首页|基因检测早期诊断家族性高胆固醇血症一家系临床及遗传特点分析

基因检测早期诊断家族性高胆固醇血症一家系临床及遗传特点分析

扫码查看
目的 通过基因检测早期诊断家族性高胆固醇血症(familial hypercholesterolemia,FH)一家系,旨在提高临床医生对FH的识别及诊断能力,早期进行干预治疗.方法 收集就诊于福建医科大学附属第一医院神经内科高胆固醇血症家系的临床资料,并进行基因测序分析.结果 家系成员中有7例发现存在高血胆固醇、高血低密度脂蛋白胆固醇(LDL-C),患者年龄8~59岁.115因反复心绞痛,检查发现冠脉狭窄行冠状动脉支架置入术.基因检测发现所有患者均存在LDLR基因Exon13 c.1879 G>A(p.A627T)位点杂合突变,最终诊断为FH.结论 FH起病隐匿,早期无明显临床症状,极易漏诊.基因检测技术对FH患者及其亲属进行遗传筛查,不仅有助于早期诊断,还可根据基因型进行个体化治疗,特别是对儿童患者的预防性治疗具有重要意义
Genetic testing for early diagnosis of familial hypercholesterolemia and analysis of clinical and genetic characteristics of a family with familial hypercholesterolemia
Objective To early diagnose a family with familial hypercholesterolemia(FH)through genetic testing in order to improve the ability of clinicians to identify and diagnose FH and provide the early intervention and treatment.Methods Clinical data were collected from a family with hypercholesterolemia treated in our hospital.Genetic sequencing analysis was conducted on the family members.Results Seven family members,aged between 8 and 59 years,were identified with increased levels of cholesterol and LDL-C.Individual Ⅱ5 suffered coronary artery stenosis and had coronary stent implantation due to repeated angina pectoris.Genetic testing identified a heterozygous mutation at the LDLR gene Exon 13 c.1879 G>A(p.A627T)in all affected members.The diagnosis of FH was confirmed.Conclusions The onset of FH is insidious.There are no obvious clinical symptoms in the early stage,so that it is easily missed.Genetic testing technology for genetic screening of FH patients and their relatives not only helps early diagnosis,but also provides personalized treatment based on genotype.It is especially important for preventive treatment of pediatric patients.

Familial HypercholesterolemiaGenetic TestingLDLR

徐峰、林凯俊、丁远亮、曹春艳、杨康、王柠、林珉婷

展开 >

福建医科大学附属第一医院神经内科,福建 福州 350000

河南科技大学第一附属医院神经内科,河南洛阳 471000

家族性高胆固醇血症 基因检测 LDLR

福建省财政厅项目2021年卫生健康省级专项补助经费

BPB-LMT2021

2024

实用医院临床杂志
四川省医学科学院 四川省人民医院

实用医院临床杂志

CSTPCD
影响因子:1.179
ISSN:1672-6170
年,卷(期):2024.21(5)