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7p22.3 微缺失:一名伴有先天性心脏缺陷、神经发育迟缓及癫痫患者的病例研究。

7p22.3 microdeletion: a case study of a patient with congenital heart defect, neurodevelopmental delay and epilepsy.

机构信息

Laboratory of Molecular Genetics, Institute of Genetics and Physiology, Almaty, 050060, Kazakhstan.

Department of Molecular Biology and Genetics, Al-Farabi Kazakh National University, Almaty, 050040, Kazakhstan.

出版信息

Orphanet J Rare Dis. 2024 Aug 16;19(1):301. doi: 10.1186/s13023-024-03321-8.

Abstract

BACKGROUND

Chromosome 7 has regions enriched with low copy repeats (LCRs), which increase the likelihood of chromosomal microdeletion disorders. Documented microdeletion disorders on chromosome 7 include both well-known Williams syndrome and more rare cases. It is noteworthy that most cases of various microdeletions are characterized by phenotypic signs of neuropsychological developmental disorders, which, however, have a different genetic origin. The localization of the microdeletions, the genes included in the region, as well as the structural features of the sequences of these genes have a cumulative influence on the phenotypic characteristics of the individuals for each specific case and the severity of the manifestations of disorders. The consideration of these features and their detailed analysis is important for a correct and comprehensive assessment of the disease.

RESULTS

The article describes a clinical case of 7p22.3 microdeletion in a patient with congenital heart defect and neurological abnormalities - epilepsy, combined with moderate mental and motor developmental delay.

CONCLUSIONS

Through detailed genetic analyses, we are improving the clinical description of the rare 7p22.3 microdeletion and thus creating a basis for future genetic counseling and research into targeted therapies.

摘要

背景

染色体 7 上有富含低拷贝重复序列(LCRs)的区域,这增加了染色体微缺失疾病的可能性。染色体 7 上已记录的微缺失疾病包括众所周知的威廉姆斯综合征和更罕见的病例。值得注意的是,大多数各种微缺失的病例都表现出神经心理发育障碍的表型特征,但这些疾病具有不同的遗传起源。微缺失的定位、区域内包含的基因,以及这些基因序列的结构特征,对每个特定病例的个体表型特征和疾病表现的严重程度都有累积影响。考虑这些特征并对其进行详细分析对于正确和全面评估疾病很重要。

结果

本文描述了一名患有先天性心脏缺陷和神经发育异常(癫痫)的患者的 7p22.3 微缺失的临床病例,伴有中度精神和运动发育迟缓。

结论

通过详细的遗传分析,我们改善了罕见的 7p22.3 微缺失的临床描述,从而为未来的遗传咨询和针对该疾病的靶向治疗研究奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35cd/11330011/7062e1189f26/13023_2024_3321_Fig1_HTML.jpg

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