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病例报告:一个中国家庭中神谷-绪方综合征的产前诊断

Case report: Prenatal diagnosis of Kagami-Ogata syndrome in a Chinese family.

作者信息

Hu Junjie, Zhang Ying, Yang Yanmei, Wang Liya, Sun Yixi, Dong Minyue

机构信息

Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.

Key Laboratory of Reproductive Genetics (Zhejiang University), Ministry of Education, Hangzhou, Zhejiang, China.

出版信息

Front Genet. 2022 Aug 11;13:959666. doi: 10.3389/fgene.2022.959666. eCollection 2022.

Abstract

The aim of this work was to explore the genetic cause of the proband (Ⅲ2) presenting with polyhydramnios and gastroschisis. Copy number variation sequencing (CNV-seq), methylation-specific multiplex PCR (MS-PCR), and methylation-specific multiplex ligation-dependent probe amplification (MS-MLPA) were used to characterize the genetic etiology. CNV-seq revealed a deletion of 732.26 kb at 14q32.2q32.31 in the proband (Ⅲ2) and its mother (Ⅱ2). MS-PCR showed the maternal allele was missing in the proband, while paternal allele was missing in its mother. MS-MLPA showed deletion of the , , , and genes of both the proband and its mother. imprinting gene methylation increased in the proband, while decreased in its mother. It was indicated that a maternally transmitted deletion was responsible for Kagami-Ogata syndrome in the proband (Ⅲ2), and the paternal deletion resulted in Temple syndrome in the mother (Ⅱ2). Prenatal diagnosis was provided at 17 weeks of pregnancy on the mother's fourth pregnancy (Ⅲ4). Fortunately, the karyotype and single-nucleotide polymorphism array (SNP array) results were normal. The current investigation provided the detection methods for imprinted gene diseases, expanded the phenotype spectrum of the disease, and obtained the insight into the diagnosis, prenatal diagnosis, and genetic counseling of the disease.

摘要

本研究旨在探究先证者(Ⅲ2)出现羊水过多和腹裂的遗传原因。采用拷贝数变异测序(CNV-seq)、甲基化特异性多重PCR(MS-PCR)和甲基化特异性多重连接依赖探针扩增(MS-MLPA)来确定遗传病因。CNV-seq显示先证者(Ⅲ2)及其母亲(Ⅱ2)在14q32.2q32.31处存在732.26 kb的缺失。MS-PCR显示先证者中母源等位基因缺失,而其母亲中父源等位基因缺失。MS-MLPA显示先证者及其母亲的、、、和基因均缺失。先证者中印记基因甲基化增加,而其母亲中则减少。结果表明,母源传递的缺失导致先证者(Ⅲ2)患加贺美-绪方综合征,父源缺失导致母亲(Ⅱ2)患坦普尔综合征。在母亲第四次怀孕(Ⅲ4)的17周时进行了产前诊断。幸运的是,核型和单核苷酸多态性阵列(SNP阵列)结果正常。本研究提供了印记基因疾病的检测方法,扩展了该疾病的表型谱,并获得了对该疾病诊断、产前诊断和遗传咨询的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d06c/9410364/e94040111890/fgene-13-959666-g001.jpg

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