一个日本Lenz-Majewski综合征病例与一种新型PTDSS1变异
Yasuko Kobari1,2, Non Miyata3, Jun Takayama1,4
1Department of AI and Innovative Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Molecular genetics & genomic medicine
|June 17, 2025
概括
伦兹-马耶夫斯基综合征 (LMS) 是一种罕见的遗传疾病. 在一个患有斜肌病的患者身上发现了一种新的PTDSS1基因变异,扩大了已知的LMS表型谱.
科学领域:
- 遗传学 遗传学 是一个
- 分子生物学分子生物学
- 皮肤病学 皮肤病学
背景情况:
- 伦兹-马耶夫斯基综合征 (LMS) 是一种罕见的遗传性疾病,其特征是骨质硬化,智力障碍以及明显的面,牙,皮肤和远端四肢异常.
- PTDSS1基因中的突变,编码脂胺酶 (PS) 合成酶1 (PSS1),是导致LMS的原因,导致PS合成酶对反抑制的不敏感.
研究的目的:
- 为了研究一个患有先天性切皮松和暗示LMS的特征的患者的遗传基础.
- 为了评估新型PTDSS1变异的功能影响.
主要方法:
- 全基因组测序 (WGS) 在一个患者和她的父母身上进行.
- 对PTDSS1突变cDNA克隆进行了功能分析,以评估PS合成酶活性.
主要成果:
- 在该患者身上,在PTDSS1基因中发现了一种新异构错义变异 (c.284G>A;p.Arg95Gln).
- 功能性研究显示PS合成酶活性增加,支持该变体的致病性.
- 患者表现出先天性皮肤纹,内耳低成形,听力损失,多动症和轻度智力障碍,与LMS相一致,但缺乏特征性硬化骨.
结论:
- 鉴定到的PTDSS1变体是致病性的,并有助于患者的表型.
- 这种情况扩大了伦兹-马耶夫斯基综合征的已知的表型谱,突出了骨表现的潜在变异性.
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