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先天性胰岛素抵抗性糖尿病(多诺霍综合征)的产前诊断

[Prenatal diagnosis of congenital insulin-resistant diabetes (Donohue's syndrome)].

作者信息

Pörksen Sven, Wøjdemann Karen R, Johansen Anders, Hansen Lars, Mortensen Henrik B

机构信息

Diabetesambulatoriet, Glostrup Hospital, Børneafdeling L, Glostrup.

出版信息

Ugeskr Laeger. 2007 Feb 26;169(9):827-8.

Abstract

A consanguineous Turkish couple was expecting their third child. Two years earlier their second child had died from a severe form of insulin-resistant diabetes causing Donohue's syndrome. A novel mutation (V335) in the insulin receptor gene was found to be disrupting the structure and function of the receptor. The parents, as well as their first child, were asymptomatic, heterozygous carriers. The family received genetic counselling, and chorion villus sampling was performed early in pregnancy. Genotyping showed that the child in utero was heterozygous for the mutation. Subsequently the mother gave birth to a healthy boy.

摘要

一对有血缘关系的土耳其夫妇即将迎来他们的第三个孩子。两年前,他们的第二个孩子死于一种导致多诺霍综合征的严重胰岛素抵抗型糖尿病。发现胰岛素受体基因中的一种新突变(V335)破坏了受体的结构和功能。父母以及他们的第一个孩子均无症状,是该突变的杂合携带者。这家人接受了遗传咨询,并在妊娠早期进行了绒毛取样。基因分型显示,子宫内的胎儿为该突变的杂合子。随后,母亲生下了一个健康的男孩。

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