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与先天性多毛症和肢端肥大样面部特征相关基因的新突变,无心脏或骨骼异常:一种新的表型。

Novel mutation in gene associated with congenital hypertrichosis and acromegaloid facial features, without cardiac or skeletal anomalies: a new phenotype.

作者信息

Pachajoa Harry, López-Quintero William, Vanegas Sara, Montoya Claudia L, Ramírez-Montaño Diana

机构信息

Department of Basic Medical Sciences, Center for Research on Congenital Anomalies and Rare Diseases (CIACER), Universidad Icesi, Cali, Valle del Cauca, Colombia.

Pediatric Medical Genetics, Fundación Valle del Lili, Cali, Valle del Cauca, Colombia.

出版信息

Appl Clin Genet. 2018 Mar 23;11:15-21. doi: 10.2147/TACG.S155022. eCollection 2018.

DOI:10.2147/TACG.S155022
PMID:29615845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5870921/
Abstract

INTRODUCTION

Mutations in are associated with Cantú syndrome (CS), a very rare genetic disorder characterized by congenital hypertrichosis, acromegaloid facial appearance (AFA), cardiomegaly, and skeletal anomalies.

CASE REPORT

We report an 8-year-old female patient with congenital generalized hypertrichosis and coarse facial appearance but without cardiovascular or skeletal compromise. Whole exome sequencing revealed a novel de novo heterozygous mutation in . In addition, the genotype and phenotype of the patient were compared with those of the patients reported in the literature and with other related conditions that include AFA, hypertrichosis and AFA, and CS.

CONCLUSION

This is the first report of a South-American patient with mutation in . We propose that her phenotype is a part of a spectrum of features associated with congenital hypertrichosis and mutations in , which differs from CS and related disorders. Whole exome sequencing enabled the identification of the causality of this disease characterized by high clinical and genetic heterogeneity.

摘要

引言

[基因名称]中的突变与坎图综合征(CS)相关,CS是一种非常罕见的遗传性疾病,其特征为先天性多毛症、肢端肥大样面容(AFA)、心脏肥大和骨骼异常。

病例报告

我们报告一名8岁女性患者,患有先天性全身性多毛症和面容粗糙,但无心血管或骨骼损害。全外显子组测序在[基因名称]中发现了一种新的从头杂合突变。此外,将该患者的基因型和表型与文献中报道的患者以及其他相关病症(包括AFA、多毛症和AFA以及CS)的基因型和表型进行了比较。

结论

这是首例关于南美洲患者[基因名称]突变的报告。我们认为她的表型是与先天性多毛症和[基因名称]突变相关的一系列特征的一部分,这与CS及相关疾病不同。全外显子组测序能够确定这种具有高度临床和遗传异质性的疾病的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b81/5870921/160bb5928f33/tacg-11-015Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b81/5870921/467c392cc684/tacg-11-015Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b81/5870921/160bb5928f33/tacg-11-015Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b81/5870921/467c392cc684/tacg-11-015Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b81/5870921/160bb5928f33/tacg-11-015Fig2.jpg

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本文引用的文献

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2
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Pediatr Dermatol. 2016 Mar-Apr;33(2):e109-13. doi: 10.1111/pde.12821. Epub 2016 Feb 12.
3
Congenital generalized hypertrichosis: the skin as a clue to complex malformation syndromes.先天性全身性多毛症:以皮肤为线索探寻复杂畸形综合征
Ital J Pediatr. 2015 Aug 5;41:55. doi: 10.1186/s13052-015-0161-3.
4
Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.序列变异解读的标准与指南:美国医学遗传学与基因组学学会和分子病理学协会的联合共识推荐
Genet Med. 2015 May;17(5):405-24. doi: 10.1038/gim.2015.30. Epub 2015 Mar 5.
5
Exome sequencing unravels unexpected differential diagnoses in individuals with the tentative diagnosis of Coffin-Siris and Nicolaides-Baraitser syndromes.外显子组测序揭示了暂定诊断为 Coffin-Siris 和 Nicolaides-Baraitser 综合征个体的意外鉴别诊断。
Hum Genet. 2015 Jun;134(6):553-68. doi: 10.1007/s00439-015-1535-8. Epub 2015 Feb 28.
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Diagnostic clinical genome and exome sequencing.诊断性临床基因组和外显子组测序
N Engl J Med. 2014 Jun 19;370(25):2418-25. doi: 10.1056/NEJMra1312543.
7
A patient with Cantú syndrome associated with fatal bronchopulmonary dysplasia and pulmonary hypertension.一名患有与致命性支气管肺发育不良和肺动脉高压相关的坎图综合征的患者。
Am J Med Genet A. 2014 Aug;164A(8):2118-20. doi: 10.1002/ajmg.a.36563. Epub 2014 Apr 8.
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Int J Cardiol. 2014 Feb 15;171(3):431-42. doi: 10.1016/j.ijcard.2013.12.084. Epub 2014 Jan 4.
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