State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Cleft Lip and Palate, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Division of Growth and Development and Section of Orthodontics, School of Dentistry, University of California, Los Angeles, USA.
Cleft Palate Craniofac J. 2024 Feb;61(2):192-199. doi: 10.1177/10556656221125387. Epub 2022 Sep 9.
The purpose of this study is to analyze the clinical characteristics of a Treacher Collins syndrome (TCS) patient carrying a de novo variant of , and briefly analyze the correlation between genetic results and clinical features. Also, the pathogenesis and clinical treatment of TCS are reviewed. A Chinese pedigree with TCS containing 8 members was enrolled. Phenotype of the proband was evaluated by a surgeon, then whole exome sequencing of the proband was performed. Then we verified the proband-derived variants by Sanger sequencing in the pedigree. Correlation between genotype and phenotype was analyzed. The study was conducted in a stomatological hospital. A Chinese pedigree with TCS containing 8 members. To ascertain the genetic variants in the Chinese pedigree with TCS. Blood samples were collected. We reported a case of typical TCS with a de novo missense variant (NM_001371623.1:c.38T>G, p.(Leu13Arg)) in exon 1 of , who presented asymmetrical facial abnormalities, including downward slanting of the palpebral fissures, sparse eyebrows, lateral tilt of the eyeballs, bilateral external ears deformities, hypoplasia of midface, reduction of the zygomatic body, bilateral orbital invagination, right external auditory canal atresia, mandibular ramus short deformity, cleft palate and the whole face was convex. This research found a novel variant of TCS in Chinese, expanding the spectrum of TCS pathogenic variants. Genetic results combined with clinical phenotype can make a definite diagnosis and provide genetic counseling for the family.
本研究旨在分析 1 例携带新生变异 的特雷彻·柯林斯综合征(TCS)患者的临床特征,并简要分析遗传结果与临床特征的相关性。同时,回顾了 TCS 的发病机制和临床治疗。我们纳入了一个包含 8 名成员的 TCS 中国家系。由外科医生评估先证者的表型,然后对先证者进行全外显子组测序。然后,我们通过家系中的 Sanger 测序验证先证者来源的变异。分析基因型与表型的相关性。该研究在一家口腔医院进行。一个包含 8 名成员的 TCS 中国家系。为了确定 TCS 中国家系中的遗传变异,采集了血样。我们报告了 1 例典型 TCS 患者,携带新生错义变异(NM_001371623.1:c.38T>G,p.(Leu13Arg))在 外显子 1 中,表现为不对称的面部异常,包括睑裂向下倾斜、眉毛稀疏、眼球外侧倾斜、双侧外耳畸形、中面部发育不良、颧骨体减小、双侧眼眶内陷、右侧外耳道闭锁、下颌支短畸形、腭裂和整个面部前凸。这项研究在中国发现了 TCS 的一种新变异,扩大了 TCS 致病变异谱。遗传结果结合临床表型可做出明确诊断,并为家系提供遗传咨询。