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分析一名视网膜色素变性患者的 PDE6G 突变。

Analysis of PDE6G mutations in a patient with retinitis pigmentosa.

机构信息

Jinan Mingshui Eye Hospital, Longquan Road 5601, Zhangqiu District, Jinan, China.

出版信息

BMC Ophthalmol. 2024 Aug 19;24(1):353. doi: 10.1186/s12886-024-03623-2.

Abstract

BACKGROUND

Mutations in PDE6A and PDE6B are known to cause autosomal recessive RP in humans, On the other hand, mutations in PDE6G are rare but can lead to severe early-onset RP.

CASE PRESENTATION

An 8-year-old Chinese boy was referred to our hospital for poor vision issues. Refraction with cycloplegia showed high hyperopia with astigmatism both eyes. Funduscopic examination revealed typical bone spicule-type pigment deposits in the periphery and midperiphery. The patient was given glasses and a whole exome sequencing containing mitochondrial genes was performed. The results of genetic testing showed that there was a heterozygous frameshift mutation and a segment deletion in the proband's PDE6G gene. Analysis of the parental genes showed that frameshift mutation was inherited from the proband's mother and segment deletion from his father.

CONCLUSIONS

In this paper, we give a firsthand report that the complex heterozygous mutations of PDE6G gene can causes autosomal recessiveRP (arRP), which expands the understanding of the pathogenic genes of RP.

摘要

背景

已知 PDE6A 和 PDE6B 的突变会导致人类常染色体隐性 RP,另一方面,PDE6G 的突变虽然罕见,但可导致严重的早发性 RP。

病例介绍

一名 8 岁的中国男孩因视力不佳被转至我院就诊。睫状肌麻痹下的屈光检查显示双眼高度远视合并散光。眼底检查显示周边和中周部典型的骨棘状色素沉着。患者被给予眼镜,并进行了包含线粒体基因的全外显子测序。基因检测结果显示,先证者 PDE6G 基因存在杂合移码突变和片段缺失。父母基因分析显示,移码突变遗传自先证者的母亲,而片段缺失则遗传自先证者的父亲。

结论

本文首次报道了 PDE6G 基因的复杂杂合突变可导致常染色体隐性 RP(arRP),这扩展了对 RP 致病基因的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/daea/11334475/db9b67fac9c3/12886_2024_3623_Fig1_HTML.jpg

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