Department of Medical Genetics, Faculty of Medicine, Ataturk University, 25240 Erzurum, Turkey.
Department of Pediatric Gastroenterology, Faculty of Medicine, Ataturk University, 25240 Erzurum, Turkey.
Medicina (Kaunas). 2021 Jan 29;57(2):123. doi: 10.3390/medicina57020123.
Wilson disease (WD) (OMIM# 277900) is an autosomal recessive inherited disorder characterized by excess copper (Cu) storage in different human tissues, such as the brain, liver, and the corneas of the eyes. It is a rare disorder that occurs in approximately 1 in 30,000 individuals. The clinical presentations of WD are highly varied, primarily consisting of hepatic and neurological conditions. WD is caused by homozygous or compound heterozygous mutations in the gene. The diagnosis of the disease is complicated because of its heterogeneous phenotypes. The molecular genetic analysis encourages early diagnosis, treatment, and the opportunity to screen individuals at risk in the family. In this paper, we reported a case with a novel, hotspot-located mutation in WD. We have suggested that this mutation in the gene might contribute to liver findings, progressing to liver failure with a loss of function effect. Besides this, if patients have liver symptoms in childhood and/or are children of consanguineous parents, WD should be considered during the evaluation of the patients.
威尔逊病(WD)(OMIM# 277900)是一种常染色体隐性遗传性疾病,其特征是过量的铜(Cu)在不同的人体组织中储存,如大脑、肝脏和眼睛的角膜。这是一种罕见的疾病,大约每 30000 人中就有 1 人患病。WD 的临床表现多种多样,主要包括肝脏和神经疾病。WD 是由 基因的纯合子或复合杂合突变引起的。由于其异质性表型,疾病的诊断较为复杂。分子遗传学分析鼓励早期诊断、治疗和有机会对家族中的高危个体进行筛查。在本文中,我们报告了一例 WD 的新型热点位置突变。我们提出,该基因中的突变可能导致肝脏病变,随着功能丧失而进展为肝衰竭。此外,如果患者在儿童期有肝脏症状和/或为近亲结婚的子女,在评估患者时应考虑 WD。