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一例中国患者先天性 Rett 变异型,由突变引起。

A case of congenital Rett variant in a Chinese patient caused by a mutation.

机构信息

From the Department of Rehabilitation, Tianjin Children's Hospital, Tianjin, China.

From the Graduate College, Tianjin Medical University, Tianjin, China.

出版信息

Ann Saudi Med. 2020 Jul-Aug;40(4):347-353. doi: 10.5144/0256-4947.2020.347. Epub 2020 Aug 6.

Abstract

Rett syndrome (RTT) is a severe progressive neurodevelopmental disease characterized by psychomotor regression. The gene is one of the pathogenic genes associated with the congenital Rett variant, which is less studied. Only a few Chinese patients with mutation have been reported. In this study, we describe a Chinese female patient with congenital Rett variant who presented with psycho-motor retardation, developmental regression, microcephaly, seizure, stereotypic hand movement and hypotonia. Targeted high-throughput sequencing was conducted, and a heterozygous mutation [NM_005249.4: c.506dupG (P.G169Gfs* 286)] was identified. It was a frameshift mutation resulting in alteration of the reading frames downstream of the mutation. SIMILAR CASES PUBLISHED: 10. CONFLICT OF INTEREST: None.

摘要

雷特综合征(RTT)是一种严重的进行性神经发育疾病,其特征为精神运动倒退。该基因是与先天性 Rett 变异相关的致病基因之一,目前研究较少。仅有少数中国携带 基因突变的患者被报道。本研究中,我们描述了一例中国先天性 Rett 变异女性患者,其临床表现为精神运动迟缓、发育倒退、小头畸形、癫痫、刻板手运动和张力减退。行靶向高通量测序,发现杂合突变[NM_005249.4: c.506dupG (P.G169Gfs*286)]。该突变为移码突变,导致突变下游阅读框改变。已发表类似病例:10 例。利益冲突:无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03d5/7410221/3ba6033bb680/0256-4947.2020.347-fig1.jpg

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