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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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SCImago Journal & Country Rank
3/2006
vol. 108
 
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abstract:
Review paper

Genetic diagnostic methods in ataxia-telangiectasia (Louis–Bar syndrome)

Heinrich Holak
1
,
Sophie Holak
2
,
Nikolai Holak
1
,
Ulrich Loel
3

  1. Z Kliniki Okulistycznej w Centrum Medycznym im. R. Virchowa w Salzgitter
  2. Z Kliniki Okulistycznej w Schlosspark-Klinik Berlin
  3. Z Oddziału Neurologii w Centrum Lekarskim im. R. Virchowa w Salzgitter
Online publish date: 2006/09/15
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Purpose
To introduce important genetic diagnostic methods for diagnosis of ataxia telangiectasia

Material and methods
Methods comprised: standard neuropsychiatric and ophthalmologic clinical investigations, analysis of karyograms obtained from cultured lymphocytes, and electronic measurements of lymphocyte nuclei for establishing phases of the cell cycle in radiated and non-radiated lymphocytes that were recovered from a patient.

Results
Cerebellar atrophy in MRT was associated with typical neuroophthalmological symptoms. Structural chromosomal abnormalities with deletion or translocation was found. The cell cycle study showed a characteristic high sensitivity on radiation; particularly high reduction of active cells after radiation was observed in the G1 and S phases. The defective G1/S and S checkpoints were established. The G2/GF ratio was more than threefold higher compared to that of the control group. A very high alpha-fetoprotein level was also noticed.

Conclusions
A clinical diagnosis of ataxia-telangiectasia should be confirmed through genetic methods.

keywords:

ataxia telangiectasia, phenotype, chromosomal aberrations, cell cycle

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