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中国人群中具有创始效应的新型和反复出现的 ASPM 突变。

Novel and recurrent ASPM mutations of founder effect in Chinese population.

机构信息

Department of Genetic and Metabolic Central Laboratory, The Maternal and Child Health Care Hospital of Guangxi Zhuang Autonomous Region, Guangxi Birth Defects Prevention and Control Institute, Nanning, China.

Department of Obstetrics, The Maternal and Child Health Care Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.

出版信息

Brain Dev. 2022 Sep;44(8):540-545. doi: 10.1016/j.braindev.2022.04.007. Epub 2022 Apr 28.

Abstract

PURPOSE

Mutations in ASPM are the most common causes of primary microcephaly (MCPH), which is a rare brain developmental disorder with few studies in Chinese population so far. This study aimed to identify the common pathogenic variants of ASPM and estimated the incidence of MCPH5 in Guangxi population.

METHODS

We ascertained six MCPH cases caused by ASPM mutations in Guangxi Zhuang Autonomous Region, Whole-exome sequencing (WES) was performed to uncover the causal variants. The haplotype analysis was used to estimate the age of the recurrent variation.

RESULTS

Five different pathogenic variants were identified in this batch of MCPH5 cases, including two novel variants p.Ser842fs9 and p.Lys1340Argfs29. An rarely reported pathogenic variant, c.1789C>T/p.Arg597* was found to be a founder mutation in local population. We evaluated all ASPM variants detected among 2674 non-microcephalic individuals and estimated the MCPH5 incidence to be 5.03/1,000,000 in Guangxi population.

CONCLUSIONS

We reported the first case series of Chinese MCPH cases with ASPM mutation and revealed a highly recurrent founder mutation in this local population. MCPH5 may be the major type of congenital microcephaly in Chinese population.

摘要

目的

ASPM 基因突变是原发性小头畸形(MCPH)最常见的原因,这是一种罕见的脑发育障碍,目前在中国人群中研究较少。本研究旨在鉴定 ASPM 的常见致病变异,并估计广西人群中 MCPH5 的发病率。

方法

我们在广西壮族自治区确定了 6 例由 ASPM 基因突变引起的 MCPH 病例,进行全外显子组测序(WES)以发现因果变异。单倍型分析用于估计反复出现的变异的年龄。

结果

在这批 MCPH5 病例中鉴定出了五个不同的致病变异,包括两个新的变异 p.Ser842fs9 和 p.Lys1340Argfs29。一个很少报道的致病变异 c.1789C>T/p.Arg597*被发现是当地人群中的一个创始突变。我们评估了 2674 名非小头畸形个体中检测到的所有 ASPM 变异,并估计广西人群的 MCPH5 发病率为 5.03/100 万。

结论

我们报告了首例中国 MCPH 病例与 ASPM 突变的病例系列,并揭示了该当地人群中高度反复出现的创始突变。MCPH5 可能是中国人群中先天性小头畸形的主要类型。

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