成年迈尔综合征:临床变异性和新兴的基因型-表型相关性
Eva Vanbelleghem1,2, Tim Van Damme1, Aude Beyens1,2
1Center for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
European journal of human genetics : EJHG
|July 12, 2024
概括
成年人的Myhre综合征 (MS) 呈现出比以前报告的更轻微的表型和更低的死亡率. 这项研究详细介绍了成年多发性硬化病例,突出了变体特异性差异和新的表现,如脊椎病.
科学领域:
- 遗传学 遗传学 是一个
- 罕见疾病 罕见疾病
- 临床医学 临床医学
背景情况:
- 迈尔综合征 (MS) 是一种罕见的多系统性疾病,由SMAD4变异引起,主要记录在儿童时期.
- 成年人MS的表现报告不足,限制了对其临床变异性的理解.
研究的目的:
- 描述患有Myhre综合征的成人的临床特征和结果.
- 将成年多发性硬化症表型与现有文献进行比较,并确定变体特异性的差异.
主要方法:
- 对24名成年多发性硬化症患者的回顾性分析,包括17名18岁后被诊断的患者.
- 关于以前报告的成年多发性硬化症病例的文献综述.
主要成果:
- 成年多发性硬化队列与已公布的数据相比,表现出较轻微的表型和较低的死亡率.
- SMAD4编码子500变体与更明显的神经发育和系统性表型有关.
- 确定了包括脊椎病在内的新表现,并在p.(Arg496Cys) 变种携带者身上发现了心血管异常. 在两名患有p.(Arg496Cys) 的男性中报告了生育能力.
结论:
- 成年人MS表现出显著的临床变异性,通常比儿童呈现更温和.
- 变异特异性考虑,特别是SMAD4代号500和p.(Arg496Cys),对于管理至关重要.
- 提供了成人多发性硬化症管理的建议,强调持续的监测和变种特定的护理.
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