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伴有基因新变异的CLIFAHDD综合征新病例报告:1例罕见病例报道

New presentation of CLIFAHDD syndrome with a novel variant in gene: A report of a rare case.

作者信息

Hashemi Bita, Huntsman Richard J, Li Huan, Zhang Dapeng, Xi Yanwei

机构信息

Department of Pediatrics, Division of Medical Genetics University of Saskatchewan Saskatoon Saskatchewan Canada.

Department of Pediatrics, Division of Neurology University of Saskatchewan Saskatoon Saskatchewan Canada.

出版信息

Clin Case Rep. 2023 Jul 17;11(7):e7647. doi: 10.1002/ccr3.7647. eCollection 2023 Jul.

DOI:10.1002/ccr3.7647
PMID:37469362
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10352546/
Abstract

KEY CLINICAL MESSAGE

Congenital Contractures of Limbs and Face, Hypotonia, and Developmental Delay (CLIFAHDD) syndrome is a recently described type of distal arthrogryposis which unlike other subtypes is associated with developmental delay and various neurologic presentation. Epilepsy and ataxia have been reported. We add paroxysmal dyskinesia to the clinical spectrum. Understanding the molecular mechanism can help developing targeted therapy in future.

ABSTRACT

This study resulted in identification of a novel variant in gene leading to autosomal dominant CLIFAHDD syndrome. Our patient presented with a form of nonepileptic paroxysmal dyskinesia. This is a new phenotype that has not been described previously.

摘要

关键临床信息

肢体与面部先天性挛缩、肌张力减退及发育迟缓(CLIFAHDD)综合征是一种最近被描述的远端关节弯曲类型,与其他亚型不同,它与发育迟缓及多种神经学表现相关。已有癫痫和共济失调的报道。我们将阵发性运动障碍纳入了该临床谱。了解分子机制有助于未来开发靶向治疗。

摘要

本研究鉴定出一个导致常染色体显性CLIFAHDD综合征的新基因变异。我们的患者表现为一种非癫痫性阵发性运动障碍形式。这是一种此前未被描述过的新表型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc5/10352546/d5d5096a17ae/CCR3-11-e7647-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc5/10352546/63e76a4d0871/CCR3-11-e7647-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc5/10352546/d5d5096a17ae/CCR3-11-e7647-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc5/10352546/63e76a4d0871/CCR3-11-e7647-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dc5/10352546/d5d5096a17ae/CCR3-11-e7647-g003.jpg

相似文献

1
New presentation of CLIFAHDD syndrome with a novel variant in gene: A report of a rare case.伴有基因新变异的CLIFAHDD综合征新病例报告:1例罕见病例报道
Clin Case Rep. 2023 Jul 17;11(7):e7647. doi: 10.1002/ccr3.7647. eCollection 2023 Jul.
2
Case Report: New presentation of CLIFAHDD syndrome with a novel variant in the NALCN gene and a literature review.病例报告:伴有NALCN基因新变异的CLIFAHDD综合征新表现及文献综述
Front Pediatr. 2024 May 30;12:1370790. doi: 10.3389/fped.2024.1370790. eCollection 2024.
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De novo mutations in NALCN cause a syndrome characterized by congenital contractures of the limbs and face, hypotonia, and developmental delay.NALCN基因的新生突变会导致一种以肢体和面部先天性挛缩、肌张力减退和发育迟缓为特征的综合征。
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Functional expression of CLIFAHDD and IHPRF pathogenic variants of the NALCN channel in neuronal cells reveals both gain- and loss-of-function properties.功能性表达 NALCN 通道的 CLIFAHDD 和 IHPRF 致病性变异体在神经元细胞中表现出既有增益又有失能的特性。
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引用本文的文献

1
Case Report: New presentation of CLIFAHDD syndrome with a novel variant in the NALCN gene and a literature review.病例报告:伴有NALCN基因新变异的CLIFAHDD综合征新表现及文献综述
Front Pediatr. 2024 May 30;12:1370790. doi: 10.3389/fped.2024.1370790. eCollection 2024.

本文引用的文献

1
Structure of the human sodium leak channel NALCN in complex with FAM155A.人源钠离子漏通道 NALCN 与 FAM155A 复合物的结构。
Nat Commun. 2020 Nov 17;11(1):5831. doi: 10.1038/s41467-020-19667-z.
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Structure of the human sodium leak channel NALCN.人类钠离子泄漏通道 NALCN 的结构。
Nature. 2020 Nov;587(7833):313-318. doi: 10.1038/s41586-020-2570-8. Epub 2020 Jul 22.
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Genetic variants in components of the NALCN-UNC80-UNC79 ion channel complex cause a broad clinical phenotype (NALCN channelopathies).NALCN-UNC80-UNC79 离子通道复合物成分中的遗传变异导致广泛的临床表型(NALCN 通道病)。
Hum Genet. 2018 Sep;137(9):753-768. doi: 10.1007/s00439-018-1929-5. Epub 2018 Aug 23.
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Additional de novo missense genetic variants in NALCN associated with CLIFAHDD syndrome.与CLIFAHDD综合征相关的NALCN中额外的新生错义基因变异。
Clin Genet. 2017 Jun;91(6):929-931. doi: 10.1111/cge.12899. Epub 2017 Jan 30.
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NALCN channelopathies: Distinguishing gain-of-function and loss-of-function mutations.NALCN通道病:区分功能获得性和功能丧失性突变。
Neurology. 2016 Sep 13;87(11):1131-9. doi: 10.1212/WNL.0000000000003095. Epub 2016 Aug 24.
6
De novo missense mutations in NALCN cause developmental and intellectual impairment with hypotonia.NALCN基因的新生错义突变导致发育和智力障碍并伴有肌张力减退。
J Hum Genet. 2016 May;61(5):451-5. doi: 10.1038/jhg.2015.163. Epub 2016 Jan 14.
7
De novo mutations in NALCN cause a syndrome characterized by congenital contractures of the limbs and face, hypotonia, and developmental delay.NALCN基因的新生突变会导致一种以肢体和面部先天性挛缩、肌张力减退和发育迟缓为特征的综合征。
Am J Hum Genet. 2015 Mar 5;96(3):462-73. doi: 10.1016/j.ajhg.2015.01.003. Epub 2015 Feb 12.
8
The neuronal channel NALCN contributes resting sodium permeability and is required for normal respiratory rhythm.神经元通道NALCN有助于静息钠通透性,是正常呼吸节律所必需的。
Cell. 2007 Apr 20;129(2):371-83. doi: 10.1016/j.cell.2007.02.041.