3例Sotos综合征的基因型与临床表现分析

目的·探讨Sotos综合征的临床特征与遗传特征,提高对中国人群Sotos综合征的认识。方法·对3例Sotos综合征患儿的临床特征和基因测序结果进行回顾性分析。结果·3例患儿均是男性,来自无关家庭,6~11月龄。3例患儿均以“智力落后”为首发症状。其中2例患儿表现为特殊面容,包括巨颅、额头突起、眼裂下斜、尖下颌、高腭弓、双颞部毛发退化;1例患儿无特殊面容。基因测序检测到3例患儿均携带一个NSD1基因杂合致病性突变,但突变位点不同。其中c.4118_4119insTGACCTT(p.L1373F fs*18)为新发现的突变,c.5885T〉C(p.Ile1962Thr)和c.5990A〉G(p.T...

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Published in上海交通大学学报(医学版) Vol. 36; no. 8; pp. 1165 - 1170
Main Author 康路路 刘晓青 张惠文 邱文娟 孙昱 顾学范
Format Journal Article
LanguageChinese
Published 上海交通大学医学院附属新华医院,上海市儿科医学研究所内分泌遗传代谢病研究室,上海200092 2016
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ISSN1674-8115
DOI10.3969/j.issn.1674-8115.2016.08.011

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Summary:目的·探讨Sotos综合征的临床特征与遗传特征,提高对中国人群Sotos综合征的认识。方法·对3例Sotos综合征患儿的临床特征和基因测序结果进行回顾性分析。结果·3例患儿均是男性,来自无关家庭,6~11月龄。3例患儿均以“智力落后”为首发症状。其中2例患儿表现为特殊面容,包括巨颅、额头突起、眼裂下斜、尖下颌、高腭弓、双颞部毛发退化;1例患儿无特殊面容。基因测序检测到3例患儿均携带一个NSD1基因杂合致病性突变,但突变位点不同。其中c.4118_4119insTGACCTT(p.L1373F fs*18)为新发现的突变,c.5885T〉C(p.Ile1962Thr)和c.5990A〉G(p.Tyr1997Cys)在文献中已有报道。3例患儿均确诊为Sotos综合征。结论·Sotos综合征的典型症状有助于诊断该病,DNA测序分析等基因诊断可确诊该病。Sotos综合征的表现型与基因型具有相关性。
Bibliography:31-2045/R
Sotos syndrome ; NSD1 gene ; genotype
KANG Lu-lu, LIU Xiao-qing, ZHANG Hui-wen, QIU Wen-juan, SUN Yu, GU Xue-fan (Department of Pediatric Endocrinology and Genetic Metabolism, Shanghai Institute for Pediatric Research, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China )
Objective · To investigate the clinical and genetic characteristics of Sotos syndrome and improve the awareness of this disorder among Chinese population. Methods · Clinical characteristics and gene sequencing results of three sporadic cases of Sotos syndrome were retrospectively reviewed. Results · Three male pediatric patients aged from 6 to 11 months were from unrelated families. The first symptom of all three patients was mental retardation. Two of them showed characterized facial appearance, including macrocephaly, broad forehead, down-slanting palpebral fissures, pointed chin, high palate, and bitemporal hair sparsity. One patient had normal facial appearance. Gene sequencing found that all
ISSN:1674-8115
DOI:10.3969/j.issn.1674-8115.2016.08.011