Deng Mei, Lin Wei-Xia, Guo Li, Zhang Zhan-Hui, Song Yuan-Zong
Department of Pediatrics, First Affiliated Hospital, Jinan University, Guangzhou 510632, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2016 Jun;18(6):545-50. doi: 10.7499/j.issn.1008-8830.2016.06.015.
The aim of this study was to investigate the clinical features and DGUOK gene mutations of an infant with mitochondrial DNA depletion syndrome (MDS). The patient (more than 7 months old) manifested as hepatosplenomegaly, abnormal liver function, nystagmus and psychomotor retardation. Genetic DNA was extracted from peripheral blood samples of the patient and her parents. Targeted Exome Sequencing was performed to explore the genetic causes. Sanger sequencing was carried out to confirm the detected mutations. The sequencing results showed that the patient was a compound heterozygote for c.679G>A and c.817delT in the DGUOK gene. The former was a reportedly pathogenic missense mutation of maternal origin, while the latter, a frameshift mutation from the father, has not been described yet. The findings in this study expand the mutation spectrum of DGUOK gene, and provide molecular evidence for the etiologic diagnosis of the patient as well as for the genetic counseling and prenatal diagnosis in the family.
本研究旨在探讨一名患有线粒体DNA耗竭综合征(MDS)婴儿的临床特征及DGUOK基因突变情况。该患者(7个多月大)表现为肝脾肿大、肝功能异常、眼球震颤及精神运动发育迟缓。从患者及其父母的外周血样本中提取基因DNA。进行靶向外显子组测序以探究遗传病因。采用桑格测序法确认检测到的突变。测序结果显示,该患者为DGUOK基因c.679G>A和c.817delT的复合杂合子。前者是据报道源自母亲的致病性错义突变,而后者是来自父亲的移码突变,此前尚未见报道。本研究结果扩展了DGUOK基因的突变谱,为该患者的病因诊断以及该家庭的遗传咨询和产前诊断提供了分子证据。