首页|发-肝-肠综合征患儿SKIV2L基因变异分析1例

发-肝-肠综合征患儿SKIV2L基因变异分析1例

Analysis of SKIV2L gene variants in a child with tricho-hepato-enteric syndrome

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分析2021-01-24南京医科大学附属儿童医院消化科1例发-肝-肠综合征(tricho-hepato-enteric syndrome,THES)患儿临床特征及基因变异情况,采集患儿及其父母外周血提取基因组DNA,使用二代测序对患儿进行基因检测,对检出的可疑变异进行一代Sanger验证及生物信息学分析.患儿临床特征为肝功能损害、腹泻、头发蓬松易断、生长迟缓.头发光镜下见脆性结节.基因测序提示患儿SKIV2L基因存在复合杂合新变异c.29C>T(p.P10L)和c.321C>G(p.H107Q).两种变异既往均未见报道,位点较为保守,多种生物信息学预测为有害.由此得到SKIV2L基因复合杂合变异c.29C>T/c.321C>G为患者的致病原因的结论.新变异位点的检出丰富了 SKIV2L基因的变异谱,为该家系的遗传咨询提供了依据.
To explore the clinical features and genetic variants of a patient with tricho-hepato-enteric syndrome(THES)admitted to the Department of Gastroenterology in the Chidren's Hospital of Nanjing Medical University on Jan.24,2021.Genomic DNA was extracted from the peripheral blood of the child and his parents.Genetic variants were detected by next-generation sequencing.Candidate variants were verified by Sanger sequencing followed by bioinformatic analysis.The child presents with clinical symptoms of liver damage,diarrhea,woolly and brittle hair and growth retardation.The microscopic hair examination showed trichorrhexis nodosa.Novel compound heterozygous SKIV2L gene variants(c.29C>T/c.321C>G)were detected in the child.The two variants have not been reported before,the sites are conserative,and many kinds of bioinformatics predict them as harmful.It is concluded that compound heterozygous variants(c.29C>T/c.321C>G)of SKIV2L gene is the etiology of the patient.The two novel variants expand the spectrum of SKIV2L gene variant and provid the basis for genetic counseling of the family.

tricho-hepato-enteric syndromeSKIV2L genenext-generation sequencing

郑玉灿、刘志峰、金玉、程卫霞

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南京医科大学附属儿童医院消化科,江苏南京 210008

发-肝-肠综合征 SKIV2L基因 二代测序

国家自然科学基金江苏省妇幼保健协会科研项目南京市医学科技发展项目

81873542FYX202101QRX17165

2024

中国实用儿科杂志
中国医师协会,中国实用医学杂志社

中国实用儿科杂志

CSTPCD北大核心
影响因子:1.314
ISSN:1005-2224
年,卷(期):2024.39(1)
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