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[Clinical characteristics and genetic analysis of three children with Congenital chlorine diarrhea]
Hui Yin1, Xiaobo Chen, Fuying Song
1Department of Endocrinology, the Affiliated Children's Hospital of Capital Pediatric Institute, Beijing 100020, China. xiaobochen6362@163.com.
Insights
Congenital chlorine diarrhea (CCD) in three children was linked to SLC26A3 gene variants. This study expands the known spectrum of genetic mutations causing this rare diarrheal disorder.
Area of Science:
- Genetics
- Pediatrics
- Gastroenterology
Context:
- Congenital chlorine diarrhea (CCD) is a rare inherited disorder affecting intestinal ion transport.
- Accurate diagnosis relies on identifying specific genetic mutations.
Purpose:
- To investigate the clinical features and genetic underpinnings of CCD in three pediatric patients.
- To expand the known spectrum of SLC26A3 gene variants associated with CCD.
Summary:
- Three children diagnosed with CCD presented with recurrent diarrhea, hypochloremia, hypokalemia, and metabolic alkalosis.
- Genetic analysis identified various SLC26A3 gene variants, including homozygous and compound heterozygous mutations, confirmed by Sanger sequencing.
- All identified variants were inherited from the patients' parents.
Impact:
- This research contributes to a deeper understanding of the genetic basis of Congenital chlorine diarrhea.
- The findings enrich the mutational spectrum of the SLC26A3 gene, aiding in future genetic diagnostics and counseling for CCD.
Objective:
To explore the clinical characteristics and genetic basis for three children with Congenital chlorine diarrhea (CCD).
Methods:
Three children with CCD who attended the Affiliated Children's Hospital of Capital Pediatric Institute from June 2014 to August 2020 were selected as the research subjects. Peripheral blood samples of the three children and their parents were collected for genetic testing. And the results were verified by Sanger sequencing.
Results:
The clinical manifestations of the three children have included recurrent diarrhea, with various degrees of hypochloremia, hypokalemia and refractory metabolic alkalosis. Genetic testing revealed that the three children have all carried variants of the SLC26A3 gene, including homozygous c.1631T>A (p.I544N) variants, c.2063_1G>T and c.1039G>A (p.A347T) compound heterozygous variants, and c.270_271insAA(p.G91kfs*3) and c.2063_1G>T compound heterozygous variants. Sanger sequencing confirmed that all of the variants were inherited from their parents.
Conclusion:
The variants of the SLC26A3 gene probably underlay the CCD in these children. Above finding has enriched the spectrum of SLC26A3 gene variants.
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