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一名患有发育迟缓、神经发育迟缓及肌张力减退的中国患者中的一种新型变异(c.4354G>A;p.Gly1452Ser)

A Novel Variant (c.4354G>A; p. Gly1452Ser) in a Chinese Patient with Developmental Delay, Neurodevelopmental Delay, and Hypotonia.

作者信息

Zeng Lan, Nie Jing, Zhu Shuyao, Wang Jin, Deng Yi, Zhu Hui, Wang Xueyan, Xi Na

机构信息

Department of Medical Genetics and Prenatal Diagnosis, Sichuan Provincial Woman's and Children's Hospital/The Affiliated Women's and Children's Hospital of Chengdu Medical College, Chengdu, China.

Department of Children's Health Care, Sichuan Provincial Woman's and Children's Hospital/The Affiliated Women's and Children's Hospital of Chengdu Medical College, Chengdu, China.

出版信息

Mol Syndromol. 2025 Apr 17:1-8. doi: 10.1159/000545680.

DOI:10.1159/000545680
PMID:40469502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12133159/
Abstract

INTRODUCTION

Neurodevelopmental disorders (NDDs) due to the (MIM:617245), the pathogenic variant, are extremely rare. HECW2-related disorder has been established through the identification of de novo variants in gene in patients with NDDs with hypotonia, seizures, and absent language.

CASE PRESENTATION

In this study, the clinical and genetic features of a Chinese girl with neurodevelopmental delay, developmental language disorder, and hypotonia are described. Trio whole exome sequencing revealed a novel likely pathogenic variant in (exon26: c.4354G>A; p. Gly1452Ser) in the patient, while the variant was absent in her parents with Sanger sequencing.

CONCLUSION

Our objective was to identify the potential site of , combined with the literature review, to find the correlation between clinical phenotype and genotype.

摘要

引言

由(MIM:617245)致病变异导致的神经发育障碍(NDDs)极为罕见。通过在患有肌张力减退、癫痫和语言缺失的NDDs患者中鉴定出该基因的新生变异,已确定了与HECW2相关的疾病。

病例报告

本研究描述了一名患有神经发育迟缓、发育性语言障碍和肌张力减退的中国女孩的临床和遗传特征。三联体全外显子组测序在患者中发现了一个新的可能致病变异(外显子26:c.4354G>A;p.Gly1452Ser),而其父母通过桑格测序未发现该变异。

结论

我们的目标是鉴定潜在的致病位点,结合文献综述,找到临床表型与基因型之间的相关性。

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本文引用的文献

1
First splicing variant in HECW2 with an autosomal recessive pattern of inheritance and associated with NDHSAL.首例具有常染色体隐性遗传模式的 HECW2 剪接变异与 NDHSAL 相关。
Hum Mutat. 2022 Oct;43(10):1361-1367. doi: 10.1002/humu.24426. Epub 2022 Jul 1.
2
A homozygous nonsense HECW2 variant is associated with neurodevelopmental delay and intellectual disability.一个纯合的无意义 HECW2 变异与神经发育迟缓及智力残疾有关。
Eur J Med Genet. 2022 Jun;65(6):104515. doi: 10.1016/j.ejmg.2022.104515. Epub 2022 Apr 27.
3
Delineating the genotypic and phenotypic spectrum of -related neurodevelopmental disorders.- 相关神经发育障碍的基因型和表型谱描绘。
J Med Genet. 2022 Jul;59(7):669-677. doi: 10.1136/jmedgenet-2021-107871. Epub 2021 Jul 28.
4
HECW2-related disorder in four Japanese patients.四位日本患者的 HECW2 相关疾病。
Am J Med Genet A. 2021 Oct;185(10):2895-2902. doi: 10.1002/ajmg.a.62363. Epub 2021 May 28.
5
Association of HECW2 variants with developmental and epileptic encephalopathy and knockdown of zebrafish hecw2a.HECW2 变异与发育性和癫痫性脑病的关联及斑马鱼 hecw2a 的敲低。
Am J Med Genet A. 2021 Feb;185(2):377-383. doi: 10.1002/ajmg.a.61958. Epub 2020 Nov 18.
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New gene discoveries highlight functional convergence in autism and related neurodevelopmental disorders.新基因的发现凸显了自闭症及相关神经发育障碍的功能趋同。
Curr Opin Genet Dev. 2020 Dec;65:195-206. doi: 10.1016/j.gde.2020.07.001. Epub 2020 Aug 23.
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Genetic Counseling in Neurodevelopmental Disorders.神经发育障碍的遗传咨询。
Cold Spring Harb Perspect Med. 2020 Apr 1;10(4):a036533. doi: 10.1101/cshperspect.a036533.
8
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Exp Mol Med. 2018 Aug 7;50(8):1-7. doi: 10.1038/s12276-018-0129-7.
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10
Intellectual Disability and Language Disorder.智力残疾与语言障碍。
Child Adolesc Psychiatr Clin N Am. 2017 Jul;26(3):539-554. doi: 10.1016/j.chc.2017.03.001.