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一个中国家庭中与特发性肺纤维化和慢性阻塞性肺疾病相关的罕见突变

A Rare Mutation Associated with Idiopathic Pulmonary Fibrosis and COPD in a Chinese Family.

作者信息

Fan Liang-Liang, Feng Dong-Cai, Long Jie-Yi, Zhang Ai-Qin

机构信息

Department of Cardiovascular Medicine, The Third Xiangya Hospital, Central South University, Changsha, China.

Department of Cell Biology, School of Life Sciences, Central South University, Changsha, China.

出版信息

Balkan Med J. 2025 Sep 1;42(5):464-468. doi: 10.4274/balkanmedj.galenos.2025.2025-6-142.


DOI:10.4274/balkanmedj.galenos.2025.2025-6-142
PMID:40888375
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12402952/
Abstract

BACKGROUND: Idiopathic pulmonary fibrosis (IPF) is a form of interstitial lung disease characterized by progressive lung scarring. It involves destruction of the alveolar architecture, thickening of the basement membrane, abnormal deposition of the extracellular matrix, inflammatory cell infiltration in the interstitial space, and formation of fibroblast foci. Mutations in have been reported to be associated with IPF. AIMS: To explore the genetic cause of a family affected by IPF and chronic obstructive pulmonary disease. STUDY DESIGN: Cross-sectional study. METHODS: Whole-exome sequencing combined with IPF candidate gene filtering was used to identify the causative mutations. Sanger sequencing was applied to validate the mutation and perform c-segregation analysis. Real-time polymerase chain reaction (PCR) was conducted to analyze the telomere lengths of family members. RESULTS: We identified a rare mutation, c.2669G > A (p. Gly890Asp), in (NM_198253.2) in the proband and another affected family member. Bioinformatics analysis predicted this mutation to be deleterious, and structural modeling suggested that it altered the structure and surface charge distribution of the protein. Additionally, real-time PCR demonstrated that mutation carriers had significantly shorter telomere lengths compared with individuals of the same age. According to American College of Medical Genetics and Genomics guidelines, this rare mutation was classified as likely pathogenic. CONCLUSIONS: This is the first reported case of IPF caused by the p. Gly890Asp mutation of in the Chinese population. Our findings support the diagnosis of IPF in the patient and further highlight the role of in the disease.

摘要

背景:特发性肺纤维化(IPF)是一种间质性肺疾病,其特征为进行性肺瘢痕形成。它涉及肺泡结构破坏、基底膜增厚、细胞外基质异常沉积、间质空间炎症细胞浸润以及成纤维细胞灶形成。据报道,[基因名称]中的突变与IPF相关。 目的:探讨一个受IPF和慢性阻塞性肺疾病影响的家族的遗传病因。 研究设计:横断面研究。 方法:采用全外显子组测序结合IPF候选基因筛选来鉴定致病突变。应用桑格测序法验证突变并进行共分离分析。进行实时聚合酶链反应(PCR)以分析家族成员的端粒长度。 结果:我们在先证者和另一名患病家族成员中鉴定出[基因名称](NM_198253.2)中的一个罕见突变,c.2669G > A(p.Gly890Asp)。生物信息学分析预测该突变有害,结构建模表明它改变了[蛋白质名称]的结构和表面电荷分布。此外,实时PCR表明,与同年龄个体相比,突变携带者的端粒长度显著缩短。根据美国医学遗传学与基因组学学会的指南,这种罕见突变被分类为可能致病。 结论:这是中国人群中首例报道的由[基因名称]的p.Gly890Asp突变引起的IPF病例。我们的研究结果支持该患者IPF的诊断,并进一步突出了[基因名称]在该疾病中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/12402952/66c7252e1924/BalkanMedJ-42-5-464-figure-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/12402952/82aa43933cb4/BalkanMedJ-42-5-464-figure-1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/12402952/8a1e6196b369/BalkanMedJ-42-5-464-figure-2a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/12402952/66c7252e1924/BalkanMedJ-42-5-464-figure-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/12402952/82aa43933cb4/BalkanMedJ-42-5-464-figure-1a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/12402952/8a1e6196b369/BalkanMedJ-42-5-464-figure-2a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f65e/12402952/66c7252e1924/BalkanMedJ-42-5-464-figure-3.jpg

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本文引用的文献

[1]
ZCCHC8 p.P410A disrupts nucleocytoplasmic localization, promoting idiopathic pulmonary fibrosis and chronic obstructive pulmonary disease.

Mol Med. 2024-9-10

[2]
Idiopathic pulmonary fibrosis mortality: update on trends in the modern treatment era.

Eur Respir J. 2024-8-22

[3]
TERT activation targets DNA methylation and multiple aging hallmarks.

Cell. 2024-7-25

[4]
Interstitial Lung Disease: A Review.

JAMA. 2024-5-21

[5]
Genome stability from the perspective of telomere length.

Trends Genet. 2024-2

[6]
Precision medicine advances in idiopathic pulmonary fibrosis.

EBioMedicine. 2023-9

[7]
Telomerase: a good target in hepatocellular carcinoma? An overview of relevant preclinical data.

Expert Opin Ther Targets. 2022-9

[8]
Pathogenic Mechanisms Underlying Idiopathic Pulmonary Fibrosis.

Annu Rev Pathol. 2022-1-24

[9]
A novel multiplex qPCR method for assessing the comparative lengths of telomeres.

J Clin Lab Anal. 2021-9

[10]
Pathology, Radiology, and Genetics of Interstitial Lung Disease in Patients With Shortened Telomeres.

Am J Surg Pathol. 2021-7-1

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