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一名18岁伊朗女孩的夏-吉布斯综合征:临床特征与基因突变的病例研究

Xia-Gibbs syndrome in an 18-Year-Old Iranian girl: a case study of clinical features and genetic mutation.

作者信息

Farahani Mohadese, Jalali Amir, Ebrahimi Mobina, Kazemi Hossein

机构信息

Department of Biology, Faculty of Science, Arak University, Arak, 384817758, Iran.

Department of Occupational Therapy, School of Rehabilitation, Arak University of Medical Sciences, Arak, Iran.

出版信息

Mol Biol Rep. 2025 Aug 18;52(1):834. doi: 10.1007/s11033-025-10933-1.

DOI:10.1007/s11033-025-10933-1
PMID:40824318
Abstract

BACKGROUND

Xia-Gibbs syndrome (XGS) is a rare, autosomal dominant genetic disorder characterized by a broad spectrum of neurological, motor, and developmental symptoms. This study presents the first reported case of XGS in Iran involving an 18-year-old girl with diverse clinical manifestations, including developmental delay, motor disorders, delayed puberty, and behavioral disturbances. Genetic analysis identified a de novo nonsense mutation in the AHDC1 gene (c.2062 C > T, p.(Arg688Ter)), resulting in a truncated and non-functional protein, which correlates with the patient's symptoms.

CONCLUSION

This case underscores the importance of early and accurate diagnosis of XGS and highlights the need for increased awareness among healthcare professionals, particularly in rare genetic disorders. Reporting such cases is crucial for enhancing understanding of the disease mechanisms and improving patient management.

摘要

背景

夏-吉布斯综合征(XGS)是一种罕见的常染色体显性遗传病,其特征为广泛的神经、运动和发育症状。本研究报告了伊朗首例XGS病例,患者为一名18岁女孩,具有多种临床表现,包括发育迟缓、运动障碍、青春期延迟和行为障碍。基因分析确定AHDC1基因存在一个新发的无义突变(c.2062 C>T,p.(Arg688Ter)),导致蛋白质截短且无功能,这与患者的症状相关。

结论

该病例强调了早期准确诊断XGS的重要性,并突出了医疗保健专业人员提高认识的必要性,尤其是在罕见遗传病方面。报告此类病例对于增进对疾病机制的理解和改善患者管理至关重要。

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本文引用的文献

1
The Process of Diagnosing Xia Gibbs Syndrome in A Male Child with Autism Spectrum Disorder and AHDC1 Gene Mutation: Case Report.一名患有自闭症谱系障碍和AHDC1基因突变的男童的夏吉布斯综合征诊断过程:病例报告
Noro Psikiyatr Ars. 2025 Feb 6;62(1):84-86. doi: 10.29399/npa.28555. eCollection 2025.
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Novel Insights from Clinical Practice: Xia-Gibbs Syndrome with Pes Cavus, Conjunctival Melanosis, and Eye Asymmetry due to a de novo AHDC1 Gene Variant - A Case Report and a Brief Review of the Literature.临床实践中的新见解:因新发AHDC1基因变异导致的伴有高弓足、结膜黑素沉着和眼不对称的夏-吉布斯综合征——病例报告及文献简要综述
Mol Syndromol. 2024 Feb;15(1):63-70. doi: 10.1159/000530410. Epub 2023 Sep 8.
3
Genotype-phenotype spectrum and correlations in Xia-Gibbs syndrome: Report of five novel cases and literature review.
夏-吉布斯综合征的基因型-表型谱及相关性:五例新病例报告及文献复习。
Birth Defects Res. 2022 Aug 1;114(13):759-767. doi: 10.1002/bdr2.2058. Epub 2022 Jun 18.
4
missense mutations in Xia-Gibbs syndrome.夏-吉布斯综合征中的错义突变。
HGG Adv. 2021 Oct 14;2(4). doi: 10.1016/j.xhgg.2021.100049. Epub 2021 Aug 10.
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Novel Gene Mutation in a Brazilian Individual: Implications of Xia-Gibbs Syndrome.一名巴西个体中的新型基因突变:夏-吉布斯综合征的影响。
Mol Syndromol. 2020 Feb;11(1):24-29. doi: 10.1159/000505843. Epub 2020 Feb 1.
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Syndromic Intellectual Disability Caused by a Novel Truncating Variant in AHDC1: A Case Report.AHDC1基因新型截短变异导致的综合征性智力障碍:一例报告
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Two Chinese Xia-Gibbs syndrome patients with partial growth hormone deficiency.两名患有部分生长激素缺乏症的中国夏-吉布斯综合征患者。
Mol Genet Genomic Med. 2019 Apr;7(4):e00596. doi: 10.1002/mgg3.596. Epub 2019 Feb 6.
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The phenotypic spectrum of Xia-Gibbs syndrome.夏-吉布斯综合征的表型谱。
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Whole-Exome Sequencing Identifies a de novo Mutation in a Colombian Patient with Xia-Gibbs Syndrome.全外显子组测序鉴定出一名患有夏-吉布斯综合征的哥伦比亚患者的新生突变。
Mol Syndromol. 2017 Nov;8(6):308-312. doi: 10.1159/000479357. Epub 2017 Sep 8.
10
De novo truncating variants in the AHDC1 gene encoding the AT-hook DNA-binding motif-containing protein 1 are associated with intellectual disability and developmental delay.编码含AT钩DNA结合基序蛋白1的AHDC1基因中的新生截短变异与智力残疾和发育迟缓相关。
Cold Spring Harb Mol Case Stud. 2015 Oct;1(1):a000562. doi: 10.1101/mcs.a000562.