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马尔尼菲篮状菌感染伴 IFNGR1 基因突变的抗干扰素-γ自身抗体阴性患者。

Talaromyces marneffei infection with IFNGR1 gene mutation in a patient with negative Anti-Interferon-γ autoantibodies.

机构信息

Department of Dermatology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

Department of Dermatology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

出版信息

An Bras Dermatol. 2024 Mar-Apr;99(2):233-237. doi: 10.1016/j.abd.2023.03.006. Epub 2023 Nov 3.

DOI:10.1016/j.abd.2023.03.006
PMID:37926601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10943266/
Abstract

BACKGROUND

Talaromyces Marneffei (TM) is a rare opportunistic pathogen that mostly infects patients with low immunity compared to those with normal immunity. It may be related to immune deficiency or genetic factors.

OBJECTIVE

To evaluate the gene mutation of a patient infected with TM in an endemic area with negative anti-interferon-γ autoantibodies, and negative human immunodeficiency virus (HIV) infection.

METHODS

Extract deoxyribonucleic acid (DNA) samples from the patient's peripheral blood, detect the mutation gene by whole exome sequencing (WES), and carry out Sanger sequencing verification for the detected mutation gene.

RESULTS

The authors detected a mutation in the IFNGR1 gene (NM_001363526.1) and validated the detected gene mutation using Sanger sequencing. The results showed a heterozygous mutation c.4C>T (p.L2F) located in the IFNGR1 gene (NM_001363526.1).

STUDY LIMITATIONS

The mechanism of the IFNGR1 gene has not been further investigated in this study.

CONCLUSIONS

The IFNGR1 gene mutation may be a potential risk factor for TM infection, and the presence of anti-interferon-γ autoantibodies can aggravate disease symptoms.

摘要

背景

马尔尼菲篮状菌(TM)是一种罕见的机会致病菌,与正常免疫的患者相比,它主要感染免疫低下的患者。它可能与免疫缺陷或遗传因素有关。

目的

评估在一个抗干扰素-γ自身抗体阴性、人类免疫缺陷病毒(HIV)感染阴性的地方性流行地区感染 TM 的患者的基因突变情况。

方法

从患者外周血中提取脱氧核糖核酸(DNA)样本,通过全外显子组测序(WES)检测突变基因,并对检测到的突变基因进行 Sanger 测序验证。

结果

作者检测到 IFNGR1 基因(NM_001363526.1)的突变,并通过 Sanger 测序验证了检测到的基因突变。结果显示,IFNGR1 基因(NM_001363526.1)中存在位于 c.4C>T(p.L2F)的杂合突变。

研究局限性

本研究未进一步探讨 IFNGR1 基因的机制。

结论

IFNGR1 基因突变可能是 TM 感染的潜在危险因素,而抗干扰素-γ自身抗体的存在可能会加重疾病症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cf/10943266/7cbe311b288c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cf/10943266/e7c8c8768853/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cf/10943266/54b898294110/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cf/10943266/7cbe311b288c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cf/10943266/e7c8c8768853/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cf/10943266/54b898294110/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0cf/10943266/7cbe311b288c/gr3.jpg

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BMC Infect Dis. 2022 May 16;22(1):468. doi: 10.1186/s12879-022-07391-6.
2
Talaromyces marneffei and Mycobacterium tuberculosis co-infection in a patient with high titer anti-interferon-γ autoantibodies: a case report.马尔尼菲篮状菌和结核分枝杆菌合并感染伴高滴度抗干扰素-γ自身抗体:病例报告。
BMC Infect Dis. 2022 Jan 28;22(1):98. doi: 10.1186/s12879-021-07015-5.
3
Case Report: Disseminated Infection in a Patient With Chronic Mucocutaneous Candidiasis and a Novel STAT1 Gain-of-Function Mutation.
病例报告:慢性黏膜皮肤念珠菌病伴新型 STAT1 功能获得性突变患者的播散性感染。
Front Immunol. 2021 Aug 5;12:682350. doi: 10.3389/fimmu.2021.682350. eCollection 2021.
4
Talaromyces Marneffei Infection in an HIV-Negative Child with a CARD9 Mutation in China: A Case Report and Review of the Literature.中国一例 HIV 阴性伴有 CARD9 基因突变患儿的马尔尼菲篮状菌感染:病例报告及文献复习。
Mycopathologia. 2021 Aug;186(4):553-561. doi: 10.1007/s11046-021-00576-8. Epub 2021 Jul 5.
5
Unusual disseminated Talaromyces marneffei infection mimicking lymphoma in a non-immunosuppressed patient in East China: a case report and review of the literature.华东地区一例非免疫抑制患者表现为淋巴瘤样播散性马尔尼菲篮状菌感染:病例报告及文献复习。
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