导管板形的产前复发导致PKHD1变异重新分类
Mario Abaji1,2, Laurent Nasca1, Marie-Pierre Audrezet3
1Centre Pluridisciplinaire de Diagnostic Prenatal, Hôpital Nord, AP-HM, Marseille, France.
Prenatal diagnosis
|October 4, 2025
概括
在PKHD1基因的遗传变异导致导管板形 (DPM),一种先天性肝脏疾病. 这项研究将以前不确定的PKHD1变种重新归类为可能致病的,改善了DPM的遗传咨询.
科学领域:
- 医学遗传学 医学遗传学
- 儿科肝病学 儿科肝病学
- 遗传性疾病 遗传性疾病
背景情况:
- 导管板形 (DPM) 是由胆管发育异常引起的先天性肝病.
- 已知PKHD1基因变异是DPM的原因之一,但基因型-表型相关性是复杂的.
- 了解这些相关性对于准确的诊断和遗传咨询至关重要.
研究的目的:
- 为了调查DPM的遗传基础在一个家庭的重复性妊娠终止.
- 完善PKHD1变种及其相关表型的分类.
- 为受DPM影响的家庭增强遗传咨询策略.
主要方法:
- 产前检测肝脏异常暗示DPM.
- 在受影响的胎儿中进行基因分析,包括PKHD1基因的全基因测序.
- 综合产前成像,死后检查和遗传数据用于变体解释.
主要成果:
- 在两个胎儿中都发现了PKHD1的复合异合致病性变体.
- 一个PKHD1变种 (c.931A>G) 被证实是可能致病的.
- 第二个PKHD1变种 (c.533T>A),最初不确定,由于复发的表型,被重新归类为可能致病的.
结论:
- 这项研究扩大了已知的PKHD1相关疾病的临床谱.
- 精确的变异分类对于改善DPM的遗传咨询至关重要.
- 结合成像,病理学和遗传学的多学科方法对于诊断先天性肝病至关重要.
更多相关视频
11:54Microsatellite DNA Genotyping and Flow Cytometry Ploidy Analyses of Formalin-fixed Paraffin-embedded Hydatidiform Molar Tissues
Published on: October 20, 2019
9.7K
07:35Use of Ultra-high Field MRI in Small Rodent Models of Polycystic Kidney Disease for In Vivo Phenotyping and Drug Monitoring
Published on: June 23, 2015
11.9K
相关概念视频
Genomic Imprinting and Inheritance
36.8K
Diploid organisms inherit genetic material through chromosomes from both parents. Copies of the same gene are known as alleles. In most cases, both alleles are simultaneously expressed and allow various cellular processes to function optimally. If one of the alleles is missing or mutated, the expression of the other allele can compensate; however, this is not true for all genes.
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...
36.8K
Abnormal Proliferation
5.1K
Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the...
5.1K
Pedigree Analysis
88.8K
Overview
88.8K
Restarting Stalled Replication Forks
6.3K
DNA replication is initiated at sites containing predefined DNA sequences known as origins of replication. DNA is unwound at these sites by the minichromosome maintenance (MCM) helicase and other factors such as Cdc45 and the associated GINS complex.The unwound single strands are protected by replication protein A (RPA) until DNA polymerase starts synthesizing DNA at the 5’ end of the strand in the same direction as the replication fork. To prevent the replication fork from falling apart,...
6.3K
The Retinoblastoma Gene
4.7K
Tumor suppressor genes are normal genes that can slow down cell division, repair DNA mistakes, or program the cells for apoptosis in case of irreparable damage. Hence, they play an essential role in preventing the proliferation of damaged cells.
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
The first-ever tumor suppressor gene called Rb was identified in retinoblastoma - a rare eye tumor in children. In inherited forms of the disease, a child inherits one defective copy of the Rb gene, which predisposes them to retinoblastoma. However,...
4.7K
