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基因分析:一种罕见的智力缺陷基因疾病——科恩综合征。

Gene analysis: A rare gene disease of intellectual deficiency-Cohen syndrome.

作者信息

Yang Chengqing, Hou Mei, Li Yutang, Sun Dianrong, Guo Ya, Liu Peipei, Liu Yedan, Song Jie, Zhang Na, Wei Wei, Chen Zongbo

机构信息

Pediatric Department of the Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Shandong 266000, PR China.

Pediatric Department of the Qingdao Women & Children Hospital, No. 6 Tongfu Road, Shandong 266000, PR China.

出版信息

Int J Dev Neurosci. 2018 Aug;68:83-88. doi: 10.1016/j.ijdevneu.2018.05.004. Epub 2018 May 24.

Abstract

Cohen syndrome is a rare, genetic, connective-tissue disorder, which is caused by mutations in the gene COH1 (VPS13B, Vacuolar Protein Sorting 13 Homolog B) at the chromosome 8q22. The disease is rare reported, which major clinical features include postnatal microcephaly, obesity, short stature, intellectual disability, progressive retinal dystrophy, intermittent neutropenia and many other unusual facial feature. We report four patients in China who were diagnosed with Cohen syndrome by genetic testing and clinical manifestations. At the same time, we review the related literature, and further expound the molecular mechanism of the disease, a variety of clinical manifestations, treatment and prognosis.

摘要

科恩综合征是一种罕见的遗传性结缔组织疾病,由位于8号染色体q22的COH1基因(VPS13B,液泡蛋白分选13同源物B)突变引起。该疾病报道较少,主要临床特征包括出生后小头畸形、肥胖、身材矮小、智力障碍、进行性视网膜营养不良、间歇性中性粒细胞减少以及许多其他异常面部特征。我们报告了在中国通过基因检测和临床表现被诊断为科恩综合征的4例患者。同时,我们回顾相关文献,并进一步阐述该疾病的分子机制、各种临床表现、治疗及预后。

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