罕见的内部变异改变剪接原因 林奇综合征:两例病例报告
Yumi Takimoto1, Hiroshi Tsubamoto1, Tomokazu Wakatsuki2
1Department of Obstetrics and Gynecology, Hyogo Medical University, School of Medicine, Nishinomiya, Hyogo, Japan.
The journal of obstetrics and gynaecology research
|October 29, 2025
概括
不匹配修复 (MMR) 基因中的罕见遗传变异导致林奇综合征 (LS),一种遗传性癌症. RNA测序发现了标准遗传检测中遗漏的拼接缺陷,有助于LS的诊断和管理.
科学领域:
- 遗传学 是一个遗传学.
- 在瘤学瘤学.
- 分子生物学分子生物学
背景情况:
- 林奇综合征 (LS) 是一种与不匹配修复 (MMR) 基因缺陷相关的自体主导遗传性癌症综合征.
- 精确诊断LS对于患者管理和级联查至关重要.
- 传统的基因检测可能会错过影响拼接的致病变体.
研究的目的:
- 报告两个具有挑战性的林奇综合征病例,其中 MLH1 和 MSH2.2 具有罕见的内在变异.
- 要突出RNA测序对影响拼接的变异的诊断实用性.
- 强调在LS诊断中需要进行全面的基因检测.
主要方法:
- 两名疑似患有林奇综合征和强烈家族/病史的患者的病例报告.
- 进行了传统的基因测试 (可能是外基因测序).
- 用RNA测序来研究由内源变异引起的拼接异常.
主要成果:
- 案例1:一种MSH2内基变体 (c.2458+976A>G) 导致伪外显子的包含,标准测试没有发现.
- 案例2:一种MLH1内基变异 (c.545+4_545+5del) 导致异构6跳转,也未被常规方法检测到.
- 在这两种情况下,RNA测序证实了这些拼接变异的致病性质.
结论:
- 影响拼接的罕见内基变异会导致林奇综合征.
- RNA测序对于诊断LS病例与常规遗传检测中遗漏的拼接缺陷至关重要.
- 扩大基因测试策略是必要的,以准确的LS诊断和改善患者管理.
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