在朱伯特综合征中与代谢功能障碍相关的CSPP1变异:病例报告
Liany F Acosta-Paguada1, Milca S Velásquez-Hernandez1, Paola Sophia Bonilla Medina2,3
1Faculty of Medicine, Catholic University of Honduras, San Pedro Sula, Honduras.
Journal of medical case reports
|September 2, 2025
概括
朱伯特综合征是一种罕见的纤毛病,可能涉及CSPP1变体的代谢功能障碍. 这种病例突显了CSPP1相关的朱伯特综合征患者的胰岛素耐药性和肝病,
科学领域:
- 遗传学
- 神经学
- 内分泌学
背景情况:
- 朱伯特综合征是一种带有小脑低成形和牙标志的纤毛病.
- 在约3%的乔伯特综合征病例中,CSPP1的致病变体是原因.
- 在CSPP1相关的朱伯特综合征中,以前没有描述过代谢功能障碍.
研究的目的:
- 描述与CSPP1相关的伯特综合征的一种新型表现.
- 研究CSPP1在新陈代谢平衡中的潜在作用.
主要方法:
- 一个16岁的女性患有CSPP1相关的朱伯特综合征.
- 临床评估包括神经成像和遗传检测.
- 评估代谢参数和肝脏健康状况.
主要成果:
- 患者出现了胰岛素耐药性,早期发病的糖尿病,脂质障碍和与代谢功能障碍相关的脂肪性肝病.
- 神经成像证实了小脑虫子的低成形.
- 基因检测发现了一种病原性异构型CSPP1变种 (c.3052C>T,p.Gln1018).
- 患者缺乏典型的乔伯特综合征的神经症状.
结论:
- 这种病例扩大了已知与CSPP1相关的朱伯特综合征的表型谱.
- CSPP1可能在新陈代谢平衡中起作用.
- 需要进一步的研究来阐明CSPP1在代谢功能障碍中的作用.
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