在CACNA1S中双变异会导致胎儿无动态序列,渐进性水滴和死胎
Emma Seed1,2, Fallon Noon3, Di Milnes4
1Maternal Fetal Medicine, The Gold Coast University Hospital, Southport, Queensland, Australia.
Prenatal diagnosis
|December 19, 2023
概括
胎儿秋变形序列 (FADS) 是一个复杂的疾病. 这项研究报告了FADS的第一个产前诊断,使用整个外体序列,识别CACNA1S基因变异.
科学领域:
- 医学遗传学 医学遗传学
- 产前诊断 在产前诊断
- 发展生物学 发展生物学
背景情况:
- 胎儿关节炎,通常是胎儿秋变形序列 (FADS) 的一部分,有多种原因,包括遗传,母体和外部因素.
- 超过150个基因通过影响胎儿运动的途径与关节缩症有关,使遗传诊断复杂化.
- FADS与400多种疾病有关,这给产前诊断带来了重大挑战.
研究的目的:
- 为了呈现一个在产前诊断的FADS病例.
- 在一个具有挑战性的案例中确定FADS的遗传原因.
- 突出整个外体序列测序在诊断复杂的胎儿条件的实用性.
主要方法:
- 在怀孕19周被诊断出FADS的案例介绍.
- 最初的调查包括第一季度查,TORCH查和染色体微阵列.
- 为了进行基因分析,进行了三组整体外体序列 (WES) 测序.
主要成果:
- 胎儿在26周怀孕时出现了FADS,严重的水和死胎.
- 标准的产前调查没有显著的结果.
- 三人WES确定了可能致病的CACNA1S基因变体,与先天性肌肉病和FADS有关.
结论:
- 这个病例代表了第一个FADS产前诊断,该诊断归因于CACNA1S基因变异.
- 整个外体序列测序是诊断复杂的胎儿秋变形序列的强大工具.
- 了解FADS的遗传基础对于准确的产前诊断和遗传咨询至关重要.
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