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一名来自东西伯利亚雅库特患者(俄罗斯萨哈共和国)的罕见瓦登伯革氏综合征病例,其基因中存在无义变异c.772C>T(p.Arg259*)导致单侧听力丧失。

A rare case of Waardenburg syndrome with unilateral hearing loss caused by nonsense variant c.772C>T (p.Arg259*) in the gene in Yakut patient from the Eastern Siberia (Sakha Republic, Russia).

作者信息

Barashkov Nikolay A, Romanov Georgii P, Borisova Uigulaana P, Solovyev Aisen V, Pshennikova Vera G, Teryutin Fedor M, Bondar Alexander A, Morozov Igor V, Khusnutdinova Elza K, Posukh Olga L, Burtseva Tatiana E, Odland Jon Øyvind, Fedorova Sardana A

机构信息

a Laboratory of Molecular Genetics , Yakut Science Centre of Complex Medical Problems , Yakutsk , Russia.

b Laboratory of Molecular Biology , M.K. Ammosov North-Eastern Federal University , Yakutsk , Russia.

出版信息

Int J Circumpolar Health. 2019 Dec;78(1):1630219. doi: 10.1080/22423982.2019.1630219.

Abstract

Waardenburg syndrome (WS) is an orphan genetic disease with autosomal dominant pattern of inheritance characterised by varying degrees of hearing loss accompanied by skin, hair and iris pigmentation abnormalities. Four types of WS differing in phenotypic characteristics are now described. We performed a Sanger sequencing of coding regions of genes and in the patient with WS from a Yakut family living in the Sakha Republic. No changes were found in the and coding regions while a previously reported heterozygous transition c.772C>T (p.Arg259*) in exon 8 of the gene was found in this patient. This patient presents rare phenotype of WS type 2: congenital unilateral hearing loss, unilateral heterochromia of irises, and absence of skin/hair depigmentation and dystopia canthorum. Audiological variability in WS type 2, caused by the c.772C>T (p.Arg259*) variant in the gene, outlines the importance of molecular analysis and careful genotype-phenotype comparisons in order to optimally inform patients about the risk of hearing loss. The results of this study confirm the association of pathogenic variants in the gene with WS type 2 and expanded data on the variability of audiological features of the WS.

摘要

瓦登伯革氏综合征(WS)是一种常染色体显性遗传的罕见遗传病,其特征为不同程度的听力损失,并伴有皮肤、毛发和虹膜色素沉着异常。目前已描述了四种表型特征不同的WS类型。我们对居住在萨哈共和国的一个雅库特家庭中患有WS的患者的基因和基因的编码区进行了桑格测序。在基因和基因的编码区未发现变化,但在该患者中发现了先前报道的基因第8外显子中的杂合突变c.772C>T(p.Arg259*)。该患者呈现出罕见的2型WS表型:先天性单侧听力损失、单侧虹膜异色症,且无皮肤/毛发色素脱失和内眦移位。由基因中的c.772C>T(p.Arg259*)变异导致的2型WS的听力变异性,凸显了分子分析以及仔细的基因型-表型比较的重要性,以便为患者提供关于听力损失风险的最佳信息。本研究结果证实了基因中的致病变异与2型WS的关联,并扩展了关于WS听力特征变异性的数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f21a/6586136/e5e6c3ff314c/ZICH_A_1630219_F0001_OC.jpg

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