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与基因突变相关的轻度表型:一例报告并文献复习

Mild Phenotype Associated with Gene Mutation: A Case Report with Literature Review.

作者信息

Posar Annio, Visconti Paola

机构信息

IRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Neuropsichiatria Infantile, Bologna, Italia.

Dipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, Italia.

出版信息

J Pediatr Neurosci. 2019 Apr-Jun;14(2):100-102. doi: 10.4103/jpn.JPN_2_19.

DOI:10.4103/jpn.JPN_2_19
PMID:31516630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6712924/
Abstract

The Solute Carrier Family 6 Member 1 () gene encodes the gamma-aminobutyric acid (GABA) transporter 1, which is one of the main GABA transporters. The clinical picture of gene mutations is characterized by a broader spectrum including a mild-to-moderate intellectual disability, speech difficulties, behavioral problems, epilepsy (often with myoclonic-atonic and atypical absence seizures, characterizing a myoclonic-atonic epilepsy), and neurological signs. We describe a boy with an mutation and a milder phenotype, characterized by a learning disorder without intellectual disability, nonspecific dysmorphisms, and an electroencephalogram picture closely resembling that of myoclonic-atonic epilepsy with brief absence seizures that have appeared during the follow-up, responsive to valproic acid.

摘要

溶质载体家族6成员1()基因编码γ-氨基丁酸(GABA)转运体1,它是主要的GABA转运体之一。该基因突变的临床症状具有更广泛的谱系,包括轻度至中度智力障碍、言语困难、行为问题、癫痫(常伴有肌阵挛-失张力和非典型失神发作,特征为肌阵挛-失张力癫痫)以及神经体征。我们描述了一名患有该基因突变且表型较轻的男孩,其特征为无智力障碍的学习障碍、非特异性畸形,以及脑电图表现与随访期间出现的伴有短暂失神发作的肌阵挛-失张力癫痫极为相似,对丙戊酸有反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ff/6712924/a93d7ed2b945/JPN-14-100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ff/6712924/a93d7ed2b945/JPN-14-100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49ff/6712924/a93d7ed2b945/JPN-14-100-g001.jpg

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本文引用的文献

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Structure, Function, and Modulation of γ-Aminobutyric Acid Transporter 1 (GAT1) in Neurological Disorders: A Pharmacoinformatic Prospective.γ-氨基丁酸转运体1(GAT1)在神经系统疾病中的结构、功能及调节:药物信息学展望
Front Chem. 2018 Sep 11;6:397. doi: 10.3389/fchem.2018.00397. eCollection 2018.
2
Defining the phenotypic spectrum of SLC6A1 mutations.定义 SLC6A1 突变的表型谱。
Epilepsia. 2018 Feb;59(2):389-402. doi: 10.1111/epi.13986. Epub 2018 Jan 8.
3
Mutations in the GABA Transporter SLC6A1 Cause Epilepsy with Myoclonic-Atonic Seizures.
致癫性 CLPTM1 变异体导致癫痫患者 GABA 受体电流反应减弱。
Epilepsia. 2023 Nov;64(11):2968-2981. doi: 10.1111/epi.17746. Epub 2023 Aug 30.
4
Case report: mutations presenting with isolated absence seizures: description of 2 novel cases.病例报告:以单纯失神发作形式出现的突变:2例新病例描述
Front Neurosci. 2023 Jun 29;17:1219244. doi: 10.3389/fnins.2023.1219244. eCollection 2023.
5
Experimental and Bioinformatic Insights into the Effects of Epileptogenic Variants on the Function and Trafficking of the GABA Transporter GAT-1.癫痫相关变异对 GABA 转运体 GAT-1 功能和运输的实验与生物信息学研究
Int J Mol Sci. 2023 Jan 4;24(2):955. doi: 10.3390/ijms24020955.
6
Molecular and Clinical Repercussions of GABA Transporter 1 Variants Gone Amiss: Links to Epilepsy and Developmental Spectrum Disorders.γ-氨基丁酸转运体1变异异常的分子和临床影响:与癫痫和发育谱系障碍的关联
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7
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