在EMC1中出现的新型复合异合体变体:左心室非紧缩和长QT综合征的重叠表型,需要进行深入的探索
Xiaohui Dai1,2,3, Yu Wang1,2,3, Hanmin Liu2,3,4,5,6,7
1Department of Ultrasonic Medicine, West China Second University Hospital of Sichuan University, Chengdu, Sichuan, China.
Prenatal diagnosis
|January 1, 2024
概括
EMC1基因的遗传变异与严重的心脏病有关,包括左心室非紧缩和长QT综合征,导致婴儿死亡. 这扩大了已知的EMC1突变的疾病谱.
科学领域:
- 遗传学 是一个遗传学.
- 心脏病学 心脏病学
- 发育生物学 发展生物学
背景情况:
- 产前诊断确定了胎儿心脏异常,包括鼻肌梗塞和怀疑心房门阻塞.
- 之前的怀孕也表现出胎儿鼻肌梗塞,两个胎儿在产后被诊断出长QT综合征 (LQTS) 和左心室非紧缩 (LVNC).
研究的目的:
- 在两个胎儿中调查联合心血管疾病 (LVNC和LQTS) 的遗传病因.
- 为了确定EMC1基因的变异是否与这些重叠的表型有关.
主要方法:
- 三位全外体序列测序是在父母和试验物的DNA上进行的.
- 桑格测序证实了EMC1基因中发现的变异.
主要成果:
- 鉴定了内细胞网膜蛋白质复合体子单元1 (EMC1) 基因中的复合异质合体变异体.
- 发现了由父亲遗传的c.245C>T (p.Thr82Met) 和由母亲遗传的c.1459delC (p.Arg487Alafs*49) 变体.
- 这些EMC1变异与观察到的胎儿心脏表型有关.
结论:
- 在EMC1基因的变异可以导致LVNC和LQTS的重叠表型.
- 这一发现扩大了与EMC1基因突变相关的已知的疾病谱.
- EMC1变异可能代表严重先天性心脏病的新型遗传原因.
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