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在中国一个患有智力残疾的家庭中鉴定出一种导致LESKRES的新型变异体。

Identification of a novel variant causing LESKRES in a Chinese family with intellectual disability.

作者信息

Yang Shufa, Song Wei, Yan Yousheng

机构信息

Prenatal Diagnostic Center, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Healthcare Hospital, Capital Medical University, Beijing, China.

Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Beijing Maternal and Child Healthcare Hospital, Capital Medical University, Beijing, China.

出版信息

Front Genet. 2025 Jun 12;16:1598462. doi: 10.3389/fgene.2025.1598462. eCollection 2025.

Abstract

BACKGROUND

Lessel-Kreienkamp syndrome (LESKRES, MIM #619149), an autosomal dominant genetic disorder caused by variants in (MIM*606229), primarily leads to neurodevelopmental symptoms.

OBJECTIVE

This study aims to investigate the genetic etiology of a family with intellectual disability.

METHODS

Whole-exome sequencing (WES) was used to initially identify the pathogenic variants responsible for the intellectual disability in the family, and Sanger sequencing was employed for confirmation. Complete family information was collected, and Sanger sequencing was performed to confirm the co-segregation of the variant with the intellectual disability, thereby determining the pathogenicity of the novel variant. The pathogenicity of the novel variant was evaluated using methods.

RESULTS

All four intellectual disability individuals carried the novel (NM_012154.5): c.2149T>C (p.Cys717Arg) variant, while the other individuals did not. According to ACMG guidelines, this novel variant is classified as likely pathogenic. The novel variant occurs at a conserved position in and is predicted to affect the 3D structure of the protein.

CONCLUSION

This study identifies a novel variant causing LESKRES in the Chinese population for the first time. Our findings expand the variants spectrum of leading to LESKRES and highlight the value of WES in diagnosing genetic causes of intellectual disabilities.

摘要

背景

莱塞尔 - 克雷恩坎普综合征(LESKRES,MIM #619149)是一种由(MIM*606229)基因变异引起的常染色体显性遗传病,主要导致神经发育症状。

目的

本研究旨在调查一个智障家庭的遗传病因。

方法

首先使用全外显子组测序(WES)来鉴定导致该家庭智障的致病变异,然后采用桑格测序进行确认。收集完整的家族信息,并进行桑格测序以确认该变异与智障的共分离情况,从而确定该新变异的致病性。使用方法评估该新变异的致病性。

结果

所有四名智障个体均携带新的(NM_012154.5):c.2149T>C(p.Cys717Arg)变异,而其他个体未携带。根据美国医学遗传学与基因组学学会(ACMG)指南,该新变异被分类为可能致病。该新变异发生在基因的保守位置,预计会影响蛋白的三维结构。

结论

本研究首次在中国人群中鉴定出一种导致莱塞尔 - 克雷恩坎普综合征的新基因变异。我们的研究结果扩展了导致莱塞尔 - 克雷恩坎普综合征的基因变异谱,并突出了全外显子组测序在诊断智障遗传病因方面的价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fd4/12198229/ecb02437def4/fgene-16-1598462-g001.jpg

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