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遗传性脊髓神经鞘瘤病伴 SMARCB1 基因突变:一例报告。

Hereditary intraspinal schwannomatosis with SMARCB1 gene mutation: A case report.

机构信息

Department of Neurosurgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu, China.

出版信息

J Clin Lab Anal. 2022 Jun;36(6):e24448. doi: 10.1002/jcla.24448. Epub 2022 Apr 21.

Abstract

BACKGROUND

Schwannomatosis is the third subtype of neurofibromatosis. Schwannomatosis, particularly the familial variant, is uncommon. Recently, germline mutations of the SMARCB1 gene have been found to cause schwannomatosis. In this report, we describe a case of familial inherited intraspinal schwannomatosis. Postoperative pathology indicated a schwannoma. The results of gene testing showed that the SMARCB1 gene had a spliced mutation.

CASE DESCRIPTION

A patient with a rare case of familial intraluminal schwannomatosis was admitted to our hospital. Peripheral blood gene testing was performed on the patient and her son, and a splice mutation of the SMARCB1 gene located at C. 1118+1G>A on intron 8 was identified.

CONCLUSIONS

Schwannomatosis is an incomplete dominant autosomal dominant genetic disorder. The structural and functional abnormalities of proteins caused by mutations in the SMARCB1 gene may be the molecular basis for familial schwannomatosis.

摘要

背景

神经鞘瘤病是神经纤维瘤病的第三型。神经鞘瘤病,特别是家族性变异,较为少见。最近,发现 SMARCB1 基因突变可导致神经鞘瘤病。在本报告中,我们描述了一例家族性脊髓内神经鞘瘤病。术后病理提示神经鞘瘤。基因检测结果显示 SMARCB1 基因存在剪接突变。

病例描述

一名罕见的家族性椎管内神经鞘瘤病患者被收入我院。对患者及其儿子进行外周血基因检测,发现 SMARCB1 基因第 8 内含子 C.1118+1G>A 处存在剪接突变。

结论

神经鞘瘤病是一种不完全外显的常染色体显性遗传疾病。SMARCB1 基因突变导致的蛋白结构和功能异常可能是家族性神经鞘瘤病的分子基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b268/9169182/b35228517c58/JCLA-36-e24448-g005.jpg

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