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先天性中枢性低通气综合征伴 PHOX2B 基因突变:我们是否漏诊了?

Congenital central hypoventilation syndrome with PHOX2B gene mutation: are we missing the diagnosis?

机构信息

Department of Pediatrics, Division of Pediatric Intensive Care, Lady Hardinge Medical College and associated Kalawati Saran Children's Hospital, New Delhi 110001, India.

出版信息

Indian J Pediatr. 2013 Aug;80(8):688-90. doi: 10.1007/s12098-012-0837-2. Epub 2012 Jul 25.

DOI:10.1007/s12098-012-0837-2
PMID:22829249
Abstract

Congenital Central Hypoventilation Syndrome is a rare disorder of autonomic and central nervous system dysfunction with impaired control of breathing. The authors report a 37- d-old girl infant with recurrent apnea requiring repeated mechanical ventilation with no evidence of neuromuscular, cardiac or lung disease. A mutation analysis of PHOX2B gene revealed 25 polyalanine repeat expansion mutation on chromosome 4p12. This article aims at raising awareness among pediatricians about molecular basis and availability of confirmatory genetic testing for diagnosis and to help with prognosis in this disorder.

摘要

先天性中枢性通气不足综合征是一种罕见的自主神经和中枢神经系统功能障碍疾病,呼吸控制受损。作者报告了一例 37 天大的女婴,反复出现呼吸暂停,需要反复机械通气,无神经肌肉、心脏或肺部疾病证据。对 PHOX2B 基因的突变分析显示,4p12 染色体上存在 25 个多聚丙氨酸重复扩展突变。本文旨在提高儿科医生对该疾病分子基础和可进行确诊性遗传检测的认识,并帮助预测该疾病的预后。

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1
Congenital central hypoventilation syndrome with PHOX2B gene mutation: are we missing the diagnosis?先天性中枢性低通气综合征伴 PHOX2B 基因突变:我们是否漏诊了?
Indian J Pediatr. 2013 Aug;80(8):688-90. doi: 10.1007/s12098-012-0837-2. Epub 2012 Jul 25.
2
Congenital central hypoventilation syndrome with PHOX2B gene mutation.先天性中枢性低通气综合征伴 PHOX2B 基因突变。
Indian J Pediatr. 2012 Nov;79(11):1526-8. doi: 10.1007/s12098-012-0789-6. Epub 2012 Jun 7.
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A case of congenital central hypoventilation syndrome with a novel mutation of the PHOX2B gene presenting as central sleep apnea.一例伴有PHOX2B基因新突变、表现为中枢性睡眠呼吸暂停的先天性中枢性低通气综合征病例。
J Clin Sleep Med. 2014 Mar 15;10(3):327-9. doi: 10.5664/jcsm.3542.
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Heterozygous 24-polyalanine repeats in the PHOX2B gene with different manifestations across three generations.PHOX2B基因中杂合的24聚丙氨酸重复序列在三代人中表现各异。
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Genetic study of a patient with congenital central hypoventilation syndrome in Iran: a case report.伊朗一名先天性中枢性肺泡换气不足综合征患者的遗传学研究:病例报告。
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Transcriptional dysregulation and impairment of PHOX2B auto-regulatory mechanism induced by polyalanine expansion mutations associated with congenital central hypoventilation syndrome.与先天性中枢性低通气综合征相关的多聚丙氨酸扩展突变诱导的转录失调和 PHOX2B 自身调节机制障碍。
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Congenital central hypoventilation syndrome: Severe disease caused by co-occurrence of two PHOX2B variants inherited separately from asymptomatic family members.先天性中枢性低通气综合征:由分别从无症状家庭成员遗传的两个 PHOX2B 变异体共同引起的严重疾病。
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Significant phenotype variability of congenital central hypoventilation syndrome in a family with polyalanine expansion mutation of the PHOX2B gene.在一个携带PHOX2B基因多聚丙氨酸扩展突变的家族中,先天性中枢性低通气综合征存在显著的表型变异性。
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本文引用的文献

1
An official ATS clinical policy statement: Congenital central hypoventilation syndrome: genetic basis, diagnosis, and management.美国胸科学会官方临床政策声明:先天性中枢性肺泡通气不足综合征:遗传基础、诊断和治疗。
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PHOX2B mutation-confirmed congenital central hypoventilation syndrome in a Chinese family: presentation from newborn to adulthood.一个中国家庭中经PHOX2B突变确诊的先天性中枢性低通气综合征:从新生儿期到成年期的表现
Chest. 2009 Feb;135(2):537-544. doi: 10.1378/chest.08-1664.
3
Later-onset congenital central hypoventilation syndrome due to a heterozygous 24-polyalanine repeat expansion mutation in the PHOX2B gene.
由于PHOX2B基因杂合性24聚丙氨酸重复扩增突变导致的迟发性先天性中枢性低通气综合征。
Acta Paediatr. 2009 Jan;98(1):192-5. doi: 10.1111/j.1651-2227.2008.01039.x. Epub 2008 Sep 16.
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Congenital central hypoventilation syndrome.先天性中枢性低通气综合征
Indian J Pediatr. 2007 Oct;74(10):953-5. doi: 10.1007/s12098-007-0177-9.
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Congenital central hypoventilation syndrome: PHOX2B mutations and phenotype.先天性中枢性低通气综合征:PHOX2B基因突变与表型。
Am J Respir Crit Care Med. 2006 Nov 15;174(10):1139-44. doi: 10.1164/rccm.200602-305OC. Epub 2006 Aug 3.
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PHOX2B mutation-confirmed congenital central hypoventilation syndrome: presentation in adulthood.经PHOX2B突变确诊的先天性中枢性低通气综合征:成年期表现
Am J Respir Crit Care Med. 2006 Oct 15;174(8):923-7. doi: 10.1164/rccm.200605-607CR. Epub 2006 Jul 27.
7
Idiopathic congenital central hypoventilation syndrome: analysis of genes pertinent to early autonomic nervous system embryologic development and identification of mutations in PHOX2b.特发性先天性中枢性低通气综合征:与早期自主神经系统胚胎发育相关基因的分析及PHOX2b基因突变的鉴定
Am J Med Genet A. 2003 Dec 15;123A(3):267-78. doi: 10.1002/ajmg.a.20527.
8
Haddad syndrome--congenital central hypoventilation associated with Hirschsprung's disease.
Indian J Pediatr. 2003 Jul;70(7):597-9. doi: 10.1007/BF02723168.
9
Polyalanine expansion and frameshift mutations of the paired-like homeobox gene PHOX2B in congenital central hypoventilation syndrome.先天性中枢性低通气综合征中配对样同源盒基因PHOX2B的聚丙氨酸扩展和移码突变
Nat Genet. 2003 Apr;33(4):459-61. doi: 10.1038/ng1130. Epub 2003 Mar 17.
10
Hirschsprung's disease associated with Ondine's curse.先天性巨结肠合并原发性肺泡低通气综合征
Indian J Pediatr. 2002 Nov;69(11):987-8. doi: 10.1007/BF02726021.