An Adult Case of Benign Recurrent Intrahepatic Cholestasis Due to MYO5B Deficiency.

Q3 Medicine Tokai Journal of Experimental and Clinical Medicine Pub Date : 2024-09-20
Yusuke Mishima, Kota Tsuruya, Yosuke Tazawa, Yoshitaka Arase, Shunji Hirose, Koichi Shiraishi, Masayuki Tanaka, Sanae Isaki, Tsuneo Kitamura, Tatehiro Kagawa
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Abstract

Abnormalities in MYO5B, which encodes an unconventional myosin Vb, not only cause microvillus inclusion disease but also cholestatic liver disease, including benign recurrent intrahepatic cholestasis (BRIC). However, MYO5B-related cholestasis has not yet been reported in Japan. In this study, we present the case of a female patient in her thirties, who had developed jaundice, without diarrhea, in the first year after birth. The jaundice spontaneously subsided and occasionally recurred. Whole-exome sequencing identified two pathogenic variants in MYO5B: a nonsense mutation (c. G1124A: p. W375X) and a missense mutation (c.C2470T: p.R824C). Therefore, the patient was diagnosed with MYO5B-associated BRIC. This is the first reported case of cholestasis with a defined MYO5B defect in Japan.

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一例因 MYO5B 缺乏而导致良性复发性肝内胆汁淤积的成人病例。
编码非常规肌球蛋白 Vb 的 MYO5B 异常不仅会导致微绒毛包涵体病,还会导致胆汁淤积性肝病,包括良性复发性肝内胆汁淤积症(BRIC)。然而,日本尚未报道过与 MYO5B 相关的胆汁淤积症。在本研究中,我们发现了一例三十多岁的女性患者,她在出生后第一年出现黄疸,但没有腹泻。黄疸自发消退,偶尔复发。全基因组测序发现了 MYO5B 的两个致病变异:一个无义突变(c. G1124A: p. W375X)和一个错义突变(c.C2470T: p.R824C)。因此,患者被诊断为 MYO5B 相关 BRIC。这是日本报告的首例明确存在 MYO5B 缺陷的胆汁淤积症病例。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
32
期刊介绍: The Tokai Journal of Experimental and Clinical Medicine, also referred to as Tokai Journal, is an official quarterly publication of the Tokai Medical Association. Tokai Journal publishes original articles that deal with issues of clinical, experimental, socioeconomic, cultural and/or historical importance to medical science and related fields. Manuscripts may be submitted as full-length Original Articles or Brief Communications. Tokai Journal also publishes reviews and symposium proceedings. Articles accepted for publication in Tokai Journal cannot be reproduced elsewhere without written permission from the Tokai Medical Association. In addition, Tokai Journal will not be held responsible for the opinions of the authors expressed in the published articles.
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