结合氧化酸化缺陷13型与围产期呈现:一个病例报告
Sílvia Reigada1, Constança Santos2, Fabiana Ramos3
1Centro Hospitalar Universitário de Coimbra Área Funcional de Neurorradiologia, Serviço de Imagem Médica Coimbra Portugal.
Endocrine, metabolic & immune disorders drug targets
|October 20, 2023
概括
这项研究报告了一种新的PNPT1基因突变,导致婴儿患有严重的利氏综合征与高伤心肌病. 整体外基因组测序 (WES) 使得早期诊断成为可能,突出显示了它对于无法解释的严重儿科疾病的重要性.
科学领域:
- 遗传学 遗传学 是一个
- 线粒体生物学 线粒体生物学
- 神经学 神经学
背景情况:
- 多核酸酸酶 (PNPT1) 对于线粒体RNA处理至关重要.
- 在PNPT1中双变异导致线粒体RNA进口蛋白质缺乏.
- 这种缺陷导致多样化和严重的临床表现.
研究的目的:
- 描述一种新型的PNPT1基因突变病例,呈现出早期发病,严重的李氏综合征.
- 扩大PNPT1相关疾病的已知表型谱.
- 强调整个外体序列测序 (WES) 在诊断罕见遗传疾病中的实用性.
主要方法:
- 详细的临床病例报告,一个婴儿患有严重的周围症状.
- 神经成像 (MRI) 来评估大脑结构和病理.
- 整体外基因组测序 (WES) 用于遗传变体识别.
主要成果:
- 这位患者出现了严重的新生儿痛苦,全球发育迟缓,类似于利氏综合征的脑病变和高伤心肌病.
- 整体外基因组测序在PNPT1基因中发现了一种同卵性可能致病的变异.
- 这代表了PNPT1突变与围产期发病和相关的多变性心肌病变的首例报告.
结论:
- 早期和严重的李氏状呈现,包括高性心肌病,扩大了已知的PNPT1突变的表型.
- 该病例是首次报告在周产期出现PNPT1突变的病例.
- 整体外基因组测序对于早期诊断严重的,无法解释的儿科疾病至关重要.
相关概念视频
Inborn Errors of Metabolism
167
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
167
Protein Import into the Peroxisomes
3.5K
Cells contain membrane-bound organelles called peroxisomes that oxidize organic molecules by transferring hydrogen atoms to oxygen, producing hydrogen peroxide. Peroxisomes enzymatically convert the released hydrogen peroxide into water and oxygen.
Peroxisomal Protein Import:
Peroxisomes lack the genetic machinery required to code for their own proteins. Hence, most peroxisomal membrane, lumenal and transmembrane proteins are synthesized in the cytoplasm or ER and transported to the peroxisome...
Peroxisomal Protein Import:
Peroxisomes lack the genetic machinery required to code for their own proteins. Hence, most peroxisomal membrane, lumenal and transmembrane proteins are synthesized in the cytoplasm or ER and transported to the peroxisome...
3.5K
Acute Respiratory Failure-III
190
Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without...
190
Acute Respiratory Failure-II
249
Type I Respiratory Failure, or hypoxemic respiratory failure, occurs when the partial pressure of oxygen (PaO2) in arterial blood falls below 60 mmHg while breathing room air without a corresponding increase in arterial carbon dioxide levels (PaCO2). This condition highlights a significant impairment in the lungs' capacity to oxygenate the blood.
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
The underlying physiological abnormalities that contribute to hypoxemic respiratory failure include:
249
Animal Mitochondrial Genetics
7.6K
Among all the organelles in an animal cell, only mitochondria have their own independent genomes. Animal mitochondrial DNA is a double-stranded, closed-circular molecule with around 20,000 base pairs. Mitochondrial DNA is unique in that one of its two strands, the heavy, or H, -strand is guanine rich, whereas the complementary strand is cytosine rich and called the light, or L, -strand. Compared to nuclear DNA, mitochondrial DNA has a very low percentage of non-coding regions and is marked by...
7.6K
Electron Transport Chain: Complex III and IV
7.5K
During the electron transport chain, electrons from NADH and FADH2 are first transferred to complexes I and II, respectively. These two complexes then transfer the electrons to ubiquinol, which carries them further to complex III. Complex III passes the electrons across the intermembrane space to Cyt c, which carries them further to complex IV. Complex IV donates electrons to oxygen and reduces it to water. As electrons pass through complexes I, III, and IV, the energy released aids the pumping...
7.5K


