随着ATP6AP1缺乏而导致正常肝功能的先天性糖化乱:一个病例报告
Amirreza Jabbaripour Sarmadian1,2, Babak Abdinia1, Kia Seyed Toutounchi3
1Pediatric Health Research Center Tabriz University of Medical Sciences Tabriz Iran.
Clinical case reports
|September 10, 2025
概括
这项研究报告了伊朗第一个ATP6AP1-CDG病例,这是一种X链遗传代谢障碍,导致免疫缺陷和神经问题. 整体外基因组测序发现了ATP6AP1基因中的新型缺失,证实了幼儿的诊断.
科学领域:
- 遗传学 是一个遗传学.
- 代谢障碍 代谢障碍 代谢障碍
- 免疫学 免疫学 免疫学
背景情况:
- 先天性糖化失调 (CDG) 是一种遗传性代谢疾病,影响糖蛋白和糖脂合成.
- ATP6AP1-CDG是一种罕见的X结合的CDG,具有免疫缺陷,肝功能障碍和神经症状的特征.
研究的目的:
- 报告伊朗和中东地区首例ATP6AP1-CDG病例.
- 为了确定在男婴中复发性感染,和低血压症的遗传原因.
主要方法:
- 一个5个月大的男婴的临床表现和检查,该婴儿患有复发性感染和发作.
- 综合实验室测试,包括免疫功能测试.
- 整体外基因组测序 (WES) 用于遗传分析.
主要成果:
- 患者呈现出发烧,吐,腹,昏迷,严重的低血压和白病.
- 最初的调查排除了细菌感染和原发性免疫缺陷.
- 整体外基因组测序揭示了ATP6AP1基因 (c.111_116del; p.Ala40_Ala41del) 中的一种新型半删除.
结论:
- 这一病例是伊朗和中东地区首次诊断出ATP6AP1-CDG.
- 新的ATP6AP1基因删除证实了患者病情的遗传基础.
- 这一发现扩大了ATP6AP1-CDG的基因型谱,并突出了其在一个新的地理区域的呈现.
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