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在与CSX/NKX2-5基因中的两个新错义突变相关的心脏异常中,存在进行性房室传导阻滞和异常静脉回流。

Progressive AV-block and anomalous venous return among cardiac anomalies associated with two novel missense mutations in the CSX/NKX2-5 gene.

作者信息

Gutierrez-Roelens Ilse, Sluysmans Thierry, Gewillig Marc, Devriendt Koen, Vikkula Miikka

机构信息

Laboratory of Human Molecular Genetics, Christian de Duve Institute of Cellular Pathology, Université catholique de Louvain, Brussels, Belgium.

出版信息

Hum Mutat. 2002 Jul;20(1):75-6. doi: 10.1002/humu.9041.

Abstract

Non-syndromic cardiac septation defects are common, yet the causative factors remain largely uncharacterised. Septation defects are an integral part of many syndromes, some of which are associated with chromosomal alterations. For the majority, the physiopathogenesis is believed to be multi-factorial, hindering the identification of causative factors. Ten mutations in the gene encoding the transcription factor CSX/NKX2-5 have been described in individuals with ASD and/or atrioventricular conduction defects. In addition, several other cardiac abnormalities were observed, yet the mildest forms are reminiscent of non-syndromic septation defects. The CSX/NKX2-5 gene is thus a good candidate for various cardiopathies. We have collected two families with inherited predisposition to cardiac abnormalities. Some members of the families presented ASD and AV block. In both families a novel CSX/NKX2-5 mutation was identified in the homeodomain. Variable expressivity in the phenotype was observed in both families. Importantly, mutation carriers did not present any symptoms at young age. In addition, anomalous venous return, a phenotype not previously associated to CSX/NKX2-5 mutations, was observed in one of the families. We also screened the CSX/NKX2-5 gene in sporadic and familial cases of other cardiopathies. As additional mutations were not found, substitutions in CSX/NKX2-5 gene seem to be a rare cause of cardiopathies without conduction defect.

摘要

非综合征性心脏间隔缺损很常见,但致病因素在很大程度上仍未明确。间隔缺损是许多综合征的一个组成部分,其中一些与染色体改变有关。对于大多数情况,其病理生理机制被认为是多因素的,这阻碍了致病因素的识别。在患有房间隔缺损和/或房室传导缺陷的个体中,已发现编码转录因子CSX/NKX2 - 5的基因有十种突变。此外,还观察到了其他几种心脏异常情况,但其最轻微的形式与非综合征性间隔缺损相似。因此,CSX/NKX2 - 5基因是各种心肌病的一个很好的候选基因。我们收集了两个有心脏异常遗传易感性的家族。这些家族的一些成员出现了房间隔缺损和房室传导阻滞。在这两个家族中,均在同源异型域发现了一种新的CSX/NKX2 - 5突变。在两个家族中均观察到了表型的可变表达。重要的是,突变携带者在年轻时没有出现任何症状。此外,在其中一个家族中还观察到了异常静脉回流,这是一种以前未与CSX/NKX2 - 5突变相关联的表型。我们还对其他心肌病的散发性和家族性病例进行了CSX/NKX2 - 5基因筛查。由于未发现其他突变,CSX/NKX2 - 5基因中的替代似乎是无传导缺陷的心肌病的罕见病因。

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