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在中国一个常染色体显性小脑共济失调的家系中鉴定 CACNA1C 基因突变。

Identification of a novel mutation in the CACNA1C gene in a Chinese family with autosomal dominant cerebellar ataxia.

机构信息

Department of Neurology, China-Japan Union Hospital of Jilin University, No 126, Xiantai Street, Changchun, Jilin, 130033, China.

出版信息

BMC Neurol. 2019 Jul 10;19(1):157. doi: 10.1186/s12883-019-1381-8.

Abstract

BACKGROUND

Hereditary ataxia is a group of neurodegenerative diseases with progressive cerebellar ataxia of the gait and limbs as the main symptoms. The genetic patterns of the disease are diverse but it is mainly divided into autosomal dominant cerebellar ataxia (ADCA) and autosomal recessive cerebellar ataxia (ARCA), and about 45 pathogenic loci have been found in ADCA. The purpose of this study was to explore the genetic defect in a Chinese family with ADCA.

METHODS

A three-generation Chinese family with ADCA was enrolled in this study, Exome sequencing was conducted in four family members, including the proband, and verified by Sanger sequencing.

RESULTS

The rs779393130 mutation of the CACNA1C gene co-segregated with the ataxia phenotype in this family. The mutation was not detected in 50 unaffected controls.

CONCLUSIONS

The rs779393130 mutation of CACNA1C may be associated with the phenotype of the disease. The CACNA1C gene encodes the Cav1.2 (alpha-1) subunit of an L-type calcium channel and this subunit may be related to the ADCA phenotype. These findings may have implications for family clinical monitoring and genetic counseling and may also help in understanding pathogenesis of this disease.

摘要

背景

遗传性共济失调是一组以步态和肢体进行性小脑性共济失调为主要症状的神经退行性疾病。疾病的遗传模式多种多样,但主要分为常染色体显性小脑性共济失调(ADCA)和常染色体隐性小脑性共济失调(ARCA),ADCA 已发现约 45 个致病基因座。本研究旨在探讨一个具有 ADCA 的中国家族的遗传缺陷。

方法

本研究纳入了一个具有 ADCA 的三代中国家系,对包括先证者在内的 4 名家系成员进行了外显子组测序,并通过 Sanger 测序进行验证。

结果

CACNA1C 基因的 rs779393130 突变与该家系的共济失调表型共分离。该突变未在 50 名无病对照中检出。

结论

CACNA1C 基因的 rs779393130 突变可能与疾病表型相关。CACNA1C 基因编码 L 型钙通道的 Cav1.2(α-1)亚基,该亚基可能与 ADCA 表型有关。这些发现可能对家族临床监测和遗传咨询具有意义,也有助于理解该疾病的发病机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fe0/6617910/2c836bbbe419/12883_2019_1381_Fig1_HTML.jpg

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