在一个三代家族中,CHD2病原性无意义变体具有变异的表型和偏心逆转16:病例报告
Eleni Angelopoulou1, Athina Theodosiou2, Ioannis Papaevripidou2
1Laboratory of Medical Genetics, University General Hospital of Patras, 26504 Rio, Greece.
Heliyon
|December 21, 2023
概括
在一个患有多种神经疾病的家庭中发现了16号染色体的偏心逆转. 临床外体测序确定了一种CHD2基因变异,解释了受影响成员的和智力障碍.
科学领域:
- 遗传学 是一个遗传学.
- 神经科学是一个神经科学.
- 医学研究 医学研究
背景情况:
- 平衡的染色体逆转通常不会影响载体表型.
- 逆转很少会通过基因破坏或拷贝数变异引起表型.
- 与不一致的表型相反的家族逆转案例通常是巧合的.
研究的目的:
- 研究一个三代家族中不一致的表型的遗传基础.
- 确定16号染色体在观察到的临床表现中对中心逆转的作用.
- 为了确定与和智力障碍相关的致病变体.
主要方法:
- 光在位杂交 (FISH) 来确认染色体逆转.
- 染色体微阵列 (CMA) 来检测复制数变异.
- 临床外体测序 (CES) 用于识别致病变体.
主要成果:
- 发现了16号染色体的偏心逆转 [inv(16) ((q22.3q24.1) ].
- CMA没有检测到任何副本编号变体.
- 在CHD2基因 (rs797044912) 中发现了一种致病无意义的变异,与表型分离.
结论:
- 鉴定到的CHD2变种是发育性和性脑病变-94 (DEE-94) 的原因.
- 这是第一个在三代家庭中报告的CHD2变异家族病例.
- 与不一致的表型的家族平衡重排通常是巧合的,遗传变异是主要原因.
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