D-双功能蛋白质缺乏症诊断 - - 低资源环境中的挑战:案例报告和文献综述
Maria Livia Ognean1,2, Ioana Bianca Mutică2, Gabriela Adriana Vișa3
1Faculty of Medicine, Lucian Blaga University, 550025 Sibiu, Romania.
International journal of molecular sciences
|May 11, 2024
概括
D-双功能蛋白缺乏症 (D-BPD) 是一种罕见的过氧体疾病. 分子诊断,就像全外体测序一样,对于早期识别和改善受影响新生儿的护理至关重要.
科学领域:
- 生物化学 生物化学
- 遗传学 遗传学 是一个
- 儿科 儿科 儿科
背景情况:
- D-双功能蛋白缺乏症 (D-BPD) 是一种罕见的自体逆性过氧体疾病.
- 它损害了长链脂肪酸的分解,导致新生儿低血压,发作,发形障碍,发育迟缓和早期死亡.
研究的目的:
- 报告罗马尼亚首位被诊断出患有D-BPD的病例.
- 突出诊断挑战,并倡导重症婴儿分子诊断.
主要方法:
- 案例报告和叙事文学评论.
- 全外体序列测序 (WES) 用于分子诊断.
- 对临床表现,成像,生化和分子数据的分析.
主要成果:
- 这位患者被诊断为I型D-BPD.
- 在HSD17B4基因中,WES发现了一种致病性移变异 (c788del,p(Pro263GInfs*2)).
- 在SUOX基因中发现了一个意义不明的变异.
结论:
- 由于不完整或重叠的临床特征,诊断D-BPD具有挑战性.
- 对于重症新生儿来说,分子诊断至关重要,以改善护理,降低成本,并促进家庭咨询.
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