NDUFV1突变呈现为孤立的渐进性视神经病变:线粒体复合体I缺乏症的独特表现
Parul Mittal1, Samendra Karkhur1, Vidhya Verma1
1Ophthalmology, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India.
BMJ case reports
|July 18, 2025
概括
在NDUFV1基因的突变可以导致光学缩. 这项研究详细介绍了一个儿童因NDUFV1突变而患有孤立视神经病变的病例,扩大了已知的疾病谱.
科学领域:
- 遗传学 是一个遗传学.
- 线粒体生物学 线粒体生物学
- 眼科医生 眼科 眼科
背景情况:
- NDUFV1基因的突变与严重的神经疾病 (如利氏综合征) 有关.
- NDUFV1编码了线粒体复合体I的一个子单元,这对细胞呼吸至关重要.
研究的目的:
- 报告NDUFV1基因突变的新型表型,呈现为孤立的光学缩.
- 扩大线粒体复合体I缺陷的临床谱.
主要方法:
- 整体外基因组测序以识别遗传突变.
- 对线粒体功能障碍 (乳酸盐水平) 的生物化学分析.
- 临床和神经成像评估.
主要成果:
- 一个青春期前的女孩出现了渐进的视力缩和视力丧失,没有神经或全身症状.
- 整体外体序列测定揭示了一个同卵性NDUFV1误解突变 (c.1156C>T,p.Arg386Cys).
- 乳酸盐水平升高证实了线粒体功能障碍;治疗没有改善视力.
结论:
- 这一案例突显了NDUFV1相关疾病作为孤立的视神经病变的独特表现.
- 早期识别这种线粒体光神经病变对于诊断和管理至关重要.
- 这些发现扩大了对NDUFV1突变表型的理解.
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