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一个家族中导致维斯科特-奥尔德里奇综合征的新型剪接突变

A Novel Splicing Mutation Leading to Wiskott-Aldrich Syndrome from a Family.

作者信息

Wang Lingyu, Zhang Jie, Lu Linna, Ren Juan, Zhang Yaofang, Zhao Lidong, Shen Wukang, Hu Xucheng, Fang Shuai, Lu Xiaomei, Wang Gang, Yang Linhua

机构信息

Department of Biochemistry and Molecular Biology, Shanxi Medical University, Shanxi, China 030607.

First Hospital of Shanxi Medical University, Shanxi, China 03001.

出版信息

Int J Genomics. 2024 Feb 19;2024:2277956. doi: 10.1155/2024/2277956. eCollection 2024.

DOI:10.1155/2024/2277956
PMID:38410787
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10896648/
Abstract

Wiskott-Aldrich syndrome (WAS) is a rare X-linked recessive genetic disease characterized by clinical symptoms such as eczema, thrombocytopenia with small platelets, immune deficiency, prone to autoimmune diseases, and malignant tumors. This disease is caused by mutations of the gene encoding WASprotein (WASP). The locus and type of mutations of the gene and the expression quantity of WASP were strongly correlated with the clinical manifestations of patients. We found a novel mutation in the gene (c.931 + 5G > C), which affected splicing to produce three abnormal mRNA, resulting in an abnormally truncated WASP. This mutation led to a reduction but not the elimination of the normal WASP population, resulting in causes X-linked thrombocytopenia (XLT) with mild clinical manifestations. Our findings revealed the pathogenic mechanism of this mutation.

摘要

威斯科特-奥尔德里奇综合征(WAS)是一种罕见的X连锁隐性遗传病,其临床症状包括湿疹、血小板减少伴小血小板、免疫缺陷、易患自身免疫性疾病和恶性肿瘤。这种疾病是由编码WAS蛋白(WASP)的基因突变引起的。该基因的突变位点和类型以及WASP的表达量与患者的临床表现密切相关。我们在该基因中发现了一个新的突变(c.931 + 5G > C),它影响剪接产生三种异常mRNA,导致WASP异常截短。这种突变导致正常WASP群体减少但未消除,从而引发临床表现较轻的X连锁血小板减少症(XLT)。我们的研究结果揭示了这种突变的致病机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/2d645cc25caa/IJG2024-2277956.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/5e3595f3fc33/IJG2024-2277956.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/0f570b6a6f0e/IJG2024-2277956.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/fa2cb25dd49d/IJG2024-2277956.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/571f8816d669/IJG2024-2277956.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/2d645cc25caa/IJG2024-2277956.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/5e3595f3fc33/IJG2024-2277956.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/0f570b6a6f0e/IJG2024-2277956.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/fa2cb25dd49d/IJG2024-2277956.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/571f8816d669/IJG2024-2277956.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d51/10896648/2d645cc25caa/IJG2024-2277956.005.jpg

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本文引用的文献

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Impairment of cytokine production following immunological synapse formation in patients with Wiskott-Aldrich syndrome and leukocyte adhesion deficiency type 1.威斯科特-奥尔德里奇综合征和1型白细胞黏附缺陷症患者免疫突触形成后细胞因子产生受损。
Clin Immunol. 2022 Sep;242:109098. doi: 10.1016/j.clim.2022.109098. Epub 2022 Aug 13.
2
Diagnosis and clinical management of Wiskott-Aldrich syndrome: current and emerging techniques.Wiskott-Aldrich 综合征的诊断和临床管理:当前和新兴技术。
Expert Rev Clin Immunol. 2022 Jun;18(6):609-623. doi: 10.1080/1744666X.2022.2074400. Epub 2022 May 19.
3
Diagnosis and Treatment of a Patient With Severe Combined Immunodeficiency Due to a Novel Homozygous Mutation in the IL-7Rα Chain.
诊断和治疗一名由于 IL-7Rα 链新型纯合突变导致的严重联合免疫缺陷的患者。
Front Immunol. 2022 Mar 28;13:867837. doi: 10.3389/fimmu.2022.867837. eCollection 2022.
4
Long-term safety and efficacy of lentiviral hematopoietic stem/progenitor cell gene therapy for Wiskott-Aldrich syndrome.慢病毒造血干细胞/祖细胞基因治疗治疗威特综合征的长期安全性和有效性。
Nat Med. 2022 Jan;28(1):71-80. doi: 10.1038/s41591-021-01641-x. Epub 2022 Jan 24.
5
Clinical and genetic analysis of 2 rare cases of Wiskott-Aldrich syndrome from Chinese minorities: Two case reports.中国少数民族中 2 例罕见的威斯科特-奥尔德里奇综合征的临床和遗传学分析:两例病例报告。
Medicine (Baltimore). 2021 Apr 23;100(16):e25527. doi: 10.1097/MD.0000000000025527.
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Wiskott-Aldrich Syndrome in four male siblings from a consanguineous family from Lebanon.黎巴嫩一个近亲家庭的四名男性兄弟姐妹患有威斯科特-奥尔德里奇综合征。
Clin Immunol. 2020 Oct;219:108573. doi: 10.1016/j.clim.2020.108573. Epub 2020 Aug 16.
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