甲状腺激素代谢缺陷是由于化合物异构性SECISBP2突变引起的:在韩国首次报告的病例
Jina Yang1, Jung Min Ahn2, Hwal Rim Jeong1
1Department of Pediatrics, School of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Republic of Korea.
Journal of pediatric endocrinology & metabolism : JPEM
|November 28, 2025
概括
这项研究报告了由于SECISBP2突变导致的甲状腺激素代谢缺陷 (THMD) 的首例韩国病例. 早期诊断至关重要,尽管尽管治疗,神经发育结果仍然是一个挑战.
科学领域:
- 遗传学 遗传学 是一个
- 内分泌学 在内分泌学.
- 分子生物学分子生物学
背景情况:
- 甲状腺激素代谢缺陷 (THMD) 是一种影响激素作用的罕见遗传疾病.
- SECISBP2突变是已知的THMD的原因,影响着蛋白合成.
研究的目的:
- 描述由复合异合体SECISBP2突变引起的韩国第一个THMD病例.
- 扩大对与SECISBP2相关的THMD的临床和遗传谱的理解.
主要方法:
- 一个3岁的女孩的临床表现,身高矮,发育迟缓,听力损失.
- 甲状腺功能测试显示T3下降和自由T4升高.
- 基因分析揭示了SECISBP2 (p.Arg120Ter和新型p.Arg672Ter) 中的复合异构合的无意义变体.
主要成果:
- 通过甲氨酸治疗成功地使甲状腺功能正常化.
- 尽管有生化改善,但持续的发育和语言延迟.
- 发现了一种新的SECISBP2突变 (p.Arg672Ter).
结论:
- 这一案例扩大了THMD已知的SECISBP2突变谱.
- 突出了疾病的多系统性质,包括听觉和潜在的眼睛参与.
- 强调神经发育结果的挑战和当前治疗方法的局限性.
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