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常染色体显性遗传性先天性白内障中的新突变。 (注:你提供的原文“Novel mutation of in autosomal dominant congenital cataracts.”表述不完整,缺少具体基因等关键信息,我按照字面意思尽量完整翻译了。)

Novel mutation of in autosomal dominant congenital cataracts.

作者信息

Ding Ning, Chen Zhengyu, Song Xudong, Tang Xiaoyan

机构信息

Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Science Key Laboratory, Beijing, China.

Clinical Laboratory of Zhongke, Beijing, China.

出版信息

Ann Transl Med. 2020 Sep;8(18):1127. doi: 10.21037/atm-20-4663.

Abstract

BACKGROUND

Congenital cataracts is the most common cause of childhood visual impairment and blindness worldwide. It is reported that about one quarter of congenital cataracts caused by genetic defects. Various gene mutations have been identified in hereditary cataracts so far. The purpose of the present study was to investigate the relationship between gap junction protein alpha 8 () gene mutation and congenital cataract.

METHODS

A pedigree with autosomal dominant congenital cataract was investigated and the peripheral venous blood was extracted from 18 family members. After the high-throughput targeted capture and whole exome sequencing for the proband, bioinformatics analysis was performed. By combining the proband clinical symptoms, candidate variations were eliminated which were significantly not consistent with the clinical phenotype. And disease-causing variant was identified.

RESULTS

Gene sequencing revealed the heterozygous missense mutation in exon 2 of the gene (c.178G>A), which co-segregated with the disease phenotype in the family and resulted in the substitution of glycine to serine at position 178 (p.G60S). This missense mutation was located in the hotspot mutation region, and might be harmful.

CONCLUSIONS

This study reports a novel disease-causing sequence variant in the gap junctional protein encoding genes causing autosomal dominant congenital cataract in the Chinese population, caused by the missense mutation of (c.178G>A). Our data expand the spectrum of variants and associated phenotypes, facilitate clinical diagnosis and support the presence of relationship between genetic basis and human disease.

摘要

背景

先天性白内障是全球儿童视力损害和失明的最常见原因。据报道,约四分之一的先天性白内障由基因缺陷引起。迄今为止,在遗传性白内障中已鉴定出各种基因突变。本研究的目的是探讨缝隙连接蛋白α8()基因突变与先天性白内障之间的关系。

方法

对一个常染色体显性先天性白内障家系进行调查,从18名家庭成员中提取外周静脉血。对先证者进行高通量靶向捕获和全外显子组测序后,进行生物信息学分析。结合先证者临床症状,排除与临床表型明显不符的候选变异。并鉴定致病变异。

结果

基因测序显示该基因第2外显子存在杂合错义突变(c.178G>A),该突变与家族中的疾病表型共分离,导致第178位的甘氨酸被丝氨酸取代(p.G60S)。这种错义突变位于热点突变区域,可能有害。

结论

本研究报道了在中国人群中,由缝隙连接蛋白编码基因的错义突变(c.178G>A)导致常染色体显性先天性白内障的一种新的致病序列变异。我们的数据扩展了变异和相关表型的范围,有助于临床诊断,并支持遗传基础与人类疾病之间关系的存在。

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