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一例Xq22.3q27.3缺失患者的遗传学分析

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目的:对1例无相关特异表型的Turner综合征患者进行遗传学分析,为临床医生识别女性X染色体偏倚失活提供参考.方法:采集1例原发不孕3年的女性及其丈夫和父母的外周静脉血,行染色体核型分析、女方染色体拷贝数变异(CNVs)检测,并进行遗传学分析.结果:原发不孕患者外周血染色体核型为46,X,del(X)(q22.3),其父母及丈夫染色体核型结果均正常.患者CNVs结果提示X染色体q22.3-q27.3缺失40.62Mb,为致病性改变.患者缺失的X染色体失活偏倚比例为98:2,为X染色体极度失活偏倚.结论:临床医生应考虑到女性患者存在X染色体偏倚失活的可能,尽早发现染色体异常患者,以避免生育风险及出生缺陷的发生.
Genetic analysis of a patient with Xq22.3q27.3 deletion
Objective:To analyze one Turner syndrome patient without relevant clinical symptoms,and to provide the references for the clinicians to identify the patient with skewed X-chromosome inactivation.Methods:The peripheral blood samples of one patient with primary infertility for 3 years,and her husband and parents were collected for the chromosome karyotype analysis and the female chromosomal copy number variations(CNVs),and the genetic analysis was conducted.Results:The chromosome karyotype in the peripheral blood of the patient with the primary infertility was 46,X,del(X)(q22.3),and the chromosome karyotype results of her parents and husband were normal.The CNV results of the patient indicated that the deletion of Xq22.3-q27.3 was 40.62Mb,and which was a pathogenic change.The ratio of the missing skewed X-chromosome inactivation of this patient was 98:2,and which indicated that this patient with the extreme skewed X-chromosome inactivation.Conclusion:The clinicians should consider the possi-bility of the women with skewed X-chromosome inactivation,so the patients with the chromosome abnormalities should be found as early as possible to avoid the risk of their fertility and their neonatal birth defects.

Turner syndromePartial deletion of the X chromosomeSkewed inactivation

王连、惠玲、马盼盼、程世斌、王兴

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甘肃省妇幼保健院,甘肃省出生缺陷与罕见病临床医学研究中心(兰州,730050)

Turner综合征 X染色体部分缺失 偏倚失活

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(4)
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