Lin Shuang-Zhu, Sun Xian-Ting, Ma Hong-Wei
Diagnosis and Treatment Center for Children, Affiliated Hospital of Changchun University of Chinese Medicine, Changchun 130021, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2019 Nov;21(11):1094-1098. doi: 10.7499/j.issn.1008-8830.2019.11.008.
This article reports the clinical features and C12orf65 gene mutations of a girl with autosomal recessive spastic paraplegia-55. The 8-year-old girl experienced disease onset at the age of 5 years and had optic atrophy as the main clinical manifestation, with slow movements in standing up and a slight duck-shaped gait. Peripheral blood DNA samples were collected from this child and her parents and brother to perform high-throughput whole-exome sequencing and high-throughput mitochondrial genome sequencing. Sanger sequencing was performed for verification. The results showed two compound heterozygous mutations, c.394C>T and c.447_449delGGAinsGT, in the C12orf65 gene. The former mutation came from her father and was a known pathogenic mutation, and the latter came from her mother and was a novel mutation which had not been reported in literature. This study expands the mutation spectrum of the C12orf65 gene and thus provides a molecular basis for the etiological diagnosis of the child and the genetic counseling of the family.
本文报道了一名患有常染色体隐性遗传性痉挛性截瘫55型女孩的临床特征及C12orf65基因突变情况。该8岁女孩5岁起病,以视神经萎缩为主要临床表现,站立时动作迟缓,步态呈轻度鸭步。采集该患儿及其父母、兄弟的外周血DNA样本,进行高通量全外显子测序及高通量线粒体基因组测序,并采用Sanger测序进行验证。结果显示,C12orf65基因存在两个复合杂合突变,即c.394C>T和c.447_449delGGAinsGT。前一个突变来自其父亲,是已知的致病突变;后一个突变来自其母亲,是文献中尚未报道的新突变。本研究扩展了C12orf65基因的突变谱,为该患儿的病因诊断及家庭遗传咨询提供了分子依据。