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两例 MYO5B 缺陷导致的微绒毛包涵体病伴产前异常。

Two cases of microvillus inclusion disease caused by MYO5B deficiency with prenatal abnormalities.

机构信息

Medical Genetics Centre, Guangdong Women and Children Hospital, Guangzhou, China.

出版信息

Prenat Diagn. 2022 Jan;42(1):136-140. doi: 10.1002/pd.6068. Epub 2021 Nov 23.

Abstract

BACKGROUNDS

Microvillus inclusion disease (MVID) characterizes as intractable life-threatening watery diarrhea malnutrition after birth. MATERIALS & METHODS: Here we describe two patients with prenatal ultrasound findings of bowel dilation or increased amniotic fluid volume presented intractable diarrhea after birth. Exome sequencing and Intestinal biopsy were performed for the patients and their parents to reveal the underlying causes. The mutations were verified by Sanger sequencing and quantitative polymerase chain reaction.

RESULTS

Exome sequencing revealed that both of the patients carrying MYO5B compound heterozygote mutations that were inherited from their parents.

CONCLUSION

Here we describe two cases with MVID caused by MYO5B deficiency, which was the most common caused with prenatal ultrasound findings of bowel dilation and increased amniotic fluid volume. Due to the lack of effective curative therapies, early diagnosis even in prenatal of MVID can provide parents with better genetic counseling on the fetal prognosis.

摘要

背景

微绒毛包涵体病(MVID)的特征是出生后出现难以控制的危及生命的水样腹泻和营养不良。

材料与方法

在此,我们描述了两名产前超声检查发现肠扩张或羊水量增加的患者,他们在出生后出现难以控制的腹泻。对患者及其父母进行外显子组测序和肠道活检以揭示潜在病因。通过 Sanger 测序和实时定量聚合酶链反应验证突变。

结果

外显子组测序显示,两名患者均携带 MYO5B 复合杂合突变,该突变来自他们的父母。

结论

在此,我们描述了两例由 MYO5B 缺乏引起的 MVID,这是最常见的产前超声检查发现肠扩张和羊水过多的病因。由于缺乏有效的治疗方法,MVID 的早期诊断甚至在产前阶段都可以为父母提供更好的胎儿预后遗传咨询。

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