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通过靶向二代测序在临床诊断为神经肌肉疾病的摩洛哥家族中鉴定新突变。

Identification of novel mutations by targeted NGS in Moroccan families clinically diagnosed with a neuromuscular disorder.

作者信息

Rochdi Khaoula, Cerino Mathieu, Da Silva Nathalie, Delague Valerie, Bouzidi Aymane, Nahili Halima, Zouiri Ghizlane, Kriouile Yamna, Gorokhova Svetlana, Bartoli Marc, Saïle Rachid, Barakat Abdelhamid, Krahn Martin

机构信息

Laboratory of Biology and Health, URAC 34, Faculty of Sciences Ben M'Sik, Hassan II University, Casablanca, Morocco; Laboratory of Genomics and Human Genetics, Institut Pasteur du Maroc, Casablanca, Morocco.

Faculté des Sciences Médicales et Paramédicales, Marseille Medical Genetics, Aix Marseille Université, INSERM, Marseille, France; APHM, Hôpital Timone Enfants, Département de Génétique Médicale, Marseille, France; APHM, Hôpital de la Conception, Laboratoire de Biochimie, Marseille, France.

出版信息

Clin Chim Acta. 2022 Jan 1;524:51-58. doi: 10.1016/j.cca.2021.11.020. Epub 2021 Nov 28.

Abstract

BACKGROUND AND AIMS

The identification of underlying genes of genetic conditions has expanded greatly in the past decades, which has broadened the field of genes responsible for inherited neuromuscular diseases. We aimed to investigate mutations associated with neuromuscular disorders phenotypes in 2 Moroccan families.

MATERIAL AND METHODS

Next-generation sequencing combined with Sanger sequencing could assist with understanding the hereditary variety and underlying disease mechanisms in these disorders.

RESULTS

Two novel homozygous mutations were described in this study. The SIL1 mutation is the first identified in the Moroccan population, the mutation was identified as the main cause of Marinesco-Sjogren syndrome in one patient. While the second mutation identified in the fatty acid 2-hydroxylase gene (FA2H) was associated with the Spastic paraplegia 35 in another patient, both transmitted in an autosomal recessive pattern.

DISCUSSION AND CONCLUSIONS

These conditions are extremely rare in the North African population and may be underdiagnosed due to overlapping clinical characteristics and heterogeneity of these diseases. We have reported in this study mutations associated with the diseases found in the patients. In addition, we have narrowed the phenotypic spectrum, as well as the diagnostic orientation of patients with neuromuscular disorders, who might have very similar symptoms to other disease groups.

摘要

背景与目的

在过去几十年中,遗传疾病潜在基因的识别有了极大扩展,这拓宽了负责遗传性神经肌肉疾病的基因领域。我们旨在研究两个摩洛哥家庭中与神经肌肉疾病表型相关的突变。

材料与方法

二代测序结合桑格测序有助于了解这些疾病的遗传多样性和潜在疾病机制。

结果

本研究描述了两个新的纯合突变。SIL1突变是首次在摩洛哥人群中发现,该突变被确定为一名患者患 Marinesco-Sjogren 综合征的主要原因。而在脂肪酸2-羟化酶基因(FA2H)中发现的第二个突变与另一名患者的痉挛性截瘫35相关,两者均以常染色体隐性模式遗传。

讨论与结论

这些病症在北非人群中极为罕见,由于这些疾病的临床特征重叠和异质性,可能存在诊断不足的情况。我们在本研究中报告了与患者所患疾病相关的突变。此外,我们缩小了神经肌肉疾病患者的表型谱以及诊断方向,这些患者可能具有与其他疾病组非常相似的症状。

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