两个胎儿的PHGDH相关的小脑:扩大L-氨酸生物合成缺陷的表型谱
Silvestre Cuinat1, Chloé Quélin2, Laurent Pasquier3
1Hospices Civils de Lyon, Service de Génétique, Centre Labélisé Anomalies du Développement CLAD Sud-Est, Lyon, France.
European journal of medical genetics
|September 27, 2023
概括
在L-氨酸生物合成中的缺陷,包括纽拉克索娃综合征 (NLS),可以呈现出不同程度的严重程度. 这项研究确定了两个具有减弱NLS表型的胎儿的PHGDH基因变异,扩大了这些遗传性疾病的已知谱.
科学领域:
- 生物化学 生化学
- 遗传学 是一个遗传学.
- 发展生物学 发展生物学
背景情况:
- 在L-氨酸生物合成中的缺陷是具有广泛表型范围的自体逆向性疾病.
- 新拉克索娃综合征 (NLS) 是一种严重的胎儿形式,具有多种先天性异常的特征.
- PHGDH,PSAT1和PSPH中的遗传变异导致了这些L-氨酸生物合成缺陷.
研究的目的:
- 报告两个不相关的胎儿与NLS的减弱表型.
- 调查这些减弱的NLS病例的遗传基础.
- 扩大对L-氨酸生物合成缺陷的表型谱的理解.
主要方法:
- 临床检查两个胎儿呈现一个减弱的NLS表型.
- 基因分析用于识别与L-氨酸生物合成相关的基因中的致病变体.
- 临床和遗传发现与已知的L-氨酸生物合成缺陷的比较.
主要成果:
- 两个不相关的胎儿表现出一个减弱的NLS表型,最初类似于Taybi-Linder综合征.
- 在两个胎儿中都发现了PHGDH基因中的双性致病变体.
- 这些发现扩大了已知的L-氨酸生物合成缺陷的表型连续.
结论:
- 在PHGDH的致病变体可以导致减弱的NLS表型.
- 在NLS和小脑原始矮体之间存在显著的表型重叠.
- 这些病例扩大了L-氨酸生物合成缺陷及其临床表现的范围.
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