外体序列测定确定了COL9A3中的一种新型拼接变体,导致多发性长发育不良:一个病例报告
Bashayer Alnuaimi1, Valancy Miranda2, Anne Marie Sbrocchi3
1Division of Rheumatology, Montreal Children's Hospital, Montreal, Canada.
Molecular genetics & genomic medicine
|November 6, 2025
概括
多发性形形症 (MED) 是一种骨疾病,通常通过遗传检测来诊断. 该病例揭示了一种新型的COL9A3基因变异导致MED,强调早期分子诊断以准确识别和管理这种情况.
科学领域:
- 遗传学 遗传学 是一个
- 整形外科 整形外科 整形外科
- 分子生物学分子生物学
背景情况:
- 多发性长发育不良症 (MED) 是一种骨发育不良症,其特征是早期出现的关节炎和矮身.
- 遗传异质性,具有主导性或衰退性遗传,需要分子测试来准确诊断.
- 在MED的放射性发现包括延迟的体骨化和软骨变化.
研究的目的:
- 报告一名被诊断患有MED的巴基斯坦男性的临床表现,实验室发现和遗传分析.
- 在最初怀疑患有青少年异常性关节炎 (JIA) 的患者中确定MED的遗传基础.
- 突出一种新的COL9A3基因变异在MED病变发生过程中的重要性.
主要方法:
- 对一名14岁男性进行临床评估,该男子出现了关节溢出,收缩和关节痛的症状.
- 放射性评估显示了体区域的硬化变化和碎片.
- 基因分析以确定突变,包括对COL9A3基因的测序.
主要成果:
- 患者呈现出模仿JIA的症状,但放射性发现表明了破坏性关节病变.
- 基因测试在COL9A3基因中发现了一种新的拼接位变异 (c.148-1G>C).
- 鉴定到的COL9A3变异可能是致病性的,通过破坏IX型原体的结构和功能,为MED做出贡献.
结论:
- 新的COL9A3拼接位变异在这个患者中是MED的致病原因.
- 早期的分子检测对于诊断MED至关重要,特别是当X光检测结果表明桃体异常时.
- 这一案例强调了MED的临床和遗传异质性以及遗传诊断的重要性.
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