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遗传性疾病所致新生儿高胆红素血症的遗传变异特征

Genetic variation features of neonatal hyperbilirubinemia caused by inherited diseases.

作者信息

You Jin-Ying, Xiong Ling-Yun, Wu Min-Fang, Fan Jun-Song, Fu Qi-Hua, Qiu Ming-Hua

机构信息

Department of Neonatal, The Second Affiliated Hospital of Xiamen Medical College, Xiamen 361021, Fujian Province, China.

出版信息

World J Clin Pediatr. 2024 Dec 9;13(4):98462. doi: 10.5409/wjcp.v13.i4.98462.

Abstract

BACKGROUND

Genetic factors play an important role in neonatal hyperbilirubinemia (NH) caused by genetic diseases.

AIM

To explore the characteristics of genetic mutations associated with NH and analyze the correlation with genetic diseases.

METHODS

This was a retrospective cohort study. One hundred and five newborn patients diagnosed with NH caused by genetic diseases were enrolled in this study between September 2020 and June 2023 at the Second Affiliated Hospital of Xiamen Medical College. A 24-gene panel was used for gene sequencing to analyze gene mutations in patients. The data were analyzed Statistical Package for the Social Sciences 20.0 software.

RESULTS

Seventeen frequently mutated genes were found in the 105 patients. () variants were identified among the 68 cases of neonatal Gilbert syndrome. In patients with sodium taurocholate cotransporting polypeptide deficiency, the primary mutation identified was (). () mutations primarily occur in patients with hepatolenticular degeneration (Wilson's disease). In addition, we found that and mutations were more common in the high-risk group than in the low-risk group, whereas mutations in , , and were more common in the low-risk group.

CONCLUSION

Genetic mutations are associated with NH and significantly increase the risk of disease in affected newborns.

摘要

背景

遗传因素在由遗传疾病引起的新生儿高胆红素血症(NH)中起重要作用。

目的

探讨与NH相关的基因突变特征,并分析其与遗传疾病的相关性。

方法

这是一项回顾性队列研究。2020年9月至2023年6月期间,在厦门医学院附属第二医院纳入了105例诊断为由遗传疾病引起的NH的新生儿患者。使用24基因panel进行基因测序以分析患者的基因突变。数据采用社会科学统计软件包20.0进行分析。

结果

在105例患者中发现了17个频繁突变的基因。在68例新生儿吉尔伯特综合征患者中鉴定出()种变异。在牛磺胆酸钠共转运多肽缺乏症患者中,鉴定出的主要突变是()。()突变主要发生在肝豆状核变性(威尔逊病)患者中。此外,我们发现()和()突变在高危组中比在低危组中更常见,而()、()和()的突变在低危组中更常见。

结论

基因突变与NH相关,并显著增加受影响新生儿的疾病风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7517/11572622/bb587f62c0ee/98462-g001.jpg

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