Section on Human Biochemical Genetics, Medical Genetics Branch, NHGRI, NIH, Bethesda, MD 20892, USA.
Mol Genet Metab. 2010 Sep;101(1):62-5. doi: 10.1016/j.ymgme.2010.05.015. Epub 2010 Jun 10.
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.
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。