在患有焦点细分质硬化与胚胎增生症的儿科患者中,WT1外显子10误解变异
Mari Kurokawa1,2, Manao Nishimura3,4, Kei Nishiyama5
1Department of Pediatrics, NHO Fukuokahigashi Medical Center, Koga, Japan. mari0802try@yahoo.co.jp.
Pediatric nephrology (Berlin, Germany)
|January 24, 2024
概括
在一个患有染色体异常,功能障碍和焦点细分结核硬化症的男孩身上发现了一种新的WT1基因变异. 这一案例突显了WT1变体与类似于丹尼斯-德拉什综合征的病表型之间的潜在联系.
科学领域:
- 儿科脏病学 儿科脏病学
- 临床遗传学 临床遗传学
- 分子病理学分子病理学
背景情况:
- 一个6岁的男孩出现了染色体异常,未下降的丸和矮人阴茎.
- 他表现出渐进的功能障碍,严重的蛋白尿和焦点细分型血球样硬化.
研究的目的:
- 调查患者复杂表型的潜在遗传原因,特别关注WT1基因异常.
- 描述一种新的WT1基因变异及其与脏疾病的关联.
主要方法:
- 对WT1基因变异进行型定型和遗传分析.
- 脏活检和组织病理学检查.
- 临床评估功能和相关异常.
主要成果:
- 诊断出染色体异常 (48,XYY,+21[11]/46,XY[19]) 的情况.
- 一种新的WT1基因变异 (NM_024426.6:exon10:c.1506T>A (p.
- 组织病理学揭示了全球性淋巴结核硬化和胚胎增生症,功能迅速下降,需要腹腔透析.
结论:
- 鉴定的新型WT1变异可能导致类似于严重脏疾病的丹尼斯-德拉什综合征的表型.
- 这一案例强调了基因分析在具有异常表现的复杂儿科脏疾病中的重要性.
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