA sequencing --- p.52 / Chapter 3.4.8 --- Analysis of microsatellite markers --- p.54 / Chapter Chapter 4 --- Results --- p.59 / Chapter 4.1 --- Study subjects --- p.59 / Chapter 4.1.1 --- FAP index patients --- p.59 / Chapter 4.1.2 --- FAP families --- p.59 / Chapter 4.1.3 --- Control subjects with CHRPE only --- p.60 / Chapter 4.1.4 --- Normal control subjects --- p.60 / Chapter 4.2 --- CHRPE analysis --- p.60 / Chapter 4.2.1 --- CHRPE in FAP index patients --- p.60 / Chapter 4.2.2 --- CHRPE in family members --- p.61 / Chapter 4.2.3 --- CHRPE in controls subjects --- p.61 / Chapter 4.2.4 --- Statistical analysis --- p.61 / Chapter 4.3 --- PCR optimization --- p.62 / Chapter 4.4 --- SSCP analysis of the APC gene --- p.62 / Chapter 4.5 --- Direct DNA sequencing analysis --- p.63 / Chapter 4.5.1 --- Nonsense mutations --- p.63 / Chapter 4.5.2 --- Novel silent mutations --- p.64 / Chapter 4.5.3 --- Polymorphisms --- p.65 / Chapter 4.6 --- Haplotype analysis --- p.67 / Chapter 4.7 --- Family studies --- p.67 / Chapter 4.7.1 --- Family A --- p.67 / Chapter 4.7.2 --- Family B --- p.68 / Chapter 4.7.3 --- Family C --- p.68 / Chapter 4.7.4 --- Family D --- p.69 / Chapter 4.7.5 --- Family E --- p.70 / Chapter 4.7.6 --- Family F --- p.70 / Chapter Chapter 5 --- Discussion --- p.104 / Chapter 5.1 --- The predictive value of CHRPE in FAP patients and family members --- p.104 / Chapter 5.2 --- The laboratory techniques in this study --- p.105 / Chapter 5.2.1 --- PCR optimization --- p.105 / Chapter 5.2.2 --- Single Strand Conformation Polymorphism (SSCP) --- p.106 / Chapter 5.2.3 --- Direct DNA sequencing --- p.107 / Chapter 5.3 --- Novel mutation in the APC gene --- p.108 / Chapter 5.4 --- Reported mutations in the APC gene --- p.108 / Chapter 5.4.1 --- 3183del5 --- p.108 / Chapter 5.4.2 --- R216X and R283X --- p.109 / Chapter 5.5 --- Novel silent mutations and polymorphisms in the APC gene --- p.109 / Chapter 5.5.1 --- Novel silent mutations --- p.109 / Chapter 5.5.2 --- Polymorphisms --- p.110 / Chapter 5.6 --- The relationship between APC gene mutations and CHRPE --- p.111 / Chapter 5.7 --- Haplotype analysis --- p.112 / Chapter Chapter 6 --- Conclusion --- p.114 / Chapter Chapter 7 --- References --- p.115
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