在SHOX缺陷个体患者中确定第二个基因变异:对表型变异性的潜在解释
Naiara C B Dantas1, Mariana F A Funari2, Antonio M Lerário3
1Unidade de Endocrinologia Genetica, Laboratorio de Endocrinologia Celular e Molecular LIM/25, Disciplina de Endocrinologia, Faculdade de Medicina da Universidade de Sao Paulo, 01246-903 Sao Paulo, SP, Brazil.
European journal of endocrinology
|September 11, 2023
概括
遗传修饰剂在SHOX缺乏症中影响矮身. 增长板基因的变异,特别是调节区域的变异,可以严重影响SHOX变异患者的表型表达和透率.
科学领域:
- 遗传学 遗传学 是一个
- 内分泌学 在内分泌学.
- 骨发育不良症 骨发育不良症
背景情况:
- SHOX缺乏症是矮身的主要遗传原因,其特点是显著的表型变异性.
- 了解基因修饰剂对于解释SHOX缺乏症的不同临床表现至关重要.
研究的目的:
- 研究基因修饰剂在SHOX缺乏症患者观察到的表型变异中的作用.
- 在SHOX缺乏症患者中识别调节SHOX作用或生长的基因的罕见变异.
主要方法:
- 来自48个SHOX缺乏症家庭的98个个体的遗传分析.
- 针对SHOX位点和其他114个与生长相关的基因的向基因面板测序.
- 优先考虑罕见的,可能有害的变种.
主要成果:
- 在9个家族的11个个体中发现了修饰基因的8种异合体变异.
- 在PTHLH和ACAN中发现了可能致病的变体,在NPR2,RUNX2和TP53.3中发现了不确定的意义的变体.
- 与编码区域变化 (2.9%,P = .04) 相比,SHOX调节区域变化家族显示第二可能致病变异的患病率更高 (27%) .
结论:
- 增长板相关基因的变异在SHOX缺乏症中充当潜在的基因修饰剂.
- 第二个基因变异,特别是在SHOX调节区域变异的个体中,可能对表型透和表达至关重要.
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