同卵性22q11.2远端II型微切除与神经发育迟缓综合征有关
Somaya Salah1, Hiba Jaber2, Ayala Frumkin1
1Department of Genetics, Hadassah Medical Center, Jerusalem, Israel.
American journal of medical genetics. Part A
|June 27, 2023
概括
在22q11.2区域的同卵性缺失很少见,但可能导致严重的发育迟缓. 这项研究突出了一个具有同卵性缺失的家族,表明剂量敏感基因有助于复杂的表型.
科学领域:
- 遗传学 是一个遗传学.
- 基因组医学是基因组医学.
- 发展生物学 发展生物学
背景情况:
- 基因组疾病通常是由副本数变异 (CNV) 引起的.
- 同胞性缺失不常见,即使在血缘亲属家庭中也是如此.
- 22q11.2区域包含中介CNV的低复制重复 (LCRs),异构缺失导致变异的表型.
研究的目的:
- 报告一种罕见的同卵性远端II型22q11.2删除病例.
- 调查该地区同卵性缺失的遗传基础和表型后果.
- 探索基因剂量对22q11.2遗传综合征严重性的作用.
主要方法:
- 染色体微阵列分析以识别副本数变异.
- 血统分析以确定遗传模式.
- 对受影响的兄弟姐妹和异卵性父母的临床评估.
主要成果:
- 确定的兄弟姐妹具有同卵性远端II型22q11.2删除,从血缘异卵性父母遗传.
- 受影响的儿童表现出严重的全球发育迟缓,低血压,面异常,眼睛和骨问题.
- 同性卵性个体的表型明显比异性卵性父母更严重.
结论:
- 同卵性远端II型22q11.2删除可以发生在血缘异卵性载体的后代中.
- 严重的表型表明在删除区域内存在剂量敏感基因或调节元件.
- 这种删除的同性导致比异性删除更复杂和严重的临床表现.
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