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WNK1/HSN2基因中的一种新突变导致一名中国患者患2型遗传性感觉和自主神经病变。

A novel mutation in the WNK1/HSN2 gene causing hereditary sensory and autonomic neuropathy type 2 in Chinese patient.

作者信息

Ma Siqing, Ji Chunbo, Li Jinlan, Zhou Jie, Zhu Jianying, Yang Ping

机构信息

Clinical Medicine School of Ningxia Medical University, Yinchuan, China.

Department of Neurology, General Hospital of Ningxia Medical University, Yinchuan, China.

出版信息

J Hum Genet. 2025 Apr;70(4):223-226. doi: 10.1038/s10038-024-01310-0. Epub 2024 Dec 23.

DOI:10.1038/s10038-024-01310-0
PMID:39710744
Abstract

Hereditary sensory and autonomic neuropathy type 2 (HSAN2) is a group of extremely rare autosomal recessive neurological disorders characterized by predominant sensory dysfunction and attendant severe complications, such as limb destruction. Our study reports a Chinese patient who met the diagnostic criteria for HSAN2 and harbored a homozygous mutation in the WNK1 gene (NM_213655.4: c.2689 G > T; p. Glu897*), Which led to nonsense-mediated mRNA decay of the transcript. Sanger sequencing revealed that the mutation segregates with disease status in the pedigree. These results expanded the spectrum of mutations in the WNK1 gene by identifying a novel mutation in a Chinese patient, providing a valuable reference for clinical diagnosis and treatment.

摘要

遗传性感觉和自主神经病变2型(HSAN2)是一组极为罕见的常染色体隐性神经障碍疾病,其特征为主要的感觉功能障碍及随之而来的严重并发症,如肢体损毁。我们的研究报告了一名符合HSAN2诊断标准的中国患者,该患者在WNK1基因(NM_213655.4: c.2689 G > T; p. Glu897*)中存在纯合突变,这导致了该转录本的无义介导的mRNA降解。桑格测序显示,该突变在家族谱系中与疾病状态共分离。这些结果通过在中国患者中鉴定出一个新的突变,扩展了WNK1基因的突变谱,为临床诊断和治疗提供了有价值的参考。

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本文引用的文献

1
A Spanish Family with Gordon Syndrome Due to a Variant in the Acidic Motif of .一个西班牙家族因. 酸性基序中的变异而患有 Gordon 综合征。
Genes (Basel). 2023 Sep 27;14(10):1878. doi: 10.3390/genes14101878.
2
WNK1/HSN2 mediates neurite outgrowth and differentiation via a OSR1/GSK3β-LHX8 pathway.WNK1/HSN2 通过 OSR1/GSK3β-LHX8 通路介导轴突生长和分化。
Sci Rep. 2022 Sep 23;12(1):15858. doi: 10.1038/s41598-022-20271-y.
3
A novel biallelic single base insertion in WNK1 in a Pakistani family with congenital insensitivity to pain.
一个巴基斯坦先天性痛觉缺失家系中WNK1 的一个新的双等位基因单碱基插入。
J Hum Genet. 2020 May;65(5):493-496. doi: 10.1038/s10038-020-0734-x. Epub 2020 Mar 3.
4
The coexistence of a novel WNK1 variant and a copy number variation causes hereditary sensory and autonomic neuropathy type IIA.一种新型WNK1变异体与拷贝数变异共存导致遗传性感觉和自主神经病变IIA型。
BMC Med Genet. 2019 May 27;20(1):91. doi: 10.1186/s12881-019-0828-5.
5
A novel nonsense mutation in WNK1/HSN2 associated with sensory neuropathy and limb destruction in four siblings of a large Iranian pedigree.WNK1/HSN2基因中的一种新型无义突变,与一个伊朗大家系中四名兄弟姐妹的感觉神经病变和肢体毁损相关。
BMC Neurol. 2018 Nov 29;18(1):195. doi: 10.1186/s12883-018-1201-6.
6
Repeated hyperhidrosis and chilblain-like swelling with ulceration of the fingers and toes in hereditary sensory and autonomic neuropathy type II.遗传性感觉和自主神经病II型中反复出现的多汗症以及手指和脚趾类似冻疮的肿胀并伴有溃疡。
J Dermatol. 2018 Nov;45(11):e308-e309. doi: 10.1111/1346-8138.14336. Epub 2018 Apr 27.
7
WNK1/HSN2 founder mutation in patients with hereditary sensory and autonomic neuropathy: A Japanese cohort study.WNK1/HSN2 基因突变与遗传性感觉和自主神经病的关系:一项日本队列研究。
Clin Genet. 2017 Dec;92(6):659-663. doi: 10.1111/cge.13037. Epub 2017 Jul 20.
8
Polyneuropathy in a young Belgian patient: A novel heterozygous mutation in the WNK1/HSN2 gene.年轻比利时患者的多发性神经病:WNK1/HSN2 基因中的一种新型杂合突变。
Neurol Genet. 2016 Jan 7;2(1):e42. doi: 10.1212/NXG.0000000000000042. eCollection 2016 Feb.
9
A novel homozygous mutation in the WNK1/HSN2 gene causing hereditary sensory neuropathy type 2.WNK1/HSN2基因中的一种新型纯合突变导致2型遗传性感觉神经病。
Acta Biochim Pol. 2012;59(3):413-5. Epub 2012 Aug 21.
10
Frequency of mutations in the genes associated with hereditary sensory and autonomic neuropathy in a UK cohort.在英国队列中,与遗传性感觉和自主神经病相关基因的突变频率。
J Neurol. 2012 Aug;259(8):1673-85. doi: 10.1007/s00415-011-6397-y.