扩大FGFR3基因分析在骨质疏松症中扩展到非编码序列的相关性:一个案例报告
Zangbéwendé Guy Ouedraogo1,2, Caroline Janel1, Alexandre Janin3,4
1Service de Biochimie et Génétique Moléculaire, CHU Gabriel Montpied, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, France.
Genes
|February 24, 2024
概括
一种新型的FGFR3内基变体导致骨发育不良,在一个成年无形发育患者中被发现. 这一发现强调了非编码变异在遗传疾病中的重要性,并有助于诊断和药物开发.
科学领域:
- 遗传学 遗传学 是一个
- 分子生物学分子生物学
- 骨生物学 骨生物学
背景情况:
- 骨发育不良,或骨质突发发育不良,包括骨发育和生长的障碍,在许多情况下都涉及纤维细胞生长因子受体3 (FGFR3) 突变.
- 在FGFR3中常见的致病变体,如c.1138G>A/C和c.1620C>A/G,经常在achondroplasia和hypochondroplasia中发现.
- 当常见变异不存在时,诊断的挑战仍然存在,这需要精细的骨功能失调的诊断策略.
研究的目的:
- 在没有常见病原体变异的成年患者中调查无形质变化的遗传基础.
- 描述FGFR3基因中新发现的一种内基变异,并阐明其功能影响.
- 评估内在FGFR3变异在骨发育不良的临床相关性和诊断效用.
主要方法:
- 临床和放射性评估的成年患者呈现 achondroplasia 的特征.
- 整体外基因组测序以识别遗传变异.
- 在体外研究以确定已识别的内基变异的功能后果.
主要成果:
- 在该患者体内检测到FGFR3基因中的异质合体内基变异 (NM_000142.4:c.1075+95C>G).
- 试管体内分析显示,这种变异导致了异的8号内子外离子化,导致30种氨基酸在框架内插入.
- 这种分子机制改变了FGFR3的功能,并代表了成年人的第一个临床描述,扩大了已知的表型.
结论:
- 鉴定到的FGFR3内基变异是致病性的,与无色突变相关,证实了其自体主导遗传.
- 这种变异扩大了与FGFR3相关的骨发育不良的表型谱,并且在诊断上具有相关性.
- 在诊断测试中纳入内部变种检测可以提高变种检测率和患者管理,为药物开发提供信息.
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