与MRPS23相关的线粒体疾病的遗传,代谢和临床划分
Chupong Ittiwut1,2, Rungnapa Ittiwut1,2, Chulaluck Kuptanon3
1Center of Excellence for Medical Genomics, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Scientific reports
|December 12, 2023
概括
确定了一种与MRPS23基因相关的新型线粒体疾病. 这种自身遗传性衰退性疾病会导致严重的症状,如吐和肝功能障碍,影响生长和发育.
科学领域:
- 遗传学和分子生物学
- 线粒体生物学 线粒体生物学
- 罕见疾病 罕见疾病
背景情况:
- 线粒体核糖体蛋白对细胞能量产生至关重要.
- 核基因中的遗传变异可以导致线粒体疾病.
- 人类疾病中MRPS23的作用以前是未知的.
研究的目的:
- 在一组患者中调查线粒体疾病的遗传基础.
- 确定MRPS23为线粒体疾病的致病基因.
- 描述MRPS23相关疾病的临床和代谢表型.
主要方法:
- 整体外基因组测序以识别遗传变异.
- 临床评估,生物化学测定 (线粒体酶活性) 和遗传分析 (PCR-桑格测序).
- 对受影响家庭的隔离分析和变异年龄估计.
主要成果:
- 确定了5名独立的患者,他们对MRPS23 c.119C>T; p.P40L变体具有同位素.
- 患者表现为意识变化,吐,生长延迟,听力障碍,低血糖,乳酸和肝功能障碍.
- 纤维细胞测定显示了联合呼吸链复合体缺陷 (复合I和IV).
结论:
- 与MRPS23相关的线粒体疾病是一种自体相衰退性疾病.
- 在MRPS23中的p.P40L变体是致病的,并导致严重的线粒体功能障碍.
- 这项研究确立了MRPS23作为一种新的线粒体疾病基因.
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