一个罕见的骨发育不良病例:ACAN基因中的双变异
Gülçin Arslan1, Filiz Hazan2, Gülin Tabanlı1
1Department of Pediatric Endocrinology, Dr. Behçet Uz Training and Research Hospital, University of Health Science, Izmir, Türkiye.
Journal of pediatric endocrinology & metabolism : JPEM
|September 19, 2024
概括
脊柱状表皮细胞失生症- (SEMD-ACAN) 是一种罕见的遗传疾病,由于ACAN基因突变,导致严重的矮身和骨问题. 基因检测对于生长迟缓等特征性症状至关重要.
科学领域:
- 遗传学 是一个遗传学.
- 骨发育不良症 骨发育不良症
- 分子生物学分子生物学
背景情况:
- 脊髓-表皮细胞失质症-亚格格兰 (SEMD-ACAN) 是一种罕见的骨失质症,其特征是脊椎,体和表皮细胞失质症.
- 它是由ACAN基因的功能丧失突变引起的,ACAN基因对软骨细胞外基质中的aggrecan至关重要,导致不成比例的矮身和骨异常.
研究的目的:
- 在医学文献中报告SEMD-ACAN的第四个病例.
- 强调SEMD-ACAN的遗传基础和临床表现.
主要方法:
- 对一名9岁女孩的临床评估,该女孩患有严重的生长迟缓和骨异常.
- 基因分析使用下一代测序来识别受影响的兄弟姐妹及其父母的ACAN基因变异.
- 家庭病史和ACAN基因变异的先前报告的审查.
主要成果:
- 该患者出现了严重的矮身 (-3.54 SDS),中脸低成形和骨异常,包括平底体和脊椎病.
- 在受影响的兄弟姐妹中发现了双ACAN变异 (c.512C>T; p. Ala171Val),父母是异合体载体.
- 这种已识别的变体之前曾被报告为异体合体的形式,与矮身和异形特征相关.
结论:
- SEMD-ACAN是一种罕见的遗传疾病,影响骨发育,导致显著的生长和身体异常.
- 对于出现严重生长迟缓和特征性骨异常,暗示SEMD-ACAN的个体,建议进行遗传测试.
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