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病例报告:一名患有鲁宾斯坦-泰比综合征和毛细血管扩张性大理石皮肤的早产儿,其CREBBP基因存在移码突变。

Case report: A preterm infant with rubinstein-taybi syndrome and Marmorata telangiectatica harboring a frameshift mutation in the CREBBP gene.

作者信息

Yang Yang, Xiao Jing, Ye Yuanyuan, Xiang Jianwen, Wang Zhu, Chen Jia

机构信息

Neonatal Department, Guangdong Women and Children Hospital, Guangzhou, China.

出版信息

Front Pediatr. 2023 Mar 3;11:1059658. doi: 10.3389/fped.2023.1059658. eCollection 2023.

Abstract

Rubinstein-Taybi syndrome (RSTS) is a rare autosomal dominantly inherited disease characterized by slow mental and physical growth, skeletal abnormalities (broad thumbs and big toes), and dysmorphic facial features. RSTS is associated with variants of the epigenetic-associated gene CREBBP. RSTS is primarily diagnosed based on clinical manifestations and genetic testing. Cutis marmorata telangiectatica congenita (CMTC) is a rare, congenital, and typically benign vascular anomaly of unknown etiology; it is described as persistent reticulated marbled erythema. The diagnosis of CMTC is largely based on clinical features, and mutations are associated with CMTC. In this case report, we describe the case of a preterm infant (boy) with RSTS and CMTC who had a novel frameshift mutation leading to a premature stop codon in the CREBBP gene. This study adds the novel mutation c.5837dupC to the known molecular spectrum of disease-causing gene mutations.

摘要

鲁宾斯坦-泰比综合征(RSTS)是一种罕见的常染色体显性遗传病,其特征为智力和身体发育迟缓、骨骼异常(拇指和脚趾宽大)以及面部畸形。RSTS与表观遗传相关基因CREBBP的变异有关。RSTS主要根据临床表现和基因检测进行诊断。先天性大理石样皮肤毛细血管扩张症(CMTC)是一种罕见的、先天性的且通常为良性的血管异常,病因不明;其表现为持续性网状大理石样红斑。CMTC的诊断主要基于临床特征,且突变与CMTC相关。在本病例报告中,我们描述了一名患有RSTS和CMTC的早产儿(男),其在CREBBP基因中发生了一种导致提前终止密码子的新型移码突变。本研究将新型突变c.5837dupC添加到了已知的致病基因突变分子谱中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8bf/10022664/1c088d7cd534/fped-11-1059658-g001.jpg

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