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病例报告:在中国一名发育迟缓且身材矮小的男孩中鉴定出一种新型变异体。

Case Report: Identification of a novel variant in a Chinese boy with developmental delay and short stature.

作者信息

Liu Zhengxia, Ding Shuxia, Xu Guangwei, Fang Chunyan

机构信息

Department of Neurology, Women and Children's Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China.

Department of Endocrinology, Women and Children's Hospital Affiliated to Ningbo University, Ningbo, Zhejiang, China.

出版信息

Front Pediatr. 2024 May 9;12:1367131. doi: 10.3389/fped.2024.1367131. eCollection 2024.

DOI:10.3389/fped.2024.1367131
PMID:38798311
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11119739/
Abstract

Proline Rich 12 (PRR12) protein is primarily expressed in the brain and localized in the nucleus. The variants in the gene were reported to be related to neuroocular syndrome. Patients with gene presented with intellectual disability (ID), neuropsychiatric disorders, some congenital anomalies, and with or without eye abnormalities. Here, we report an 11-year-old boy with a novel variant c.1549_1568del, p.(Pro517Alafs*35). He was the first PRR12 deficiency patient in China and presented with ID, short stature, and mild scoliosis. He could not concentrate on his studies and was diagnosed with attention deficit hyperactivity disorder (ADHD). The insulin-like growth factor 1 (IGH-1) was low in our patient, which may be the cause of his short stature. Patients with neuroocular syndrome are rare, and further exploration is needed to understand the reason for neurodevelopmental abnormalities caused by variants. Our study further expands on the variants and presents a new case involving variants.

摘要

富含脯氨酸12(PRR12)蛋白主要在大脑中表达并定位于细胞核。据报道,该基因的变异与神经眼综合征有关。携带该基因变异的患者表现为智力残疾(ID)、神经精神障碍、一些先天性异常,有或没有眼部异常。在此,我们报告一名11岁男孩,携带一种新的变异c.1549_1568del,p.(Pro517Alafs*35)。他是中国首例PRR12缺陷患者,表现为智力残疾、身材矮小和轻度脊柱侧弯。他无法集中精力学习,被诊断为注意力缺陷多动障碍(ADHD)。我们的患者胰岛素样生长因子1(IGH-1)水平较低,这可能是他身材矮小的原因。神经眼综合征患者罕见,需要进一步探索以了解由该变异导致神经发育异常的原因。我们的研究进一步扩展了该变异,并呈现了一个涉及该变异的新病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1100/11119739/8549b151cff2/fped-12-1367131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1100/11119739/1e0ac03dd7d6/fped-12-1367131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1100/11119739/8549b151cff2/fped-12-1367131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1100/11119739/1e0ac03dd7d6/fped-12-1367131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1100/11119739/8549b151cff2/fped-12-1367131-g002.jpg

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Growth hormone deficiency and NAFLD: An overlooked and underrecognized link.生长激素缺乏与非酒精性脂肪性肝病:一个被忽视和低估的关联。
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Pediatric Continuous Reference Intervals of Serum Insulin-like Growth Factor 1 Levels in a Healthy Chinese Children Population - Based on PRINCE Study.基于 PRINCE 研究的中国健康儿童人群血清胰岛素样生长因子 1 水平的连续参考区间:儿科研究。
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Three de novo variants in KMT2A (MLL) identified by whole exome sequencing in patients with Wiedemann-Steiner syndrome.
通过全外显子组测序在 Wiedemann-Steiner 综合征患者中鉴定到 KMT2A(MLL)中的三个新发变异。
Mol Genet Genomic Med. 2021 Oct;9(10):e1798. doi: 10.1002/mgg3.1798. Epub 2021 Sep 1.
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Haploinsufficiency of PRR12 causes a spectrum of neurodevelopmental, eye, and multisystem abnormalities.PRR12 杂合性缺失导致一系列神经发育、眼睛和多系统异常。
Genet Med. 2021 Jul;23(7):1234-1245. doi: 10.1038/s41436-021-01129-6. Epub 2021 Apr 6.
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Dominant variants in PRR12 result in unilateral or bilateral complex microphthalmia.PRR12 中的显性变异导致单侧或双侧复杂小眼球。
Clin Genet. 2021 Mar;99(3):437-442. doi: 10.1111/cge.13897. Epub 2020 Dec 16.
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De novo apparent loss-of-function mutations in PRR12 in three patients with intellectual disability and iris abnormalities.三名智力障碍并伴有虹膜异常患者的 PRR12 基因新生明显功能丧失突变。
Hum Genet. 2018 Mar;137(3):257-264. doi: 10.1007/s00439-018-1877-0. Epub 2018 Mar 19.
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A novel mutation R190H in the AT-hook 1 domain of MeCP2 identified in an atypical Rett syndrome.在一例非典型雷特综合征中鉴定出MeCP2的AT钩1结构域中的一种新型突变R190H。
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Standards and Guidelines for the Interpretation and Reporting of Sequence Variants in Cancer: A Joint Consensus Recommendation of the Association for Molecular Pathology, American Society of Clinical Oncology, and College of American Pathologists.癌症序列变异解读与报告的标准和指南:分子病理学协会、美国临床肿瘤学会和美国病理学家学会联合共识推荐
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