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病例报告:在中国一个患有全面发育迟缓、智力障碍和共济失调的家庭中鉴定出该基因的一种新型复合杂合突变。

Case Report: A Novel Compound Heterozygous Mutation of the Gene Identified in a Chinese Family With Global Developmental Delay, Intellectual Disability, and Ataxia.

作者信息

Pan Yuhua, Guo Xiaoling, Zhou Xiaoqiang, Liu Yue, Lian Jingli, Yang Tingting, Huang Xiang, He Fei, Zhang Jian, Wu Buling, Xiong Fu, Yang Xingkun

机构信息

School of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Affiliated Foshan Maternity & Child Healthcare Hospital, Southern Medical University, Guangzhou, China.

出版信息

Front Pediatr. 2021 Nov 17;9:775488. doi: 10.3389/fped.2021.775488. eCollection 2021.

Abstract

FERM domain-containing protein 4A () is a scaffolding protein previously proposed to be critical in the regulation of cell polarity in neurons and implicated in human intellectual development. We report a case of a 3-year-old boy with corpus callosum anomaly, relative macrocephaly, ataxia, and unexplained global developmental delay. Here, compound heterozygous missense mutations in the gene [c.1830G>A, p.(Met610Ile) and c.2973G>C, p.(Gln991His)] were identified in the proband, and subsequent familial segregation showed that each parent had transmitted a mutation. Our results have confirmed the associations of mutations in the gene with intellectual development and indicated that for patients with unexplained global developmental delay, the gene should be included in the analysis of whole exome sequencing data, which can contribute to the identification of more patients affected by this severe phenotypic spectrum.

摘要

含FERM结构域蛋白4A()是一种支架蛋白,先前被认为对神经元细胞极性的调节至关重要,并与人类智力发育有关。我们报告了一例3岁男孩,患有胼胝体异常、相对巨头畸形、共济失调和原因不明的全面发育迟缓。在此,先证者中鉴定出该基因的复合杂合错义突变[c.1830G>A,p.(Met610Ile)和c.2973G>C,p.(Gln991His)],随后的家族分离分析表明,每个亲本都传递了一个突变。我们的结果证实了该基因突变与智力发育的关联,并表明对于原因不明的全面发育迟缓患者,该基因应纳入全外显子测序数据分析,这有助于识别更多受这种严重表型谱影响的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93fe/8636088/b3a797142f5e/fped-09-775488-g0001.jpg

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