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在中国一个患有视网膜色素变性的家族中同时鉴定出 和 致病变体 。 (注:原文中“Both and ”部分内容缺失,翻译可能不太完整准确)

Simultaneous Identification of Both and Pathogenic Variants in a Chinese Family Affected With Retinitis Pigmentosa.

作者信息

Wang Yihui, Teng Yanling, Liang Desheng, Li Zhuo, Wu Lingqian

机构信息

Center for Medical Genetics, Hunan Key Laboratory of Medical Genetics & Hunan Key Laboratory of Animal Models for Human Diseases, School of Life Sciences, Central South University, Changsha, China.

Hunan Jiahui Genetics Hospital, Changsha, China.

出版信息

Front Genet. 2021 Sep 9;12:715100. doi: 10.3389/fgene.2021.715100. eCollection 2021.

Abstract

Retinitis pigmentosa (RP) is characterized by tremendous genetic and phenotypic heterogeneity. Here, we investigate the pathogeny of RP in a family to provide evidence for genetic and reproductive counseling for families. Although this pregnant woman of 8 weeks presented with RP, her first baby was born with RP, epilepsy, and cerebellar atrophy. The research identified a compound heterozygous mutation (c.998+3_998+6del/deletion) in the gene of the first born, explaining the cause of the proband's disease, which cannot explain the mother's. Then, a homozygous mutation c.343+1G > A in of the mother was found. RT-PCR is employed to find that there is a skipping of exon 10 in and a 15-nucleotide retention of intron5 in . The coexistence of two independent instances of RP caused by distinct genes in one pedigree is demonstrated. Based on the diagnosis, a prenatal diagnosis performed on the fetus found that the fetus's is affected by the same mutation as the proband. The research underscoring the complexity of RP and the need for the combination of extensive molecular genetic testing and clinical characterization in addition expands the spectrum of mutations. Finally, it is expected that the family members would be prevented from reproducing children with the similar disease.

摘要

视网膜色素变性(RP)具有巨大的遗传和表型异质性。在此,我们对一个家族中的RP发病机制进行研究,为家族的遗传和生育咨询提供依据。尽管这位8周孕期的孕妇患有RP,但其第一个孩子出生时患有RP、癫痫和小脑萎缩。该研究在长子的基因中鉴定出一个复合杂合突变(c.998 +3_998 +6del/deletion),解释了先证者患病的原因,但无法解释母亲的情况。随后,在母亲的基因中发现了一个纯合突变c.343 +1G > A。采用RT-PCR发现基因中有外显子10跳跃,基因中有内含子5的15个核苷酸保留。证明了在一个家系中由不同基因引起的两个独立的RP病例共存。基于该诊断,对胎儿进行的产前诊断发现胎儿的基因受到与先证者相同突变的影响。该研究强调了RP的复杂性以及除了广泛的分子基因检测和临床特征相结合的必要性,此外还扩展了基因的突变谱。最后,期望能够防止该家族成员生育患有类似疾病的孩子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1022/8458757/5a58e4db0139/fgene-12-715100-g001.jpg

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