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RAB27A 中 novel 47.5-kb 缺失导致严重的 Griscelli 综合征 2 型。

Novel 47.5-kb deletion in RAB27A results in severe Griscelli Syndrome Type 2.

机构信息

Section on Human Biochemical Genetics, Medical Genetics Branch, NHGRI, NIH, Bethesda, MD 20892, USA.

出版信息

Mol Genet Metab. 2010 Sep;101(1):62-5. doi: 10.1016/j.ymgme.2010.05.015. Epub 2010 Jun 10.

Abstract

Griscelli syndrome (GS), a rare autosomal recessive disorder characterized by partial albinism and immunological impairment and/or severe neurological impairment, results from mutations in the MYO5A (GS1), RAB27A (GS2), or MLPH (GS3) genes. We identified a Hispanic patient born of a consanguineous union who presented with immunodeficiency, partial albinism, hepatic dysfunction, hemophagocytosis, neurological impairment, nystagmus, and silvery hair indicative of Griscelli Syndrome Type 2 (GS2). We screened for point mutations, but only exons 2-6 of the patient's DNA could be PCR-amplified. Whole genome analysis using the Illumina 1M-Duo DNA Analysis BeadChip identified a homozygous deletion in the patient's DNA. The exact breakpoints of the 47.5-kb deletion were identified as chr15q15-q21.1: g.53332432_53379990del (NCBI Build 37.1); the patient lacks the promoter and 5'UTR regions of RAB27A, thus confirming the diagnosis of GS2.

摘要

格雷塞利综合征(GS)是一种罕见的常染色体隐性疾病,其特征为部分白化病、免疫功能障碍和/或严重的神经功能障碍,由 MYO5A(GS1)、RAB27A(GS2)或 MLPH(GS3)基因突变引起。我们鉴定了一位出生于近亲结婚的西班牙裔患者,其具有免疫缺陷、部分白化病、肝功能障碍、噬血细胞现象、神经功能障碍、眼球震颤和银灰色毛发,提示为格雷塞利综合征 2 型(GS2)。我们筛查了点突变,但只能对患者 DNA 的外显子 2-6 进行 PCR 扩增。使用 Illumina 1M-Duo DNA 分析珠芯片进行全基因组分析,发现患者 DNA 存在纯合缺失。该 47.5kb 缺失的确切断点鉴定为 chr15q15-q21.1:g.53332432_53379990del(NCBI 构建 37.1);患者缺失 RAB27A 的启动子和 5'UTR 区域,从而确认了 GS2 的诊断。

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