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在两个中国病例中,JAG1新型变异导致了Alagille综合征
Xiufang Feng1, Jiangyuan Ping1, Shan Gao1
1Department of Pediatrics, Changzhi Maternal and Child Health Care Hospital, Changzhi, Shanxi, China.
Scientific reports
|January 20, 2024
概括
阿拉吉尔综合征 (ALGS) 诊断是具有挑战性的,因为症状变化. 这项研究确定了新的JAG1突变,强调早期遗传测试,以更好地管理阿拉吉尔综合征患者.
科学领域:
- 遗传学 是一个遗传学.
- 儿科 儿科 儿科
- 医学诊断 医学诊断 医学诊断
背景情况:
- 阿拉吉尔综合征 (ALGS) 是一种复杂的遗传性疾病,症状可变,包括胆固醇,心脏异常和脊椎缺陷.
- 在ALGS的诊断挑战可能导致婴儿误诊或延迟识别.
- JAG1基因是ALGS病变发生的关键决定因素.
研究的目的:
- 在阿拉吉尔综合征的两个儿科病例中报告了新的JAG1基因突变.
- 要突出与ALGS相关的诊断复杂性和表型变异性.
- 强调基因测试对于准确的ALGS诊断和管理的重要性.
主要方法:
- 基因测序用于识别JAG1基因中的突变.
- 临床病例审查和分析患者表型.
- 鉴定变异与现有的ALGS突变数据库进行比较.
主要成果:
- 在一个两个月后被诊断患有ALGS,先天性甲状腺功能低下症的患者中发现了一种新的JAG1突变 (p.Pro325Leufs*87),预后良好.
- 第二名患者最初被误诊为肝脏异常,出现语言延迟,可能与SNAP25脱不全有关.
- 鉴定到的p.Pro325Leufs*87变异与之前与ALGS先天性甲状腺功能低下症相关的变异不同.
结论:
- 新的JAG1突变有助于阿拉吉尔综合征的复杂和可变的表现.
- 早期遗传检测和个性化方法对于有效的ALGS管理至关重要.
- 这些发现强调需要全面的诊断策略来解决ALGS的多面性质.
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