首页|SCN4A基因R669H变异的家族性低钾性周期性麻痹1家系分析

SCN4A基因R669H变异的家族性低钾性周期性麻痹1家系分析

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目的 探讨一个低钾性周期性麻痹(HOKPP)家系的临床及遗传学特点.方法 回顾性分析1个HOKPP家系的临床资料.结果 先证者表现为周期性瘫痪,发作时四肢无力,血钾明显降低(1~2 mmol/L),先证者的父亲及表哥有相似症状.基因检测发现,先证者、父亲、小姑和表哥SCN4A基因存在1 个杂合错义变异c.2006G>A(p.R669H),其大姑及叔叔未发现该变异.结论 该家系呈现不规则显性遗传,男性杂合子严重程度、发病频率和起病年龄有所不同,而女性杂合子无临床表型.本研究首次明确在亚洲种族人群中R669H变异导致男性完全外显,而女性可能为携带者.
Analysis of one familial hypokalemic periodic paralysis family with R669H variant of SCN4A gene
Objective To investigate the clinical and genetic characteristics of a family with hypokalemic periodic paralysis(HOKPP).Methods The clinical data of one HOKPP family were retrospectively analyzed.Results The proband presented with periodic paralysis,limb weakness and decreased serum potassium(1-2 mmol/L).The proband's father and cousin had similar symptoms.A heterozygous missense variant c.2006G>A(p.R669H)in SCN4A gene was identified in the proband,his father,younger aunt and cousin using gene detection.However,the variant was absent in his elder aunt and younger uncle.Conclusions The family shows irregular dominant inheritance.The severity,frequency and age of onset of male heterozygotes were different,while female heterozygotes had no clinical phenotype.The study first confirms that the R669H variant in SCN4A gene causes complete penetrance in males and carriers in females in Asian populations.

hypokalemic periodic paralysiswhole exome sequencingSCN4A genemutationincomplete penetrance

李洁、王乐、黄雪霜、姜海鸥

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418000 怀化,湖南医药学院基础医学院

低钾性周期性麻痹 全外显子组测序 SCN4A基因 突变 不完全外显

国家自然科学基金湖南省自然科学基金湖南省线下一流课程

319705562021JJ30481395

2024

临床神经病学杂志
南京医科大学附属脑科医院

临床神经病学杂志

CSTPCD
影响因子:1.778
ISSN:1004-1648
年,卷(期):2024.37(1)
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