首页|5例努南综合征胎儿的产前诊断家系分析

5例努南综合征胎儿的产前诊断家系分析

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目的 对5例产前诊断努南综合征的胎儿家系进行回顾性分析,明确努南综合征胎儿的临床特征及遗传特点。方法 回顾性分析2018年6月至2022年8月首都医科大学附属北京妇产医院5例产前分别以颈后皮肤皱褶增厚、颈部水囊瘤、胎儿水肿等为主要超声表现的胎儿行全基因组拷贝数变异测序,并应用全外显子测序(WES)对胎儿及其父母行基因检测及验证。结果 5例胎儿染色体均未检出致病染色体异常,但WES结果提示4个家系胎儿存在PTPN11致病性基因变异,1个胎儿存在LZTR1的致病性基因变异,结合胎儿的异常超声表现,均明确诊断为努南综合征。结论 胎儿颈后皮肤皱褶增厚、颈部水囊瘤及水肿等产前超声异常表现在排除染色体疾病后,应考虑努南综合征的可能性,产前WES检测在产前诊断努南综合征中具有重要的应用价值。
Prenatal diagnosis and genetic analysis of 5 fetuse of Noonan syndrome
Objective:To identify the clinical and genetic features of Noonan syndrome by retrospectively analyzing genealogies of 5 fetuses diagnosed as Noonan syndrome prenatally.Methods:In this retrospective study,5 fetuses were diagnosed prenatally as Noonan syndrome in Maternal and Child Health Care Hospital,Capital Medical University from June 2018 to August 2022.Five fetuses had abnormal ultrasound findings,mainly including increased nuchal translucency thickening(NT),nuchal cystic hygroma,fetal edema and so on.The copy number variation(CNV)testing and prenatal whole exome sequencing(WES)were conducted in the fetuses and their parents.Results:Five fetuses had normal CNV,in whom four had genetic mutation of PTPN11,and one had genetic mutation of LZTR1.They were all clearly diagnosed as Noonan syndrome combining with the abnormal ultrasound findings.Conclusions:Prenatal ultrasound abnormalities such as increased nuchal translucency thickening(NT),nuchal cystic hygroma,fetal edema should be considered as manifestation of Noonan syndrome after excluding chromosomal diseases.Prenatal WES testing has important application value in prenatal diagnosis of Noonan syndrome.

Noonan syndromePrenatal diagnosisGenetic variationWhole exome sequencing

侯磊、李介岩、齐科研、张萌、闫有圣、邹丽颖

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首都医科大学附属北京妇产医院/北京妇幼保健院产科,北京 100026

努南综合征 产前诊断 基因变异 全外显子测序

卫生行业科研专项项目

201002013

2024

生殖医学杂志
北京协和医院 国家人口计生委科学技术研究所

生殖医学杂志

CSTPCD
影响因子:1.24
ISSN:1004-3845
年,卷(期):2024.33(8)