首页|ALOXE3基因突变致常染色体隐性先天性鱼鳞病一例

ALOXE3基因突变致常染色体隐性先天性鱼鳞病一例

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目的:明确一例常染色体隐性鱼鳞病基因突变及 0.5%神经酰胺乳膏治疗效果.方法:收集先证者的临床资料,提取先证者及其亲属外周血DNA,采用序列捕获技术对相关基因进行高通量测序,并对其变异位点进行一代验证.明确诊断后给予先证者外用 0.5%神经酰胺乳膏治疗,并随访 10个月.结果:先证者皮损组织病理符合鱼鳞病病理改变,全基因组外显子测序及Sanger测序验证发现先证者ALOXE3 基因存在复合杂合突变(错义变异c.1208A>G:p.H403R 和一个移码变异 c.102dup:p.K35Qfs∗29).先证者的母亲(错义变异 c.1208A>G:p.H403R)和父亲(移码变异 c.102dup:p.K35Qfs∗29)分别是单个突变的携带者.给予外用 0.5%神经酰胺乳膏治疗 10 个月,全身皮肤干燥及褐色鳞屑得到明显改善.结论:ALOXE3 基因的复合杂合突变可能是该常染色体隐性鱼鳞病患者的病因.0.5%神经酰胺乳膏治疗可取得良好效果.
Autosomal recessive congenital ichthyosis caused by mutation of ALOXE3 gene
Objective:To determin the mutation of a patient with autosomal recessive ichthyosis and the ef-ficacy of 0.5%ceramide cream.Methods:The clinical data of the proband were collected and DNA was ex-tracted from the peripheral blood of the proband and his relatives,and high-throughput sequencing of relevant genes was performed using sequence capture technology,and the mutation sites were verified for one genera-tion.The proband was treated with topical 0.5%ceramide cream and followed up for 10 months.Results:The histopathology of the proband's skin lesions was consistent with the pathological changes of ichthyosis.Whole-genome exome sequencing and Sanger sequencing confirmed that the proband had compound heterozygous mu-tations in the ALOXE3 gene(missense variants c.1208A>G:p.H403R and a frameshift variant c.102dup:p.K35Qfs∗29).The mother(missense mutation c.1208A>G:p.H403R)and father(frameshift mutation c.102dup:p.K35Qfs∗29)of the proband were carriers of a single mutation,respectively.The proband was trea-ted with 0.5%ceramide cream for 10 months.The dry skin and brown scales were significantly improved.Conclusion:The compound heterozygous mutation of ALOXE3 gene may be the cause of this autosomal reces-sive ichthyosis and 0.5%ceramide cream is effective in treating this disease.

autosomal recessive congenital ichthyosisALOXE3 genecompound heterozygous mutationceramide cream

韩春雨、韩建文

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内蒙古医科大学附属医院,内蒙古 呼和浩特,010000

常染色体隐性先天性鱼鳞病 ALOXE3基因 复合杂合突变 神经酰胺乳膏

2025

中国麻风皮肤病杂志
中国麻风防治协会,山东省皮肤病性病防治研究所

中国麻风皮肤病杂志

影响因子:0.302
ISSN:1009-1157
年,卷(期):2025.41(1)