首页|MAST1基因变异所致以胼胝体增厚为特征的神经发育障碍临床及遗传学分析

MAST1基因变异所致以胼胝体增厚为特征的神经发育障碍临床及遗传学分析

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目的 探讨MAST1基因变异导致的伴有胼胝体增厚的神经发育障碍患儿的临床特征及遗传特点。方法 收集2022年9月就诊于河南省儿童医院的1例MAST1基因变异导致神经发育障碍患儿的临床资料,利用全外显子测序技术对该先证者及其家系进行遗传学分析。结果 先证者男性,年龄2岁8个月,临床表现为智力、运动以及语言发育障碍。头颅磁共振成像提示胼胝体增厚,左侧脑室体部边缘结节状灰质异位。基因检测结果显示患儿MAST1基因存在c。578T>G(p。Met193Arg)杂合错义变异,其父母为野生型,该变异位点为未报道过的新发变异。结论 MAST1基因变异导致的疾病比较罕见,临床主要表现为不同程度的神经发育障碍和脑部结构异常,头颅影像学检查可见明显的胼胝体增厚表现。MAST1基因c。578T>G(p。Met193Arg)杂合错义突变是本例患儿的遗传学病因。
Clinical and genetic analysis of neurodevelopmental disorders characterized by thickened corpus callosum caused by MAST1 gene mutation
Objective To investigate the clinical and genetic features of the patient with neurodevelopmental disorders characterized by thickened corpus callosum caused by MAST1 gene mutation.Methods Clinical data and auxiliary examination of a child with neurodevelopmental disorders caused by MAST1 gene mutation who was admitted to Henan Children's Hospital in September 2022 were collected,and whole exome sequencing technology was applied to analyze the genetics of the child.Results The patient was a 2 years and 8 months old male,with a clinical phenotype including intellectual,motor,and speech development disorders.Brain magnetic resonance imaging(MRI)showed thickened corpus callosum,nodular heterotopia of the left ventricle body.Whole exome sequencing showed the MAST1 gene with c.578T>G(p.Met193Arg)heterozygous missense variant,which was a unreported de novo pathogenic variant and both of his parents were wild-type.Conclusions Diseases caused by MAST1 gene mutations are relatively rare,the main clinical features are neurodevelopmental disorders and brain structural abnormalities,and MRI shows an enlarged corpus callosum.The heterozygous missense variant c.578T>G(p.Met193Arg)of the MAST1 gene is the genetic cause of this case.

Neurodevelopmental disordersCorpus callosumMAST1 gene

王彦红、刘磊、范晓鸽、郑璇、雷志、李林飞、宋立新、段勇涛、梅世月

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郑州大学附属儿童医院(河南省儿童医院郑州儿童医院)儿科医学研究所河南省儿童遗传代谢性疾病重点实验室,郑州 450018

郑州大学附属儿童医院(河南省儿童医院郑州儿童医院)医学影像科,郑州 450018

郑州大学附属儿童医院(河南省儿童医院郑州儿童医院)康复科,郑州 450018

神经发育障碍 胼胝体 MA1ST1基因

河南省医学教育研究项目河南省自然科学基金河南省科技研发计划联合基金

Wjlx2022148232300421086225200810114

2024

中华神经科杂志
中华医学会

中华神经科杂志

CSTPCD北大核心
影响因子:1.329
ISSN:1006-7876
年,卷(期):2024.57(5)
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