与日本内在FGF14 GAA重复扩张相关的临床变异性
Masahiro Ando1, Yujiro Higuchi1, Junhui Yuan1
1Department of Neurology and Geriatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Annals of clinical and translational neurology
|November 2, 2023
概括
遗传分析确定了日本患者中纤维细胞生长因子14 (FGF14) 基因的致病性GAA重复扩张,这些患者患有晚发性小脑缩症. 这一发现对于诊断心力衰竭至关重要,尤其是在异常症状的情况下.
科学领域:
- 遗传学 是一个遗传学.
- 神经学 神经学
背景情况:
- 晚发性小脑动症 (LOCA) 是一种衰弱的神经系统疾病.
- 纤维细胞生长因子14 (FGF14) 基因含有与LOCA相关的GAA重复扩张.
- 对LOCA的遗传诊断仍然具有挑战性,需要先进的查方法.
研究的目的:
- 调查日本队伍中小脑动症的遗传基础.
- 为了确定FGF14GAA在未被诊断的患者中重复扩张的患病率和临床谱.
- 为了提高晚期发作的小脑动症的诊断策略.
主要方法:
- 分析了940名患有慢性小脑缺氧症的遗传未诊断患者的病例系列.
- 采用了综合诊断方法,包括光安普利康长度分析PCR,重复启动PCR和长读测序.
- 专注于研究GAA重复扩张的FGF14基因.
主要成果:
- 在11个家庭的12名患者中发现了致病性FGF14GAA重复扩张.
- 扩张的大小中位数为309次重复,平均发病年龄为66.9岁.
- 相关的表型包括情节性症状 (56%),帕金森症 (30%) 和模仿多个系统缩的病例;脑MRI显示最小的缩,在6年内没有显著的进展.
结论:
- FGF14 GAA重复扩张分析对于诊断晚期发作的小脑动症至关重要,特别是在具有插曲性特征或正常/轻度大脑MRI发现的情况下.
- 这项研究扩大了对与GAA-FGF14相关疾病相关的临床异质性的理解.
- 这些发现强调了在未诊断的神经疾病中进行全面基因检测的重要性.
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