在两个患有脏疾病的立陶宛家庭中,PAX2变异的变异性表现变量
Deimante Brazdziunaite1, Gabija Mazur2, Marius Miglinas3
1Department of Human and Medical Genetics, Institute of Biomedical Sciences, Faculty of Medicine, Vilnius University, 03101 Vilnius, Lithuania.
Medicina (Kaunas, Lithuania)
|April 26, 2025
概括
在PAX2基因的致病变体会导致脏和眼睛的各种疾病,甚至在家庭内. 早期的多学科诊断对于识别这些罕见的遗传性病至关重要.
科学领域:
- 遗传学 遗传学 是一个
- 眼科医生 眼科 眼科
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 帕克斯2基因的致病变体与一系列眼睛和脏疾病有关,包括脏大肠瘤综合征和焦点细分球粒硬化症.
- 对于PAX2变异的基因型-表型相关性往往不一致,使诊断和疾病谱的理解复杂化.
研究的目的:
- 展示两个不相关的家族与不同的PAX2致病变体,突出PAX2相关疾病的多样化表现型表达.
- 强调在诊断具有可变表达性的罕见遗传性病时需要采用多学科方法.
主要方法:
- 用针对性下一代测序和桑格测序来分析两个家庭的隔离分析,分析了基因组异常.
- 来自受影响个体的临床和遗传数据被收集和评估.
主要成果:
- 家庭A表现出PAX2变体 (c.685C>T) 在患有慢性病,蛋白尿,多囊功能障碍和双侧视神经功能障碍的男性中.
- 家庭B在父亲和他的女儿身上显示出不同的PAX2变异 (c.250G>A),呈现出脏低成形,慢性脏病,焦点细分结核硬化和视觉盘坑.
结论:
- 同样的PAX2变异可以表现为不同家族的不同和眼睛表型,甚至在同一家族内.
- PAX2变异的可变表达性导致罕见遗传性病的诊断不足,需要对外症状进行全面评估.
相关概念视频
Background and Environment Affect Phenotype
6.4K
Although the genetic makeup of an organism plays a major role in determining the phenotype, there are also several environmental factors, such as temperature, oxygen availability, presence of mutagens, that can alter an organism’s phenotype.
An example of how genetic background affects phenotype can be seen in horses. The Extension gene in horses is responsible for their coat color. A wild-type gene (EE) produces black pigment in the coat, while a mutant gene (ee) produces red pigment. A...
An example of how genetic background affects phenotype can be seen in horses. The Extension gene in horses is responsible for their coat color. A wild-type gene (EE) produces black pigment in the coat, while a mutant gene (ee) produces red pigment. A...
6.4K
Epistasis
44.2K
In addition to multiple alleles at the same locus influencing traits, numerous genes or alleles at different locations may interact and influence phenotypes in a phenomenon called epistasis. For example, rabbit fur can be black or brown depending on whether the animal is homozygous dominant or heterozygous at a TYRP1 locus. However, if the rabbit is also homozygous recessive at a locus on the tyrosinase gene (TYR), it will have an unshaded coat that appears white, regardless of its TYRP1...
44.2K
Pleiotropy
38.4K
Pleiotropy is the phenomenon in which a single gene impacts multiple, seemingly unrelated phenotypic traits. For example, defects in the SOX10 gene cause Waardenburg Syndrome Type 4, or WS4, which can cause defects in pigmentation, hearing impairments, and an absence of intestinal contractions necessary for elimination. This diversity of phenotypes results from the expression pattern of SOX10 in early embryonic and fetal development. SOX10 is found in neural crest cells that form melanocytes,...
38.4K
Epistasis Analysis
4.9K
Although Mendel chose seven unrelated traits in peas to study gene segregation, most traits involve multiple gene interactions that create a spectrum of phenotypes. When the interaction of various genes or alleles at different locations influences a phenotype, this is called epistasis. Epistasis often involves one gene masking or interfering with the expression of another (antagonistic epistasis). Epistasis often occurs when different genes are part of the same biochemical pathway. The...
4.9K
Genetic Lingo
98.5K
Overview
98.5K
Gene-Environment Interactions
224
Gene expression is a dynamic process that is significantly influenced by environmental factors. This interaction underlies the complex nature of biological development and the phenotypic differences observed among individuals, even among those with identical genetic makeups. Factors such as radiation, temperature, behavior, nutrition, and stress play pivotal roles in determining how genes are expressed. The concept of the reaction range is central to understanding this interaction. It posits...
224


