在患有左心室非收缩性心肌病的家庭中,TBX20功能丧失变异
Yuchen Chang1,2, Julie Wacker3, Jodie Ingles2,4,5,6
1Bioinformatics and Molecular Genetics at Centenary Institute, The University of Sydney, Sydney, New South Wales, Australia.
Journal of medical genetics
|September 1, 2023
概括
TBX20基因中的功能丧失变异是左心室非紧缩性心肌病 (LVNC) 的罕见原因. 这项研究证实TBX20变异在四个家族中与LVNC分离,突出显示了其在遗传测试中的重要性.
科学领域:
- 遗传学 是一个遗传学.
- 心脏病学 心脏病学
- 分子生物学分子生物学
背景情况:
- TBX20是一种心脏转录因子,与心房隔膜缺陷有关.
- 功能丧失的TBX20变体越来越多地与左心室非紧缩性心肌病 (LVNC) 相关.
- 有限的临床和遗传家族数据存在于TBX20相关的LVNC.
研究的目的:
- 调查TBX20功能丧失变体在LVNC中的作用.
- 分析LVNC和TBX20变种家族的临床和遗传数据.
- 评估与TBX20变异相关的临床表现的范围.
主要方法:
- 在索引情况下的基因组或外基因组测序.
- 桑格测序用于变种验证.
- 在家庭成员中进行级联遗传测试.
主要成果:
- 确定了四个TBX20功能丧失变异 (多个表因子删除,小删除,拼接部位,无意义) 与LVNC分离的家族.
- 受影响的个体呈现出LVNC,先天性心脏病和心肌病的频谱,从无症状到需要移植的严重心力衰竭.
- 甚至在家庭内也观察到表型变异.
结论:
- 功能丧失的TBX20变体是确定的,尽管很少见的LVNC的原因.
- 在对LVNC患者进行基因检测时,应考虑TBX20.
- 进一步研究TBX20在心脏发育和疾病中的作用是有必要的.
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