Zhou Huan, Weng Xiaojing
Department of Obstetrics, Huaian Maternal and Child Health Care Hospital Affiliated to Yangzhou University Medical College, Huaian, Jiangsu 223002, China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2024 Aug 10;41(8):994-1000. doi: 10.3760/cma.j.cn511374-20230620-00375.
22q11.2 deletion syndrome (22q11.2DS) is the most common chromosomal microdeletion disorder. Its phenotype is highly variable with incomplete penetrance. 22q11.2DS is a rare disease, and the research progress is relatively slow, which has restricted its treatment and intervention. In recent years, much progress has been made in the pathogenic mechanism and genome-wide association study of 22q11.2DS. In this review, the pathogenesis of 22q11.2DS was summarized. Thereafter, the molecular and pathological mechanisms of TBX1 and DGCR8 genes were clarified. Finally, factors affecting the penetrance of cardiac and immune system phenotypes were reviewed. This review may enhance the understanding of 22q11.2DS and has important clinical implications on the prenatal diagnosis, genetic counseling, treatment and intervention of this disease.
22q11.2缺失综合征(22q11.2DS)是最常见的染色体微缺失疾病。其表型高度可变且外显不全。22q11.2DS是一种罕见病,研究进展相对缓慢,这限制了其治疗和干预。近年来,22q11.2DS的致病机制和全基因组关联研究取得了很大进展。在本综述中,总结了22q11.2DS的发病机制。此后,阐明了TBX1和DGCR8基因的分子和病理机制。最后,综述了影响心脏和免疫系统表型外显率的因素。本综述可能会增进对22q11.2DS的理解,并对该疾病的产前诊断、遗传咨询、治疗和干预具有重要的临床意义。