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基因突变与蓝色橡皮疱痣综合征:病例报告及文献综述

Genetic mutation and blue rubber bleb nevus syndrome: case reports and literature review.

作者信息

Xing Yueyi, Liu Han, Liu Hua, Ding Xueli, Jing Xue

机构信息

Medical College, Qingdao University, Qingdao, Shandong, China.

Gastroenterology Department, The First Affiliated Hospital of the University of South China, Hengyang, Hunan, China.

出版信息

Front Genet. 2025 Jun 13;16:1516562. doi: 10.3389/fgene.2025.1516562. eCollection 2025.

Abstract

Blue Rubber Bleb Nevus Syndrome (BRBNS) (OMIM %112200), or Bean syndrome, is an infrequent disorder characterized by venous malformations (VaMs) involving various organs such as the skin and gastrointestinal tract. Genetic mutations that affect the proliferation, migration, adhesion, differentiation, and survival of endothelial cells and the integrity of the extracellular matrix may be the pathogenesis of these disorders. We are supposed to investigate the cytogenetic results of BRBNS and report two sporadic cases. Two unrelated cases with BRBNS were from the Affiliated Hospital of Qingdao University and the First Affiliated Hospital of the University of South China, respectively. The data collection included information on the current age, sex, and race of the individuals, as well as their chief complaint. Clinical and family history, physical and laboratory findings, diagnostic workup, results, treatment, and complications were all documented. We are supposed to investigate the cytogenetic results of BRBNS and report two sporadic cases. We identified TEK missense mutations (c.596A>C) in both participants with BRBN. In addition, the mutation has appeared in , and . KEGG pathway analysis showed that they participated in the PI3K-AKT signaling pathway. Our findings underscore the importance of exploring these genetic alterations in the context of BRBNS, which may have implications for developing targeted therapeutic approaches. We present two cases diagnosed with Bean syndrome, detailing their clinical features and molecular aspects.

摘要

蓝色橡皮疱痣综合征(BRBNS)(OMIM %112200),即Bean综合征,是一种罕见的疾病,其特征为静脉畸形(VaM)累及皮肤和胃肠道等多个器官。影响内皮细胞增殖、迁移、黏附、分化和存活以及细胞外基质完整性的基因突变可能是这些疾病的发病机制。我们旨在研究BRBNS的细胞遗传学结果并报告两例散发性病例。两例不相关的BRBNS病例分别来自青岛大学附属医院和南方医科大学附属南方医院。数据收集包括个体的当前年龄、性别、种族信息以及主要诉求。临床和家族史、体格检查和实验室检查结果、诊断检查、结果、治疗及并发症均有记录。我们旨在研究BRBNS的细胞遗传学结果并报告两例散发性病例。我们在两名BRBN患者中均鉴定出TEK错义突变(c.596A>C)。此外,该突变已出现在 ,以及 。KEGG通路分析表明它们参与了PI3K-AKT信号通路。我们的研究结果强调了在BRBNS背景下探索这些基因改变的重要性,这可能对开发靶向治疗方法具有重要意义。我们报告两例诊断为Bean综合征的病例,详细描述其临床特征和分子方面的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef3d/12202426/85922ada7d48/fgene-16-1516562-g001.jpg

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