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伴有FGFR2 758 C>G突变的Apert综合征:一例中国病例报告

Apert Syndrome With FGFR2 758 C > G Mutation: A Chinese Case Report.

作者信息

Li Yahong, Ma Dingyuan, Sun Yun, Meng Lulu, Wang Yanyun, Jiang Tao

机构信息

Center of Prenatal Diagnosis, The Affiliated Obstetrics and Gynecology Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, China.

出版信息

Front Genet. 2018 May 17;9:181. doi: 10.3389/fgene.2018.00181. eCollection 2018.

Abstract

Apert syndrome is considered as one of the most common craniosynostosis syndromes with a prevalence of 1 in 65,000 individuals, and has a close relationship with point mutations in FGFR2 gene. Here, we described a Apert syndrome case, who was referred to genetic consultation in our hospital with the symptom of craniosynostosis and syndactyly of the hands and feet. Craniosynostosis, midfacial retrusion, steep wide forehead, larger head circumference, marked depression of the nasal bridge, short and wide nose and proptosis could be found obviously, apart from these, ears were mildly low compared with normal children and there was no cleft lip and palate. Mutation was identified by sanger sequencing and a mutation in the exon 7 of FGFR2 gene was detected: p.Pro253Arg (P253R) 758 C > G, which was not found in his parents. The baby had Apert syndrome caused by 758 C > G mutation in the exon 7 of FGFR2 gene, considering no this mutation in his parents, it was spontaneous.

摘要

Apert综合征被认为是最常见的颅缝早闭综合征之一,发病率为65000分之一,且与FGFR2基因的点突变密切相关。在此,我们描述了一例Apert综合征病例,该患者因颅缝早闭以及手足并指(趾)症状前来我院进行遗传咨询。除了明显可见的颅缝早闭、面中部后缩、陡峭宽阔的额头、头围较大、鼻梁明显凹陷、短而宽的鼻子和眼球突出外,与正常儿童相比,其耳朵位置略低,且无唇腭裂。通过桑格测序鉴定出突变,检测到FGFR2基因第7外显子存在一个突变:p.Pro253Arg(P253R)758 C > G,其父母未发现该突变。考虑到其父母不存在该突变,该婴儿因FGFR2基因第7外显子758 C > G突变导致Apert综合征,此为自发突变。

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