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双基中间ATXN2重复扩张与进展缓慢,腿部发病的家族性ALS有关
Koen Cedric Demaegd1,2, Wouter Koole3, Joke Jfa van Vugt1
1Department of Neurology, UMC Utrecht, Utrecht, the Netherlands.
双基中间体ATXN2重复扩张导致一种罕见的,缓慢进展的骨髓缩侧面硬化症 (ALS) 形式,下肢发病. 这一发现对于ALS预后和遗传咨询至关重要.
科学领域:
- 遗传学 是一个遗传学.
- 神经学 神经学
- 分子生物学分子生物学
背景情况:
- 肌缩侧面硬化症 (ALS) 是一种进展性神经退行性疾病.
- ATXN2基因与各种神经系统疾病有关.
- 在ATXN2中间的重复扩张越来越被认为是疾病修饰剂.
研究的目的:
- 为了研究双基中间ATXN2重复扩张在肌缩侧面硬化症 (ALS) 中的作用.
- 确定与ATXN2重复扩张相关的ALS的患病率和临床特征.
主要方法:
- 在一个大型国际ALS患者队列 (n=6653) 和对照组 (n=13,515) 中评估了ATXN2重复大小.
- 检索了医疗记录,家族病史和MRI成像,用于双基病例.
- 通过使用来自亲属的DNA,对家族病例进行分离分析.
主要成果:
- 在10个ALS病例中确定了双基中间ATXN2重复扩张 (5个家族,5个零星).
- 观察到一个均的表型:下肢发病,进展缓慢 (中位数存活6年),没有显著的小脑缩.
- 在对照群体中没有发现双基扩张 (0/13,515).
结论:
- 报告了一种新型家族性ALS的自体衰退形式,与双基中间ATXN2重复扩张相关.
- 这种ALS形式表现为高透率,下肢发病,进展缓慢.
- 对于ALS预后和遗传咨询,建议对ATXN2扩张进行临床测试.
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