与SOX9上游重复相关的表型:对呈现和诊断的新见解
Edip Unal1, Aysel Tekmenuray-Unal2, Atilla Cayir3
1Dicle University, School of Medicine, Department of Pediatric Endocrinology, 21280, Diyarbakir, Turkey.
The Journal of clinical endocrinology and metabolism
|January 15, 2025
概括
在46,XX个体中,SOX9基因的上游重复会导致丸/卵巢性发育障碍 (DSD). 高分辨率微阵列分析对于诊断这些SOX9重复和评估DSD风险至关重要.
科学领域:
- 遗传学 遗传学 是一个
- 发展生物学 发展生物学
- 内分泌学 在内分泌学.
背景情况:
- 上游的SOX9基因重复与46,XX个丸/卵巢性发育障碍 (DSD) 有关.
- 对于这些特定的遗传变异的临床表现和诊断的了解有限.
研究的目的:
- 为了研究SOX9基因上游重复的46,XX个体的大队伍的诊断.
- 提高对46个XX个体SOX9重复的临床谱和诊断方法的理解.
主要方法:
- 对46名XX/SRY阴性SOX9上游重复个体进行了回顾性分析.
- 基因分析包括型,FISH,微阵列,MLPA和下一代测序.
主要成果:
- 分析了12个46,XX个体具有异构性SOX9上游重复 (107-941 kb).
- 七名患者呈现丸/卵巢DSD,而五人是无症状的携带者.
- 重复大小与表型无关;观察到来自父母的遗传.
结论:
- 46,XX个SOX9上游重复的个体可能无症状,强调由于潜在的DSD遗传,需要进行家族查.
- 建议使用高分辨率的微阵列分析 (>500K) 来诊断46,XX/SRY阴性丸/卵巢DSD,从而能够全面评估副本数量的变化.
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