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一个新的 frameshift 变异导致先天性核白内障。

A novel frameshift variant in causes congenital nuclear cataract.

机构信息

UCL Institute of Ophthalmology, University College London, London, UK.

Moorfields Eye Hospital NHS Foundation Trust, London, UK.

出版信息

Ophthalmic Genet. 2024 Dec;45(6):591-595. doi: 10.1080/13816810.2024.2373248. Epub 2024 Jul 3.

Abstract

BACKGROUND

BCL6 co-repressor () gene variants are involved in oculofaciocardiodental (OFCD) syndrome, acute myeloid leukaemia, renal tumours, and photoreceptor degenerative diseases. Here, we describe a British family with a pathogenic heterozygous variant in the gene causing congenital nuclear cataract.

METHODS

Whole-exome sequencing was conducted on an individual affected by X-linked dominant congenital cataract in a three-generation family to establish the underlying genetic basis. Bioinformatics analysis confirmed the variants with damaging pathogenicity scores.

RESULTS

A novel likely pathogenic frameshift variant NM_001123385.1: c.3621del; p.Lys1207AsnfsTer31, was identified and found to co-segregate with the disease in this family.

CONCLUSIONS

This is apparently the first report of a variant in causing X-linked dominant congenital cataract which is potentially isolated or presenting with a remarkably mild systemic phenotype. Our findings extend the genetic basis for congenital cataract and add to the phenotypic spectrum of variants.

摘要

背景

BCL6 共抑制因子 () 基因变异与眼面心耳齿综合征、急性髓系白血病、肾肿瘤和光感受器退行性疾病有关。在这里,我们描述了一个英国家族,该家族中存在一个导致先天性核白内障的致病性杂合变体基因。

方法

对一个三代同堂的 X 连锁显性先天性白内障患者进行全外显子组测序,以确定潜在的遗传基础。生物信息学分析证实了具有破坏性致病性评分的变异。

结果

鉴定出一种新的可能致病的移码变异 NM_001123385.1:c.3621del;p.Lys1207AsnfsTer31,并发现该变异在该家族中与疾病共分离。

结论

这显然是首例报道的 基因变异导致 X 连锁显性先天性白内障的病例,该疾病可能为孤立性或表现出明显轻度的全身表型。我们的发现扩展了先天性白内障的遗传基础,并增加了 变异的表型谱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3f3/11614040/126862b181af/IOPG_A_2373248_F0001_B.jpg

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