中国医药导报2024,Vol.21Issue(5) :189-192.DOI:10.20047/j.issn1673-7210.2024.05.45

MECP2基因变异所致Rett综合征患儿1例的临床表型与遗传学分析

Clinical phenotype and genetic analysis of one children with Rett syn-drome caused by MECP2 gene variats

钟少君 李承燕 王优 荣诗雯 刘玲 林永文 敖当
中国医药导报2024,Vol.21Issue(5) :189-192.DOI:10.20047/j.issn1673-7210.2024.05.45

MECP2基因变异所致Rett综合征患儿1例的临床表型与遗传学分析

Clinical phenotype and genetic analysis of one children with Rett syn-drome caused by MECP2 gene variats

钟少君 1李承燕 1王优 1荣诗雯 1刘玲 1林永文 1敖当1
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作者信息

  • 1. 广东医科大学附属医院儿童医学中心,广东湛江 524000
  • 折叠

摘要

本文探讨MECP2基因变异所致Rett综合征的临床表型与遗传学病因,分析了 1例因"发育落后"就诊于广东医科大学附属医院,最终确诊为Rett综合征女性患儿的基因型及临床表型.患儿婴幼儿期起病,有发育迟缓、手部刻板动作、癫痫发作、技能及语言丧失、智力低下及步态异常,查体提示头围小、四肢肌张力低下;检查发现异常视频脑电图,基因检测提示MECP2基因的新生杂合变异,为错义变异c.710C>G(p.Pro237Arg),诊断典型Rett综合征,予丙戊酸钠、拉莫三嗪抗癫痫治疗及物理刺激干预如脑深部电刺激、经颅磁刺激等处理可以缓解该Rett综合征患者神经元的病理表型,基因检测为Rett综合征最独特的诊断依据,早期基因检测诊断与治疗可改善预后,为遗传咨询及产前诊断提供重要参考依据.

Abstract

The study investigates the clinical phenotype and genetic etiology of Rett syndrome caused by MECP2 gene variation.The genotypes and clinical phenotypes of a female child with Rett syndrome who was diagnosed with developmental retardation at the Affiliated Hospital of Guangdong Medical University were analyzed.The onset of the disease in infants was developmental delay,rigid hand movements,seizures,loss of skills and language,mental retardation and abnormal gait.Physical examination indicated small head circumference,and low muscle tone in limbs;Abnormal video electroencephalogram was detected,and gene detection indicated a new heterozygous mutation of MECP2 gene,which was missense mutation c.710C>G(p.ro237Arg).For diagnosis of typical Rett syndrome,antiepileptic therapy with sodium valproate,lamotrigine,and physical stimulation interventions such as deep brain stimulation,and transcranial magnetic stimulation can alleviate the pathological phenotype of neurons in patients with Rett syndrome.Genetic testing is the most unique diagnostic basis for Rett syndrome.Early diagnosis and treatment of genetic testing can improve prognosis and provide important reference for genetic counseling and prenatal diagnosis.

关键词

MECP2基因/Rett综合征/癫痫/发育落后

Key words

MECP2 gene/Rett syndrome/Epilepsy/Developmental delay

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基金项目

广东省基础与应用基础研究基金项目(2019A1515110564)

出版年

2024
中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
参考文献量28
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