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2号染色体p15p16.1微缺失综合征:一名患有肾脏异常、顽固性癫痫和胆总管囊肿的患者存在2.5 Mb的缺失。

Chromosome 2p15p16.1 microdeletion syndrome: 2.5 Mb deletion in a patient with renal anomalies, intractable seizures and a choledochal cyst.

作者信息

Hucthagowder Vishwanathan, Liu Ta-Chiang, Paciorkowski Alex R, Thio Liu Lin, Keller Martin S, Anderson Christopher D, Herman Thomas, Dehner Louis P, Grange Dorothy K, Kulkarni Shashikant

机构信息

Department of Pathology and Immunology, Washington University School of Medicine, Campus Box 8118, 660 South Euclid Avenue, St. Louis, MO 63110, USA.

出版信息

Eur J Med Genet. 2012 Aug-Sep;55(8-9):485-9. doi: 10.1016/j.ejmg.2012.04.003. Epub 2012 Apr 22.

Abstract

Chromosome 2p15p16.1 microdeletion is an emerging syndrome recently described in patients with dysmorphic facial features, congenital microcephaly, mild to moderate developmental delay and neurodevelopmental abnormalities. Using clinical ultra-high resolution Affymetrix SNP 6.0 array we identified a de novo interstitial deletion on the short arm of chromosome 2, spanning approximately 2.5 Mb in the cytogenetic band position 2p15p16.1, in a female infant with characteristic features of 2p15p16.1 deletion syndrome including severe developmental delay, congenital microcephaly, intractable epilepsy, and renal anomalies, as well as a congenital choledochal cyst which has not been previously reported in other patients with this cytogenetic defect. We further redefined the previously reported critical region, supporting the presence of a newly recognized microdeletion syndrome involving haploinsufficiency of one or more genes deleted within at least a 1.1 Mb segment of the 2p15p16.1 region.

摘要

2号染色体p15p16.1微缺失是一种新出现的综合征,最近在面部畸形、先天性小头畸形、轻度至中度发育迟缓及神经发育异常的患者中被描述。我们使用临床超高分辨率Affymetrix SNP 6.0芯片,在一名具有2p15p16.1缺失综合征特征的女婴中,鉴定出2号染色体短臂上一个新生的间质性缺失,该缺失在细胞遗传学带位置2p15p16.1处跨越约2.5 Mb,这些特征包括严重发育迟缓、先天性小头畸形、难治性癫痫和肾脏异常,以及一个先天性胆总管囊肿,此前在其他有这种细胞遗传学缺陷的患者中尚未有过报道。我们进一步重新定义了先前报道的关键区域,支持存在一种新认识的微缺失综合征,该综合征涉及2p15p16.1区域至少1.1 Mb片段内一个或多个缺失基因的单倍剂量不足。

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