腓骨肌萎缩症2个家系的临床、电生理和基因学研究
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作者单位:

成都市第七人民医院(天府院区),四川 成都 610213

作者简介:

李朝容(1981—),女,主治医师,学士,主要从事急诊医学研究。

通信作者:

杨百元(1981—),男,副主任医师,硕士,主要从事脑血管病以及周围神经病的研究。Email:neuroyby@163.com。

基金项目:

四川省科技计划项目(2020YJ0484)


Clinical, electrophysiological, and genetic studies of two families with Charcot-Marie-Tooth disease
Author:
Affiliation:

Chengdu Seventh Hospital (Tianfu Hospital), Chengdu, Shichuan 610213, China

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    摘要:

    为了研究腓骨肌萎缩症(CMT)的临床、电生理以及基因突变的特点,该研究收集2个家系先证者以及发病亲属的临床资料、电生理资料、全血和DNA,进行家系分析及CMT相关基因检测。结果发现家系1为常染色体显性遗传,患者MLPA检测提示PMP22基因的重复扩增。基因测序未发现患者携带CMT其他相关基因的突变。进一步在患者的3个患病的亲属中发现携带PMP22基因的重复扩增,并且未发现其未患病的叔叔携带该突变。家系2为常染色体隐性遗传,先证者携带SH3TC2基因的c.730C>T p.Q244X和c.432C>G p.Y144X两个杂合突变。患者的父母,则分别携带上述两个突变。因此,家系1诊断为CMT1A型,家系2诊断为CMT4C型,临床实践中应注意基因和表型的联系。

    Abstract:

    In order to investigate the clinical, electrophysiological, and genetic features of two families with Charcot-Marie-Tooth disease (CMT), this study collected the clinical data, electrophysiological data, whole blood, and DNA of the probands and their relatives in the two families, and the pedigree analysis and CMT-related gene detection were performed. Family 1 was found to have autosomal dominant inheritance, and MLPA test of the proband showed repeated amplification of the PMP22 gene; gene sequencing did not reveal mutations in other CMT-related genes; further detection found repeated amplification of the PMP22 gene in three relatives of the proband, which was not found in the uncles without the disease. Family 2 was found to have autosomal recessive inheritance; the proband carried two heterozygous mutations of the SH3TC2 gene, i.e., c.730C>T p.Q244X and c.432C>G p.Y144X, and each of the proband’s parents carried one of the two mutations. Therefore, Family 1 was diagnosed with CMT1A and Family 2 was diagnosed with CMT4C. The association between gene and phenotype should be taken seriously in clinical practice.

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引用本文

李朝容,钟成清,杨百元456.腓骨肌萎缩症2个家系的临床、电生理和基因学研究[J].国际神经病学神经外科学杂志,2021,48(6):501-505111LI Chao-Rong, ZHONG Cheng-Qing, YANG Bai-Yuan222. Clinical, electrophysiological, and genetic studies of two families with Charcot-Marie-Tooth disease[J]. Journal of International Neurology and Neurosurgery,2021,48(6):501-505

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  • 收稿日期:2021-05-17
  • 最后修改日期:2021-10-11
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  • 在线发布日期: 2022-01-05
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