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患者存在新型 rec(8)dup(8q)inv(8)(p23.2q22.3),伴有圣路易斯谷综合征的产前和产后发现。

Pre- and postnatal findings in a patient with a novel rec(8)dup(8q)inv(8)(p23.2q22.3) associated with San Luis Valley syndrome.

机构信息

Sección de Citogenética, Centro de Bioquímica y Genética Clínica, Hospital U. Virgen de la Arrixaca, El Palmar, Murcia, Spain.

出版信息

Am J Med Genet A. 2013 Sep;161A(9):2369-75. doi: 10.1002/ajmg.a.36103. Epub 2013 Jul 25.

Abstract

San Luis Valley syndrome, which is due to a recombinant chromosome 8 (SLV Rec8) found in Hispanic individuals from Southwestern United States, is a well-established syndrome associated with intellectual disabilities and, frequently, severe cardiac anomalies. We report for the first time on a Moroccan girl with a recombinant chromosome 8 prenatally diagnosed as SLV Rec8 by conventional cytogenetic studies. At birth, an oligo array-CGH (105 K) defined the breakpoints and the size of the imbalanced segments, with a deletion of ≈ 2.27 Mb (8p23.2-pter) and a duplication of ≈ 41.93 Mb (8q22.3-qter); thus this recombinant chromosome 8 differed from that previously reported in SLV Rec8 syndrome. The phenotypic characteristics associated with this SLV Rec8 genotype overlap those commonly found in patients with 8q duplication reported in the literature. We review SLV Rec8 and other chromosome 8 aberrations and suggest that the overexpression of cardiogenic genes located at 8q may be the cause of the cardiac defects in this patient.

摘要

圣路易斯谷(San Luis Valley)综合征是一种由美国西南部西班牙裔个体中发现的重组 8 号染色体(SLV Rec8)引起的综合征,与智力障碍相关,且常伴有严重的心脏异常。我们首次报道了一名摩洛哥女孩,她在产前通过常规细胞遗传学研究被诊断为 SLV Rec8 ,携带重组 8 号染色体。出生时,寡核苷酸微阵列比较基因组杂交(105 K)确定了断裂点和不平衡片段的大小,缺失约 2.27 Mb(8p23.2-pter),重复约 41.93 Mb(8q22.3-qter);因此,这种重组 8 号染色体与之前报道的 SLV Rec8 综合征中的染色体不同。与这种 SLV Rec8 基因型相关的表型特征与文献中报道的 8q 重复患者中常见的特征重叠。我们回顾了 SLV Rec8 和其他 8 号染色体异常,并提出位于 8q 的心脏发生基因的过表达可能是导致该患者心脏缺陷的原因。

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