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一例严重短暂性羊水过多患者MAGED2基因新突变的病例报告及文献综述

A Case Report and Literature Review of a Novel Mutation in the MAGED2 Gene of a Patient With Severe Transient Polyhydramnios.

作者信息

Wu Xiaoxia, Huang Le, Luo Caiqun, Liu Yang, Niu Jianmin

机构信息

Cheeloo College of Medicine, Shandong University, Jinan, China.

Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China.

出版信息

Front Pediatr. 2021 Dec 1;9:778814. doi: 10.3389/fped.2021.778814. eCollection 2021.

Abstract

Polyhydramnios occurs frequently during pregnancy. Mutations in the MAGED2 gene can cause X-linked acute early-onset polyhydramnios with a severe but transient form of antenatal Bartter's syndrome. Here, we report a new novel frameshift mutation c.733_734delCT (p. Leu245GlufsTer4) in the MAGED2 gene (NM_177433.1) that caused prenatal polyhydramnios, but did not cause polyuria after birth. Follow-up was conducted for 2 months, and the baby's growth and development were normal, without polyuria and renal impairment. In addition, we identified all individuals with MAGED2 mutations reported in the literature before March 2021. We report a new case with a novel variant of the MAGED2 gene that caused severe hydramnios but with a good result and summary clinical characteristics in a newborn with antenatal Bartter's syndrome caused by an MAGED2 mutation. Good prenatal diagnosis and genetic consultation can improve pregnancy monitoring and newborn management.

摘要

羊水过多在孕期很常见。MAGED2基因突变可导致X连锁急性早发性羊水过多,并伴有严重但短暂的产前巴特综合征。在此,我们报告了MAGED2基因(NM_177433.1)中的一个新的移码突变c.733_734delCT(p.Leu245GlufsTer4),该突变导致产前羊水过多,但出生后未引起多尿。随访2个月,婴儿生长发育正常,无多尿及肾功能损害。此外,我们还鉴定了2021年3月之前文献报道的所有携带MAGED2突变的个体。我们报告了一例新的MAGED2基因变异病例,该变异导致严重羊水过多,但结果良好,并总结了由MAGED2突变引起的产前巴特综合征新生儿的临床特征。良好的产前诊断和遗传咨询可改善孕期监测和新生儿管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f6e/8671809/a868d422ff07/fped-09-778814-g0001.jpg

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