纤维化综合征:一种罕见的,但可以识别的综合征
Tuğba Daşar1, Hasibe Nesligül Gönen2, Kemal Kösemehmetoğlu3
1Division of Pediatric Genetics, Department of Pediatrics, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.
The Turkish journal of pediatrics
|May 30, 2024
概括
纤维化综合征 (HFS) 是一种罕见的遗传疾病,具有严重的症状和不良预后. 基因分析在受影响患者中发现了ANTXR2变异,突出显示了进一步研究的必要性.
科学领域:
- 遗传学和分子生物学
- 罕见疾病 罕见疾病
- 儿科病理学 儿科病理学
背景情况:
- 纤维化综合征 (HFS) 是一种罕见的,自体的衰退性疾病.
- 它的特点是连接组织中的氨酸物质沉积,导致关节收缩,皮肤硬和其他严重症状.
- 预后不佳,儿童早期死亡率高.
研究的目的:
- 描述七名HFS患者的临床和分子发现.
- 为了确定与HFS相关联的ANTXR2基因中的遗传变异.
- 为了解HFS的表型谱和预后做出贡献.
主要方法:
- 从外围血液或病理幻灯片中提取基因组DNA.
- 放大和对ANTXR2基因所有编码前子的测序.
- 桑格测序在三个患者身上进行.
主要成果:
- 在ANTXR2基因中确定了同胞性致病变体 (c.945T>G p.(Cys315Trp),c.1073dup p.(Ala359CysfsTer13),和c.1074del p.(Ala359HisfsTer50).
- 所有分析的患有这些变异的患者都在5岁之前去世.
- 分析了来自七名HFS患者队列的临床和分子数据.
结论:
- HFS是一种罕见的渐进性疾病,具有广泛的临床表现.
- 独特的临床特征有助于HFS诊断.
- 尽管有可识别的特征,但HFS的预后很差,由于严重的并发症导致的死亡率很高.
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