首页|1例有扩张型心肌病的黏脂贮积症患儿分析

1例有扩张型心肌病的黏脂贮积症患儿分析

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目的 对1例表现为特殊面容,牙龈肥厚,颈部缩短,严重的神经运动发育受损,多次呼吸道感染、扩张型心肌病的患儿进行遗传学分析以明确其病因.方法 从患儿及其父母的外周血中提取DNA,利用全外显子组测序技术,结合临床表型系统分析相关基因的致病变异,通过Sanger测序验证先证者及其父母.结果 全外显子组测序结果显示患儿的GNPTAB基因(NM_024312.5)存在c.1284+1G>A和c.79de1(p.Va127Serfs*56)复合杂合变异,分别遗传自母亲和父亲,该变异基因为疑似致病变异.结论 GNPTAB基因(NM_024312.5)的c.1284+1G>A和c.79de1(p.Val27Serfs*56)复合杂合变异可能会导致有扩张型心肌病的黏脂贮积症Ⅱ α/β型,此结果为黏脂贮积症Ⅱ型患者的遗传咨询提供了依据.
Analysis of a case of mucolipidosis in a child with dilated cardiomyopathy
Objective To identify the etiology of a child with special facial features,gingival hypertrophy,neck short-ening,severe neuromotor development impairment,multiple respiratory infections,and dilated cardiomyopathy.Methods DNA was extracted from peripheral blood of the children and their parents,and the pathogenic variation of related genes was analyzed by whole exome sequencing technology combined with clinical phenotype system,and the progenitor and his parents were veri-fied by Sanger sequencing.Results The results of whole exome sequencing showed that the GNPTAB gene(NM_024312.5)of the child had A complex heterozygous mutation of c.1284+1G>A and c.79del(p.Val27Serfs*56),which were inherited from the mother and father,respectively.The mutation was suspected to be a pathogenic mutation.Conclusion The complex heterozy-gous variation of the GNPTAB gene(NM_024312.5)in c.1284+1G>A and c.79del(p.Val27Serfs*56)may lead to mucolipido-sis Ⅱ α/β type with dilated cardiomyopathy,and this result provides a basis for genetic counseling in mucolipidosis Ⅱ patients.

mucolipidosisGNPTAB genedilated cardiomyopathy

宋若楠、司利钢

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哈尔滨医科大学附属第六医院儿内科,黑龙江哈尔滨 150028

黏脂贮积症 GNPTAB基因 扩张型心肌病

2024

中国优生与遗传杂志
中国优生科学协会

中国优生与遗传杂志

CSTPCD
影响因子:0.527
ISSN:1006-9534
年,卷(期):2024.32(11)