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一种新的突变与神经发育障碍导致皮质发育畸形。

A novel mutation with neurodevelopmental disorder caused by malformations of cortical development.

机构信息

Division of Laboratory, Kunming Children's Hospital affiliated with Kunming Medical University, Kunming 650028, China.

Institute of Pediatrics, The Kunming Children's Hospital, Key Laboratory of Child Critical Disease Research of Yunnan Province, Kunming 650028, China.

出版信息

Biomed Res Int. 2021 Feb 26;2021:6644274. doi: 10.1155/2021/6644274. eCollection 2021.

DOI:10.1155/2021/6644274
PMID:33728335
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7935588/
Abstract

Neurodevelopmental disorder caused by malformations of cortical development is a rare neurological disease. Heterozygous missense variants in the gene lead to malformations of human cortical development, which further result in intellectual disability, developmental retardation, and epilepsy. To the best of our knowledge, only thirteen patients and a total of nine pathogenic variants have been described in the published literature. This study reports the case details and genetic data analysis of a girl (aged 8 years, 9 months) with developmental delay, psychomotor regression, epilepsy, and left external ear deformity. A novel mutation was identified by whole-exome sequencing and Sanger sequencing, confirming that this mutation may be the cause of the neurodevelopmental disorders. This case report characterizes the phenotypic spectrum, molecular genetic findings, and functional consequences of novel pathogenic variants in neurodevelopmental disorders caused by cortical development malformations.

摘要

由皮质发育畸形引起的神经发育障碍是一种罕见的神经疾病。基因中的杂合错义变异导致人类皮质发育畸形,进而导致智力残疾、发育迟缓以及癫痫。据我们所知,在已发表的文献中仅描述了 13 名患者和总共 9 种致病性变异。本研究报告了一名 8 岁 9 个月大的女孩的病例详细信息和遗传数据分析,该女孩患有发育迟缓、精神运动倒退、癫痫和左外耳畸形。通过全外显子组测序和 Sanger 测序鉴定出一种新型突变,证实该突变可能是神经发育障碍的原因。本病例报告描述了由皮质发育畸形引起的神经发育障碍的表型谱、分子遗传学发现以及新型致病性变异的功能后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be48/7935588/3407ef3fb706/BMRI2021-6644274.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be48/7935588/f844be9f8874/BMRI2021-6644274.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be48/7935588/07c82daff16c/BMRI2021-6644274.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be48/7935588/3407ef3fb706/BMRI2021-6644274.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be48/7935588/f844be9f8874/BMRI2021-6644274.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be48/7935588/07c82daff16c/BMRI2021-6644274.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be48/7935588/3407ef3fb706/BMRI2021-6644274.003.jpg

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本文引用的文献

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Phenotype description in KIF5C gene hot-spot mutations responsible for malformations of cortical development (MCD).KIF5C 基因突变致皮质发育畸形(MCD)的表型描述。
Eur J Med Genet. 2020 Sep;63(9):103991. doi: 10.1016/j.ejmg.2020.103991. Epub 2020 Jun 18.
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Epilepsy in Tubulinopathy: Personal Series and Literature Review.伴微管病的癫痫:个人病例系列和文献复习。
Cells. 2019 Jul 2;8(7):669. doi: 10.3390/cells8070669.
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Case reports: novel TUBG1 mutations with milder neurodevelopmental presentations.病例报告:具有较轻神经发育表现的新型TUBG1突变
系统评估结构变异对遗传性视网膜疾病的贡献。
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TUBG1 missense variants underlying cortical malformations disrupt neuronal locomotion and microtubule dynamics but not neurogenesis.导致皮质畸形的 TUBG1 错义变异会破坏神经元的运动和微管动力学,但不会破坏神经发生。
Nat Commun. 2019 May 13;10(1):2129. doi: 10.1038/s41467-019-10081-8.
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Tubulin genes and malformations of cortical development.微管蛋白基因与皮质发育畸形
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Tubulinopathies continued: refining the phenotypic spectrum associated with variants in TUBG1.微管病持续研究:TUBG1 变异相关表型谱的精细化。
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Differential expression of human γ-tubulin isotypes during neuronal development and oxidative stress points to a γ-tubulin-2 prosurvival function.人类γ-微管蛋白亚型在神经元发育和氧化应激过程中的差异表达表明γ-微管蛋白2具有促生存功能。
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