Li Jun, Zhao Peiwei, Xia Zhijie, Yao Wei, Wei Youhua, Hao Lili, Xia Zhongfan, He Xuelian
Department of Otorhinolaryngology,Wuhan Children's Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430016,China.
Precision Medical Laboratory,Wuhan Children's Hospital,Tongji Medical College,Huazhong University of Science and Technology.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jul;35(7):607-612. doi: 10.13201/j.issn.2096-7993.2021.07.007.
To identify novel genetic causes of branchio-oto-renal (BOR) syndrome in a Chinese family. Clinical characteristics and treatment of a family with a BOR syndrome were retrospectively analyzed. Genetic analysis was conducted by trio whole exome sequencing (WES) and the duplicated exons were verified by fluorescence quantitative PCR (real-time PCR). In this family, the affected individual had deafness, structural malformation of inner ear and middle ear, pre-auricular fistula, cervical fistula and renal atrophy consistent with the clinical diagnosis of BOR syndrome. Neither the father nor the mother had similar phenotype. WES and quantitative fluorescent PCR revealed that the patient had a partial duplication involving exons 13 to 18 of gene. This mutation has not been reported in literature or any database. Bilateral pre-auricular fistulas and cervical fistulas were surgically removed and the surgery wound healed well, while hearing AIDS had been worn to assist hearing. This study is the first to detect a novel partial duplication (exons13-18) of gene leading to BOR syndrome, and expands the mutant spectrum of gene in Chinese population.
为确定一个中国家庭中鳃耳肾(BOR)综合征的新遗传病因。对一个BOR综合征家庭的临床特征及治疗情况进行回顾性分析。采用三联体全外显子组测序(WES)进行基因分析,并用荧光定量PCR(实时PCR)验证重复的外显子。在这个家庭中,患病个体有耳聋、内耳和中耳结构畸形、耳前瘘管、颈瘘及肾萎缩,符合BOR综合征的临床诊断。父亲和母亲均无类似表型。WES及定量荧光PCR显示,该患者存在一个涉及该基因第13至18外显子的部分重复。此突变在文献及任何数据库中均未报道。双侧耳前瘘管和颈瘘均已手术切除,手术伤口愈合良好,同时佩戴了助听器以辅助听力。本研究首次检测到导致BOR综合征的该基因新的部分重复(第13至18外显子),并扩展了该基因在中国人群中的突变谱。