在FGFR3的同卵性变异导致致命的骨发育不良
Zuhair Rahbeeni1, Hamdan Al-Shahrani2, Mohamed Noon2,3
1Medical Genomic Department, Centre of Genomic Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Sudanese journal of paediatrics
|February 27, 2026
概括
同性异体性形,一种严重的骨发育不良,由致病性纤维细胞生长因子受体3 (FGFR3) 变体的两个副本引起. 这一案例突出显示了婴儿患有同卵性FGFR3变异的致命表现,导致呼吸衰竭.
科学领域:
- 遗传学 遗传学 是一个
- 骨发育不良症 骨发育不良症
- 儿科医学 儿科医学
背景情况:
- 双胞胎性无双胞胎形成症是一种罕见的,致命的自体主导骨发育不良症.
- 它是由纤维细胞生长因子受体3 (FGFR3) 基因中的双基致病变体引起的.
- 从临床上看,它与异质合体性无双细胞形成症不同,它呈现出严重的骨异常.
研究的目的:
- 描述一个同卵性无卵性双胞胎生于异卵性无卵性双胞胎父母的婴儿的同卵性无卵性双胞胎生病例.
- 详细介绍这种严重的骨发育不良的临床和放射特征.
- 为了确定导致这种疾病的特定遗传变异.
主要方法:
- 婴儿的临床观察和放射性评估.
- 分子遗传分析以识别FGFR3变异.
- 关于同卵同卵性无双细胞形成症的文献综述.
主要成果:
- 婴儿呈现出严重的根茎缩短和放射性发现与同卵同卵性无卵性形相一致.
- 分子分析证实了FGFR3基因中的同卵性c.1138G>A (p.Gly380Arg) 变异.
- 婴儿经历了渐进的呼吸损害,并在63天后死于肺部低成形.
结论:
- 这个案例说明了一种致命的同卵同卵性无双质形成症的呈现.
- 已识别的同卵性FGFR3变异与严重的骨发育不良和呼吸衰竭有关.
- 早期遗传诊断对于理解和管理这种严重疾病至关重要.
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