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两例中国患者的 Cohen 综合征。

Cohen syndrome in two patients from China.

机构信息

Neurology Department, Hunan Children's Hospital, Changsha, China.

Neurology Department, Xiangya Hospital, Central South University, Changsha, China.

出版信息

Mol Genet Genomic Med. 2022 Dec;10(12):e2053. doi: 10.1002/mgg3.2053. Epub 2022 Sep 8.

Abstract

BACKGROUND

Cohen syndrome (CS; OMIM 216550) is a rare syndrome with evident clinical heterogeneity. The diverse phenotype comprises early-onset hypotonia and developmental delays, intellectual disabilities, microcephaly, hypermobile joints, neutropenia, myopia, and characteristic facial features. The disease is rarely reported. Vacuolar Protein Sorting 13 Homolog B (VPS13B; OMIM 607817) is the only causative gene of CS.

METHODS

Blood samples sourced from both siblings and parents were sent to identify mutations by trio-WES, and changes in the patient's condition were understood through consultation data and follow-up.

RESULTS

We reported two siblings affected by developmental delay, microcephaly, intellectual disability, and facial features. The siblings' WES detected compound heterozygous variants in the exon region of VPS13B (NM_017890): c.9337A>T and c.8551A>C.

CONCLUSION

Two individuals were diagnosed with CS by genetic testing and clinical features. In addition, we conduct a brief review of the reports on the Chinese population with CS and reinforce the understanding of the correlation between genotype-phenotype.

摘要

背景

Cohen 综合征(CS;OMIM 216550)是一种罕见的综合征,具有明显的临床异质性。其多样的表型包括早发性低张力和发育迟缓、智力残疾、小头畸形、关节活动过度、中性粒细胞减少症、近视和特征性面部特征。这种疾病很少有报道。液泡蛋白分选 13 同源物 B(VPS13B;OMIM 607817)是 CS 的唯一致病基因。

方法

从兄弟姐妹和父母那里采集血样,通过 trio-WES 鉴定突变,并通过咨询数据和随访了解患者病情的变化。

结果

我们报告了两名受发育迟缓、小头畸形、智力残疾和面部特征影响的兄弟姐妹。对兄弟姐妹的 WES 检测到 VPS13B(NM_017890)exon 区域的复合杂合变异:c.9337A>T 和 c.8551A>C。

结论

通过基因检测和临床特征,对两名个体进行了 CS 诊断。此外,我们对中国人群中 CS 的报告进行了简要回顾,并加强了对基因型-表型相关性的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb08/9747547/61ae9d477dc2/MGG3-10-e2053-g001.jpg

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