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对一名患有泰-萨克斯病的患者同时进行胃造口术和喉气管分离术。

Simultaneous surgery for gastrostomy and laryngotracheal separation in a patient with Tay‒Sachs disease.

作者信息

Moroto Masaharu, Daisuke Uda, Yodoi Tomoya, Nitta Yoshihiro, Sugimoto Yohei, Chiyonobu Tomohiro, Yamada Hiroyuki, Ozaki Kayo, Nakatani Taichi, Sakai Norio

机构信息

Department of Pediatrics, Fukuchiyama City Hospital, Kyoto, Japan.

Department of Pediatrics, Maizuru Medical Center, Kyoto, Japan.

出版信息

Hum Genome Var. 2024 Nov 29;11(1):43. doi: 10.1038/s41439-024-00300-0.

DOI:10.1038/s41439-024-00300-0
PMID:39609393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11604916/
Abstract

Genetic testing identified novel compound heterozygous missense variants in the HEXA gene (NM_00520.6: c.775A>C and NM_000520.6: c.508C>T) in a 16-month-old girl diagnosed with Tay‒Sachs disease. The patient gradually became unable to consume food orally. She suffered severe aspiration pneumonia and underwent gastrostomy and laryngotracheal separation at 2 years and 4 months of age. Despite an initially good prognosis, she died at 3 years of age.

摘要

基因检测在一名被诊断为泰-萨克斯病的16个月大女童中,发现了己糖胺酶A基因(NM_00520.6: c.775A>C和NM_000520.6: c.508C>T)中的新型复合杂合错义变体。该患者逐渐无法经口进食。她患上了严重的吸入性肺炎,并在2岁4个月时接受了胃造口术和喉气管分离术。尽管最初预后良好,但她在3岁时去世。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da1/11604916/816b96e2e191/41439_2024_300_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da1/11604916/b3a532cf5ea9/41439_2024_300_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da1/11604916/816b96e2e191/41439_2024_300_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da1/11604916/b3a532cf5ea9/41439_2024_300_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8da1/11604916/816b96e2e191/41439_2024_300_Fig2_HTML.jpg

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本文引用的文献

1
Clinical, Imaging, Genetic, and Disease Course Characteristics in Patients With GM2 Gangliosidosis: Beyond Age of Onset.GM2 神经节苷脂贮积症患者的临床、影像学、遗传学和疾病病程特征:超越发病年龄。
Neurology. 2024 Jan 9;102(1):e207898. doi: 10.1212/WNL.0000000000207898. Epub 2023 Dec 12.
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Efficacy and safety of miglustat in the treatment of GM2 gangliosidosis: A systematic review.米格列奈治疗 GM2 神经节苷脂贮积症的疗效和安全性:系统评价。
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Therapeutic Strategies For Tay-Sachs Disease.
泰-萨克斯病的治疗策略
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AAV gene therapy for Tay-Sachs disease.腺相关病毒基因治疗泰萨二氏病。
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Gastrostomy Placement and Management in Children: A Single-Center Experience.小儿胃造口术的放置与管理:单中心经验。
Nutrients. 2019 Jul 10;11(7):1555. doi: 10.3390/nu11071555.
8
Screening for Tay-Sachs disease carriers by full-exon sequencing with novel variant interpretation outperforms enzyme testing in a pan-ethnic cohort.全外显子测序结合新型变异解读对泰萨二氏症携带者的筛查优于酶检测在泛种族队列中的表现。
Mol Genet Genomic Med. 2019 Aug;7(8):e836. doi: 10.1002/mgg3.836. Epub 2019 Jul 10.
9
Tay-Sachs disease mutations in HEXA target the α chain of hexosaminidase A to endoplasmic reticulum-associated degradation.己糖胺酶A基因(HEXA)中的泰-萨克斯病突变将己糖胺酶A的α链靶向内质网相关降解途径。
Mol Biol Cell. 2016 Dec 1;27(24):3813-3827. doi: 10.1091/mbc.E16-01-0012. Epub 2016 Sep 28.
10
Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology.序列变异解读的标准与指南:美国医学遗传学与基因组学学会和分子病理学协会的联合共识推荐
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