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11例威德曼-施泰纳综合征中国儿童队列中的新型变异和表型异质性

Novel variants and phenotypic heterogeneity in a cohort of 11 Chinese children with Wiedemann-Steiner syndrome.

作者信息

Lin Yunting, Chen Xiaohong, Xie Bobo, Guan Zhihong, Chen Xiaodan, Li Xiuzhen, Yi Peng, Du Rong, Mei Huifen, Liu Li, Zhang Wen, Zeng Chunhua

机构信息

Department of Genetics and Endocrinology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangdong Provincial Clinical Research Center for Child Health, Guangzhou, China.

Department of Endocrinology and Metabolism, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Genet. 2023 Mar 21;14:1085210. doi: 10.3389/fgene.2023.1085210. eCollection 2023.

Abstract

Wiedemann-Steiner syndrome (WSS) is a rare autosomal dominant disorder caused by deleterious heterozygous variants of the gene. This study aims to describe the phenotypic and genotypic features of Chinese WSS patients, and assess therapeutic effects of recombinant human growth hormone (rhGH). Eleven Chinese children with WSS were enrolled in our cohort. Their clinical, imaging, biochemical and molecular findings were analyzed retrospectively. Moreover, the phenotypic features of 41 previously reported Chinese WSS patients were reviewed and included in our analysis. In our cohort, the 11 WSS patients presented with classic clinical manifestations, but with different frequencies. The most common clinical features were short stature (90.9%) and developmental delay (90.9%), followed by intellectual disability (72.7%). The most frequent imaging features were patent ductus arteriosus (57.1%) and patent foramen ovale (42.9%) in cardiovascular system, and abnormal corpus callosum (50.0%) in the brain. In the set comprising 52 Chinese WSS patients, the most common clinical and imaging manifestations were developmental delay (84.6%), intellectual disability (84.6%), short stature (80.8%) and delayed bone age (68.0%), respectively. Eleven different variants, including three known and eight novel variants, of the gene were identified in our 11 WSS patients without a hotspot variant. Two patients were treated with rhGH and yielded satisfactory height gains, but one developed acceleration of bone age. Our study adds 11 new patients with WSS, reveals different clinical characteristics in Chinese WSS patients, and extends the mutational spectrum of the gene. Our study also shares the therapeutic effects of rhGH in two WSS patients without GH deficiency.

摘要

维德曼-施泰纳综合征(WSS)是一种由该基因有害杂合变异引起的罕见常染色体显性疾病。本研究旨在描述中国WSS患者的表型和基因型特征,并评估重组人生长激素(rhGH)的治疗效果。11名中国WSS患儿入组我们的队列。对他们的临床、影像学、生化和分子学检查结果进行回顾性分析。此外,对之前报道的41例中国WSS患者的表型特征进行了回顾并纳入我们的分析。在我们的队列中,11例WSS患者表现出典型的临床表现,但频率不同。最常见的临床特征是身材矮小(90.9%)和发育迟缓(90.9%),其次是智力障碍(72.7%)。最常见的影像学特征是心血管系统中的动脉导管未闭(57.1%)和卵圆孔未闭(42.9%),以及脑部胼胝体异常(50.0%)。在这52例中国WSS患者中,最常见的临床和影像学表现分别是发育迟缓(84.6%)、智力障碍(84.6%)、身材矮小(80.8%)和骨龄延迟(68.0%)。在我们的11例WSS患者中鉴定出11种不同的变异,包括3种已知变异和8种新变异,没有热点变异。2例患者接受了rhGH治疗,身高增长令人满意,但1例出现骨龄加速。我们的研究增加了11例新的WSS患者,揭示了中国WSS患者不同的临床特征,并扩展了该基因的突变谱。我们的研究还分享了rhGH在2例无生长激素缺乏的WSS患者中的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16b/10070943/6748b2ffce66/fgene-14-1085210-g001.jpg

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