首页|转甲状腺素蛋白淀粉样变心肌病一家系遗传学分析

转甲状腺素蛋白淀粉样变心肌病一家系遗传学分析

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目的:探讨转甲状腺素蛋白淀粉样变心肌病(ATTR-CM)的遗传学特征.方法:对1例以心肌肥厚所致心力衰竭为主要临床特征的ATTR-CM先证者的临床表型进行分析,通过高通量测序分析转甲状腺素蛋白(TTR)基因突变情况并进行Sanger测序验证.结果:先证者发病年龄较早,临床症状复杂.先证者及其妹妹、侄子、女儿4人存在TTR基因c.A163G(p.Lys55Glu)杂合突变.结论:本研究发现了TTR基因c.A163G(p.Lys55Glu)突变导致的ATTR-CM,异常TTR沉积主要累及心脏,症状复杂且不典型.
Genetic analysis of a pedigree of transthyretin amyloid cardiomyopathy
Aim:To investigate the genetic features of transthyretin amyloid cardiomyopathy(ATTR-CM).Methods:Clinical phenotypes of a case of ATTR-CM with preexisting heart failure due to myocardial hypertrophy as the main clinical feature were analyzed.Mutations in the transthyretin(TTR)gene in this pedigree were analyzed and genetically validated by Sanger sequencing validation.Results:The proband had an early onset age and complicated clinical symptoms.Gene se-quencing results showed that the proband and his sister,nephew,daughter had heterozygous mutation of TTR gene c.A163G(p.Lys55Glu).Conclusion:This study discovered the ATTR-CM caused by TTR gene c.A163G(p.Lys55Glu)mutation.Abnormal TTR deposition mainly affects the heart,with complex and atypical symptoms.

transthyretin amyloid cardiomyopathytransthyretingene mutation

杨鹏丽、刘志煜、郑颖颖、张文静、王蕴哲、肖丽莉、刘刚琼

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郑州大学第一附属医院心血管内科郑州 450052

转甲状腺素蛋白淀粉样变心肌病 转甲状腺素蛋白 基因突变

河南省中青年卫生健康科技创新杰出青年人才培养项目

YXKC2021041

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(4)