对NOTCH3基因的研究揭示了克里特岛的第一个CADASIL病例和一种新的致病变体
Ioannis Zaganas1,2,3, Ioannis Tsiverdis1, Evgenia Kokosali1
1Neurology/Neurogenetics Laboratory, School of Medicine, University of Crete, Heraklion, Crete, Greece.
Brain and behavior
|September 26, 2025
概括
这项研究确定了在希腊克里特岛疑似患有皮下心脏病发作和白细胞脑病变 (CADASIL) 的大脑自体主导动脉病变的个体中的致病性NOTCH3基因变异. 这标志着岛上首次有记录的CADASIL病例.
科学领域:
- 遗传学和神经学 遗传学和神经学
- 分子医学是分子医学.
背景情况:
- 大脑自体主导动脉病变与皮下心脏病发作和白细胞脑病变 (CADASIL) 与NOTCH3基因变异有关.
- 在希腊克里特岛上以前没有关于CADASIL的报道.
研究的目的:
- 在克里特岛对疑似CADASIL的个体中调查致病性NOTCH3变异的存在.
- 为了记录该地区CADASIL的最初病例.
主要方法:
- 从赫拉克利昂大学医院审查了三名疑似CADASIL患者的医疗记录.
- 致病性NOTCH3变体是使用向或全外因组测序 (WES) 识别的.
主要成果:
- 在一名母亲和儿子身上发现了一种新型异构性NOTCH3变体 (p.Cys206Trp),该变体表现为中风,认知障碍和头痛.
- 大脑MRI显示,这两位患者都有白质疾病.
- 在第三名CADASIL患者中发现了之前描述的NOTCH3变体 (p.Arg607Cys).
结论:
- 这项研究证实了克里特岛上CADASIL的第一个病例.
- 这些发现扩大了与CADASIL相关的致病性NOTCH3变异的已知的地理和基因型谱.
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