在PTEN中鉴定了一种新型致病性深层内在变异,导致在患有青春期息肉的患者中包含伪子
Anne Marie Jelsig1, Karina Rønlund2, Lene Bjerring Gede3
1Department of Clinical Genetics, University Hospital of Copenhagen, Rigshospitalet, Copenhagen, Denmark. anne.marie.jelsig@regionh.dk.
Journal of human genetics
|June 19, 2023
概括
在患有结肠直肠幼年息肉的患者中发现了一种导致伪子纳入的新型PTEN基因变异. 这一发现有助于诊断PTEN-hamartoma瘤综合征,当临床症状模糊时.
科学领域:
- 遗传学 遗传学 是一个
- 在瘤学瘤学.
- 分子生物学分子生物学
背景情况:
- 结肠直肠幼年多可能与遗传性综合征有关,如幼年多综合征和PTEN-hamartoma瘤综合征.
- 仅仅基于临床表现来区分这些综合征是具有挑战性的.
- 下一代测序 (NGS) 面板通常用于协助诊断.
研究的目的:
- 在一个初始基因检测不确定的患者中调查结直肠幼年息肉的遗传基础.
- 在遗传多综合征中识别新型变异及其致病机制.
主要方法:
- 全基因组测序 (WGS) 用于检测遗传变异.
- 进行了RNA分析,以评估已识别的变种的功能影响.
- 对遗传性综合征进行了临床标准评估.
主要成果:
- 通过WGS.检测到一个未知意义的新型内部PTEN变种 (c.209+2047A>G).
- RNA分析显示,该变体导致伪异构体的包含,导致移和过早停止编码子,将其归类为可能致病的.
- 根据这些发现,该患者被诊断为PTEN-hamartoma瘤综合征.
结论:
- 这一案例凸显了WGS和RNA分析等先进遗传技术在诊断罕见遗传疾病方面的重要性.
- 鉴定到的PTEN变体代表了一种新的机制 (伪埃克松含入),导致PTEN-hamartoma瘤综合征.
- 准确的基因诊断对于区分重叠的遗传多重症综合征至关重要.
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