ENPP1同卵性止损变异导致婴儿期大致动脉化:关于一个严重的新生儿临床病例
C Grosyeux1, L Jourdan1, J-M Jellimann1
1: Soins Intensifs et Réanimation Néonatals, Pôle Enfants-néonatologie, Maternité régionale Universitaire, Nancy, France.
European journal of medical genetics
|June 28, 2023
概括
婴儿期一般性动脉化 (GACI) 是一种罕见的遗传性疾病. 这一案例突出了一个新的ENPP1停止损失变异,导致新生儿严重高血压和过早死亡,强调了GACI.
科学领域:
- 遗传学和分子生物学
- 儿童心脏病学 儿童心脏病学
- 新生儿科学 新生儿科学
背景情况:
- 婴儿期一般性动脉化 (GACI) 是一种极其罕见的自体相衰退性遗传障碍.
- ENPP1基因的突变是GACI的主要原因,之前报告了46种变异.
- 在新生儿中,GACI表现为严重的动脉化和高血压.
研究的目的:
- 报告ENPP1基因中一种新型同卵性止损变异,导致男性新生儿的GACI.
- 描述这种独特病例的临床表现和结果.
- 提高临床医生对GACI和潜在的治疗选择的认识.
主要方法:
- 基于探针的临床症状进行了临床外体序列测序.
- 基因分析发现ENPP1的同卵性删除导致了一个框架转移和停止损失变体 (NM_006208.3:c.2746del, p.
主要成果:
- 患者出现了严重的初级新生儿动脉高血压.
- 临床表现包括多变性心肌病,多重心脏性冲击和新生儿中风.
- 由于严重的疾病并发症,婴儿在24天的生命中死亡.
结论:
- 这是与GACI相关的ENPP1中致病性停止损失变异的首次报告.
- GACI是新生儿出现严重高血压的关键诊断.
- 双酸盐治疗可能是GACI的潜在治疗选择.
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