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埃及着色性干皮病的临床和突变谱:六个新突变的鉴定及其对祖先起源的影响。

Clinical and Mutational Spectrum of Xeroderma Pigmentosum in Egypt: Identification of Six Novel Mutations and Implications for Ancestral Origins.

机构信息

Medical Molecular Genetics Department, Human Genetics & Genome Research Division (HGGR), National Research Centre (NRC), Cairo 12622, Egypt.

Biology Department, School of Sciences and Engineering, The American University in Cairo (AUC), Cairo 11835, Egypt.

出版信息

Genes (Basel). 2021 Feb 20;12(2):295. doi: 10.3390/genes12020295.

DOI:10.3390/genes12020295
PMID:33672602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7924063/
Abstract

Xeroderma pigmentosum is a rare autosomal recessive skin disorder characterized by freckle-like dry pigmented skin, photosensitivity, and photophobia. Skin and ocular symptoms are confined to sun exposed areas of the body. Patients have markedly increased risk for UV-induced skin, ocular, and oral cancers. Some patients develop neurodegenerative symptoms, including diminished tendon reflexes and microcephaly. In this study, we describe clinical and genetic findings of 36 XP patients from Egypt, a highly consanguineous population from North Africa. Thorough clinical evaluation followed by Sanger sequencing of and genes were done. Six novel and seven previously reported mutations were identified. Phenotype-genotype correlation was investigated. We report clinical and molecular findings consistent with previous reports of countries sharing common population structure, and geographical and historical backgrounds with implications on common ancestral origins and historical migration flows. Clinical and genetic profiling improves diagnosis, management, counselling, and implementation of future targeted therapies.

摘要

着色性干皮病是一种罕见的常染色体隐性皮肤疾病,其特征为雀斑样干燥色素沉着皮肤、光敏感性和畏光。皮肤和眼部症状局限于身体暴露于阳光的区域。患者罹患 UV 诱导的皮肤、眼部和口腔癌症的风险显著增加。一些患者出现神经退行性症状,包括腱反射减弱和小头畸形。在这项研究中,我们描述了来自北非高度近亲结婚人群的埃及 36 名 XP 患者的临床和遗传发现。进行了彻底的临床评估,然后对 和 基因进行 Sanger 测序。鉴定出 6 个新的和 7 个先前报道的突变。研究了表型-基因型相关性。我们报告了与具有共同人口结构、地理和历史背景的国家的先前报告一致的临床和分子发现,这对共同的祖先起源和历史迁徙流具有影响。临床和遗传特征分析可改善诊断、管理、咨询和未来靶向治疗的实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ea/7924063/b703b3523917/genes-12-00295-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ea/7924063/bb173f6da69c/genes-12-00295-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ea/7924063/b703b3523917/genes-12-00295-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ea/7924063/bb173f6da69c/genes-12-00295-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9ea/7924063/b703b3523917/genes-12-00295-g002.jpg

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Front Genet. 2021 Aug 16;12:717361. doi: 10.3389/fgene.2021.717361. eCollection 2021.

本文引用的文献

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Int J Mol Med. 2020 Aug;46(2):521-534. doi: 10.3892/ijmm.2020.4609. Epub 2020 May 19.
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Comprehensive germline mutation analysis and clinical profile in a large cohort of Brazilian xeroderma pigmentosum patients.一大群巴西着色性干皮病患者的全面种系突变分析及临床概况
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How history and geography may explain the distribution in the Comorian archipelago of a novel mutation in DNA repair-deficient xeroderma pigmentosum patients.
历史和地理因素如何解释科摩罗群岛上DNA修复缺陷型着色性干皮病患者中一种新型突变的分布情况。
Genet Mol Biol. 2019 Dec 13;43(1 suppl 1):e20190046. doi: 10.1590/1678-4685-GMB-2019-0046. eCollection 2019.
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Consanguinity and Inbreeding in Health and Disease in North African Populations.北非人群的健康与疾病中的血缘关系和近亲繁殖。
Annu Rev Genomics Hum Genet. 2019 Aug 31;20:155-179. doi: 10.1146/annurev-genom-083118-014954. Epub 2019 Apr 30.
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Xeroderma pigmentosum in South Africa: Evidence for a prevalent founder effect.南非的着色性干皮病:普遍存在奠基者效应的证据。
Br J Dermatol. 2019 Nov;181(5):1070-1072. doi: 10.1111/bjd.18030. Epub 2019 Jul 24.
6
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Congenit Anom (Kyoto). 2019 Jan;59(1):18-21. doi: 10.1111/cga.12281. Epub 2018 Apr 15.
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