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常染色体隐性遗传型骨不全症由新型纯合 COL1A2 突变引起。

Autosomal Recessive Osteogenesis Imperfecta Caused by a Novel Homozygous COL1A2 Mutation.

机构信息

Department of Molecular Medicine and Surgery and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.

Laboratory for Research of the Musculoskeletal System 'Th. Garofalidis', School of Medicine, KAT Hospital, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Calcif Tissue Int. 2018 Sep;103(3):353-358. doi: 10.1007/s00223-018-0414-4. Epub 2018 Mar 23.

Abstract

Osteogenesis imperfecta (OI) is a skeletal dysplasia characterized by brittle bones and extraskeletal manifestations. The disease phenotype varies greatly. Most commonly, OI arises from monoallelic mutations in one of the two genes encoding type I collagen, COL1A1 and COL1A2 and is inherited as an autosomal dominant trait. Here, we describe a consanguineous family with autosomal recessive OI caused by a novel homozygous glycine substitution in COL1A2, NM_000089.3: c.604G>A, p.(Gly202Ser), detected by whole-genome sequencing. The index patient is a 31-year-old Greek woman with severe skeletal fragility. She had mild short stature, low bone mineral density of the lumbar spine and blue sclerae. She had sustained multiple long bone and vertebral fractures since childhood and had been treated with bisphosphonates for several years. She also had an affected sister with similar clinical manifestations. Interestingly, the parents and one sister, all carriers of the COL1A2 glycine mutation, did not have manifestations of OI. In summary, we report on autosomal recessive OI caused by a homozygous glycine-to-serine substitution in COL1A2, leading to severe skeletal fragility. The mutation carriers lacked OI manifestations. This family further expands the complex genetic spectrum of OI and underscores the importance of genetic evaluation for correct genetic counselling.

摘要

成骨不全症(OI)是一种骨骼发育不良疾病,其特征为骨骼脆弱和骨骼外表现。该疾病表型差异很大。最常见的是,OI 是由编码 I 型胶原的两个基因之一中的单等位基因突变引起的,COL1A1 和 COL1A2,作为常染色体显性遗传性状遗传。在这里,我们描述了一个由 COL1A2 中新型纯合甘氨酸取代引起的常染色体隐性 OI 的近亲家庭,NM_000089.3:c.604G>A,p.(Gly202Ser),通过全基因组测序检测到。指数患者是一名 31 岁的希腊女性,骨骼脆弱严重。她身材矮小,腰椎骨密度低,巩膜蓝色。她从小就多次发生长骨和椎体骨折,并接受了几年的双膦酸盐治疗。她还有一位受影响的姐姐,临床表现相似。有趣的是,父母和一位携带 COL1A2 甘氨酸突变的姐姐均无 OI 表现。总之,我们报告了由 COL1A2 中的纯合甘氨酸到丝氨酸取代引起的常染色体隐性 OI,导致严重的骨骼脆弱。突变携带者缺乏 OI 表现。这个家庭进一步扩展了 OI 的复杂遗传谱,并强调了遗传评估对于正确遗传咨询的重要性。

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