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加洛韦-莫瓦特综合征中新型LAGE3致病变体与TRPC6和NUP160变体结合:一例报告

Novel LAGE3 Pathogenic Variants Combined with TRPC6 and NUP160 Variants in Galloway-Mowat Syndrome: A Case Report.

作者信息

Huang Limin, Zhang Xiaojing, Zhang Yingying, Wang Yanfei, Mao Jianhua

机构信息

Department of Nephrology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, National Children's Regional Medical Center, Hangzhou, China.

Department of Pediatrics, Clinical Center of Pediatric Nephrology of Henan Province, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

Case Rep Nephrol Dial. 2023 Sep 25;13(1):148-155. doi: 10.1159/000533580. eCollection 2023 Jan-Dec.

Abstract

Galloway-Mowat syndrome (GAMOS) is a rare autosomal recessive disorder characterized by early-onset nephrotic syndrome and microcephaly with brain anomalies in children. Researchers studying GAMOS reported the first pathogenic variant identified was the gene, and more recently, four new pathogenic genes, and , have been identified. In the present study, we report a new mutation of c.290T>G (p.L97R) in a 4-year-old boy with specific urological and nephrological complications. The patient presented with early-onset proteinuria, brain atrophy, delayed language and motor development, and axial hypotonia. This patient also had mutations in two other genes: and , make the clinical presentation of this patient more diverse. Our novel findings add to the spectrum of pathogenic variants in the gene. In addition, early genetic diagnosis of GAMOS is essential for genetic counseling and prenatal care.

摘要

加洛韦-莫瓦特综合征(GAMOS)是一种罕见的常染色体隐性疾病,其特征为儿童期早发性肾病综合征以及伴有脑部异常的小头畸形。研究GAMOS的研究人员报告称,首个被鉴定出的致病变异是该基因,最近又鉴定出了四个新的致病基因,即[基因名称1]、[基因名称2]、[基因名称3]和[基因名称4]。在本研究中,我们报告了一名4岁男孩存在c.290T>G(p.L97R)的新突变,该男孩伴有特定的泌尿系统和肾脏并发症。该患者表现为早发性蛋白尿、脑萎缩、语言和运动发育迟缓以及轴性肌张力减退。该患者在另外两个基因中也存在突变,即[基因名称5]和[基因名称6],这使得该患者的临床表现更加多样。我们的新发现扩展了[基因名称7]基因致病变异的范围。此外,GAMOS的早期基因诊断对于遗传咨询和产前护理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41c9/10601869/f10846b4cffc/cnd-2023-0013-0001-533580_F01.jpg

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