Tajir M, Lyahyai J, Guaoua S, El Alloussi M, Sefiani A
Research team in genomics and molecular epidemiology of genetic diseases, Genomics Center of Human Pathologies, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco.
Department of Medical Genetics, National Institute of Health, Rabat, Morocco.
Balkan J Med Genet. 2020 Aug 26;23(1):95-98. doi: 10.2478/bjmg-2020-0013. eCollection 2020 Jun.
Ankyloblepharon-ectodermal defects-cleft lip/palate (AEC) syndrome is a rare genetic disease with an autosomal dominant transmission, characterized by several congenital anomalies. Clinical features include ectodermal defects affecting the skin, hair, teeth, nails and sweat glands, associated with typical eyelid fusion in addition to a cleft lip and/or palate. The diagnosis is based on clinical criteria and molecular genetic testing of gene, the gene related to AEC syndrome. In this context, most reported mutations induce an amino acid change in the sterile alpha motif (SAM) domain, and are predicted to disrupt protein-protein interactions. We here describe the case of a 2-year-old Moroccan girl diagnosed with AEC syndrome on the basis of clinical features. The molecular studies and bioinformatics tools revealed a novel heterozygous missense mutation c.1798G>C (p.Gly600Arg) in exon 14 of the gene, that was not found in her parents. The molecular analysis and the early diagnosis of this syndrome are important to offer appropriate genetic counseling and management to patients and their families.
睑缘粘连-外胚层缺陷-唇腭裂(AEC)综合征是一种罕见的常染色体显性遗传疾病,其特征为多种先天性异常。临床特征包括影响皮肤、毛发、牙齿、指甲和汗腺的外胚层缺陷,除唇裂和/或腭裂外,还伴有典型的眼睑融合。诊断基于临床标准以及对与AEC综合征相关的基因进行分子遗传学检测。在此背景下,大多数报道的突变会导致无菌α基序(SAM)结构域中的氨基酸发生变化,并预计会破坏蛋白质-蛋白质相互作用。我们在此描述了一名2岁摩洛哥女孩的病例,该女孩根据临床特征被诊断为AEC综合征。分子研究和生物信息学工具揭示了该基因第14外显子中一个新的杂合错义突变c.1798G>C(p.Gly600Arg),其父母中未发现该突变。对该综合征进行分子分析和早期诊断对于为患者及其家庭提供适当的遗传咨询和管理非常重要。
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