一种新的XPNPEP3基因变异体现为拉布多米解和运动不耐受性
Katia Staedler1, Juliette Nectoux2, Corinne Metay3,4
1Neuromuscular reference center Nord/Est/Ile de France, Myology Institute, Sorbonne University, Pitié-Salpêtrière Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France.
Journal of neuromuscular diseases
|September 15, 2025
概括
在XPNPEP3基因的基因突变可以导致代谢性肌肉病变. 这项案例研究突出了与XPNPEP3基因变异相关的以前未被描述的肌肉和神经系统症状.
科学领域:
- 遗传学 遗传学 是一个
- 神经学 神经学
- 线粒体生物学 线粒体生物学
背景情况:
- 在XPNPEP3基因的双基突变主要与nephronophthisis.
- 肌肉参与XPNPEP3相关疾病的特征不清楚.
研究的目的:
- 描述一个XPNPEP3相关疾病的病例,具有显著的肌肉和神经系统表现.
- 扩大已知的XPNPEP3基因变异的临床谱.
主要方法:
- 临床评估包括电神经图和脑MRI.
- 肌肉活检与组织病理学和电子显微镜分析.
- 全基因组测序以确定遗传变异.
主要成果:
- 一名44岁的男性患有童年开始的运动不耐受症和复发性狂犬病.
- 电神经图显示了感官轴突神经病变;脑部MRI显示了白质病变.
- 肌肉活检显示了破碎的红色纤维,COX缺乏和线粒体异常.
- 整个基因组测序确定了XPNPEP3基因中的同卵性框架转移变体.
结论:
- 这种情况扩大了XPNPEP3变异的表型谱,包括代谢性肌肉病变.
- 在XPNPEP3相关疾病中应考虑亚临床的中枢和外周神经系统参与.
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