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基因中的一种新型突变:从相对常见的骨骼发育不良到极其罕见的牙本质软骨发育异常的诊断方法

A Novel Mutation in the Gene: Diagnostic Approach from Relatively Common Skeletal Dysplasias to an Extremely Rare Odontochondrodysplasia.

作者信息

Yeter Burcu, Dilruba Aslanger Ayca, Yeşil Gözde, Elçioğlu Nursel H.

机构信息

Marmara University Faculty of Medicine, Department of Pediatric Genetics, İstanbul, Turkey

İstanbul University Faculty of Medicine, Department of Medical Genetics, İstanbul, Turkey

出版信息

J Clin Res Pediatr Endocrinol. 2022 Dec 1;14(4):475-480. doi: 10.4274/jcrpe.galenos.2021.2021.0099. Epub 2021 Jun 11.

Abstract

Odontochondrodysplasia (ODCD, OMIM #184260) is a rare, non-lethal skeletal dysplasia characterized by involvement of the spine and metaphyseal regions of the long bones, pulmonary hypoplasia, short stature, joint hypermobility, and dentinogenesis imperfecta. ODCD is inherited in an autosomal recessive fashion with an unknown frequency caused by mutations of the thyroid hormone receptor interactor 11 gene (; OMIM *604505). The gene encodes the Golgi microtubule-associated protein 210 (GMAP-210), which is an indispensable protein for the function of the Golgi apparatus. Mutations in also cause achondrogenesis type 1A (ACG1A). Null mutations of lead to ACG1A, also known as a lethal skeletal dysplasia, while hypomorphic mutations cause ODCD. Here we report a male child diagnosed as ODCD with a novel compound heterozygous mutation who presented with skeletal changes, short stature, dentinogenesis imperfecta, and facial dysmorphism resembling achondroplasia and hypochondroplasia.

摘要

牙本质软骨发育不良(ODCD,OMIM编号#184260)是一种罕见的、非致死性骨骼发育不良,其特征为脊柱和长骨骨骺区域受累、肺发育不全、身材矮小、关节活动过度以及牙本质生成不全。ODCD以常染色体隐性方式遗传,由甲状腺激素受体相互作用蛋白11基因(;OMIM *604505)突变引起,其发生率未知。该基因编码高尔基体微管相关蛋白210(GMAP - 210),它是高尔基体功能所必需的蛋白质。该基因的突变也会导致1A型软骨发育不全(ACG1A)。该基因的无效突变会导致ACG1A,也称为致死性骨骼发育不良,而亚效突变则导致ODCD。在此,我们报告一名被诊断为ODCD的男童,其具有一种新的复合杂合突变,表现出骨骼变化、身材矮小、牙本质生成不全以及类似软骨发育不全和软骨发育低下的面部畸形。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9dd/9724053/a6314f47a619/JCRPE-14-475-g1.jpg

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