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[新型重复突变导致一个中国家系的鳃耳肾综合征]

[Novel duplication mutation of causes branchio-oto-renal syndrome in a Chinese family].

作者信息

Li Jun, Zhao Peiwei, Xia Zhijie, Yao Wei, Wei Youhua, Hao Lili, Xia Zhongfan, He Xuelian

机构信息

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.

出版信息

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.

Abstract

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.

摘要

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。

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本文引用的文献

1
[A review of diagnosis and treatment of syndromic hearing loss].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Mar;35(3):285-288. doi: 10.13201/j.issn.2096-7993.2021.03.022.
2
EYA1 mutations leads to Branchio-Oto syndrome in two Chinese Han deaf families.
Int J Pediatr Otorhinolaryngol. 2019 Aug;123:141-145. doi: 10.1016/j.ijporl.2019.05.006. Epub 2019 May 10.
3
Identification of a Novel CNV at 8q13 in a Family With Branchio-Oto-Renal Syndrome and Epilepsy.
Laryngoscope. 2020 Feb;130(2):526-532. doi: 10.1002/lary.27941. Epub 2019 Mar 25.
4
[Emphasizing the application of genetic diagnosis in branchio-oto-renal syndrome].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Aug;32(16):1226-1231. doi: 10.13201/j.issn.1001-1781.2018.16.005.
5
A novel mutation in EYA1 in a Chinese family with Branchio-oto-renal syndrome.
BMC Med Genet. 2018 Aug 7;19(1):139. doi: 10.1186/s12881-018-0653-2.
6
Novel partial duplication of EYA1 causes branchiootic syndrome in a large Brazilian family.
Int J Audiol. 2015;54(9):593-8. doi: 10.3109/14992027.2015.1030511. Epub 2015 Apr 30.
7
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Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Apr;49(4):330-2.
8
EYA1-related disorders: two clinical cases and a literature review.
Int J Pediatr Otorhinolaryngol. 2014 Aug;78(8):1201-10. doi: 10.1016/j.ijporl.2014.03.032. Epub 2014 Apr 12.
9
BOR-syndrome-associated Eya1 mutations lead to enhanced proteasomal degradation of Eya1 protein.
PLoS One. 2014 Jan 29;9(1):e87407. doi: 10.1371/journal.pone.0087407. eCollection 2014.

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