Watanabe Yoriko, Sakai Haruya, Nishimura Akira, Miyake Noriko, Saitsu Hirotomo, Mizuguchi Takeshi, Matsumoto Naomichi
Department of Pediatrics, Kurume University Graduate School of Medicine, Kurume, Japan.
Am J Med Genet A. 2008 Dec 1;146A(23):3070-4. doi: 10.1002/ajmg.a.32567.
We report on somatic mosaicism of a TGFBR2 missense mutation, c.1336G>A (D446N). The affected son with the heterozygous mutation was previously reported [Sakai et al. (2006); Am J Med Genet A 140A:1719-1725]. Further evaluation indicates his clinical condition is Loeys-Dietz syndrome. Parental blood samples were studied to confirm whether the propositus' mutation was a de novo change, and suggested a trace of the mutation in the father. DNAs extracted from blood leukocytes, buccal cells, hair root cells, and nails in the father indicated 52%, 25%, 0%, and 35% of cells harbored the mutation, respectively. This is the first detailed report of somatic mosaicism of a TGFBR2 mutation.
我们报告了一例TGFBR2错义突变c.1336G>A(D446N)的体细胞镶嵌现象。携带杂合突变的患病儿子此前已有报道[酒井等人(2006年);《美国医学遗传学杂志A》140A:1719 - 1725]。进一步评估表明他的临床病症为洛伊斯 - 迪茨综合征。对父母的血液样本进行研究以确认先证者的突变是否为新发突变,结果显示父亲体内存在微量该突变。从父亲的血液白细胞、颊细胞、发根细胞和指甲中提取的DNA表明,分别有52%、25%、0%和35%的细胞携带该突变。这是关于TGFBR2突变体细胞镶嵌现象的首份详细报告。