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Clinical significance and oncogenic role of ECHDC2 in glioblastoma: a comprehensive analysis based on bioinformatics and in vitro experiments. ECHDC2在胶质母细胞瘤中的临床意义及致瘤作用:基于生物信息学和体外实验的综合分析
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-09 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1759463
Shengliang Lin, Tian Wei, Qian Wu, Qingqing Liu, Longyun Hu, Bigui Song, Jiejing Lin, Zewei Zhao, Yi Cai, Xiaoxiao Li, Zhonghan Yang, Chengming Li, Xiping Hu

Background: Growing evidence implicates enoyl-CoA hydratase domain-containing protein 2 (ECHDC2) in oncogenesis, yet its role in glioblastoma (GBM) remains undefined. We aimed to clarify the pathological significance and molecular mechanisms of ECHDC2 in GBM.

Methods: Gene-expression profiles from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) databases were analyzed. Kaplan-Meier curves were used to evaluate the prognostic value of ECHDC2. Immune cell infiltration was quantified using CIBERSORT, single-sample gene-set enrichment analysis (ssGSEA), and ESTIMATE algorithms. Spearman's correlation analysis was applied to assess the associations between ECHDC2 expression levels, immune checkpoint molecules, and immune cell subsets. To elucidate the functional relevance of ECHDC2, Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG), and gene-set enrichment analyses (GSEA) were performed, while protein-protein interaction (PPI) networks were investigated using the STRING database. Subsequently, ECHDC2 was knocked down or overexpressed in GBM cell lines, and its effects on cell proliferation and migration were determined using CCK-8, EdU, wound-healing, and Transwell migration assays.

Results: Upregulated ECHDC2 expression was significantly correlated with unfavorable clinicopathological features and reduced overall survival (OS) in patients with GBM. High ECHDC2 expression was associated with increased infiltration of effector-memory CD8+ T cells (TEM) and plasmacytoid dendritic cells (pDCs). Enrichment analyses demonstrated that ECHDC2 is involved in tumor progression, with a particular focus on the PI3K/Akt signaling pathway. In vitro experiments showed that ECHDC2 knockdown suppressed the proliferation and migration of GBM cells. Conversely, ECHDC2 overexpression exerted the opposite effects on GBM cell proliferation and migration.

Conclusion: ECHDC2 overexpression promotes GBM progression and portends poor prognosis. ECHDC2 may serve as both a prognostic biomarker and a therapeutic target in GBM.

背景:越来越多的证据表明烯酰辅酶a水合酶结构域蛋白2 (ECHDC2)参与肿瘤发生,但其在胶质母细胞瘤(GBM)中的作用仍不明确。我们旨在阐明ECHDC2在GBM中的病理意义和分子机制。方法:分析来自Cancer Genome Atlas (TCGA)和Gene Expression Omnibus (GEO)数据库的基因表达谱。采用Kaplan-Meier曲线评价ECHDC2的预后价值。使用CIBERSORT、单样本基因集富集分析(ssGSEA)和ESTIMATE算法定量免疫细胞浸润。应用Spearman相关分析评估ECHDC2表达水平、免疫检查点分子和免疫细胞亚群之间的关系。为了阐明ECHDC2的功能相关性,我们进行了基因本体(GO)、京都基因与基因组百科全书(KEGG)和基因集富集分析(GSEA),并使用STRING数据库研究了蛋白质-蛋白质相互作用(PPI)网络。随后,在GBM细胞系中敲低或过表达ECHDC2,并通过CCK-8、EdU、创面愈合和Transwell迁移实验确定其对细胞增殖和迁移的影响。结果:ECHDC2表达上调与GBM患者不利的临床病理特征和总生存期(OS)降低显著相关。ECHDC2高表达与效应记忆CD8+ T细胞(TEM)和浆细胞样树突状细胞(pDCs)浸润增加有关。富集分析表明,ECHDC2参与肿瘤进展,尤其关注PI3K/Akt信号通路。体外实验表明,敲除ECHDC2可抑制GBM细胞的增殖和迁移。相反,ECHDC2过表达对GBM细胞增殖和迁移产生相反的影响。结论:ECHDC2过表达促进GBM进展,预示预后不良。ECHDC2可作为GBM的预后生物标志物和治疗靶点。
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引用次数: 0
Identification and functional characterization of a novel pathogenic COL1A1 splicing variant in a Chinese family with osteogenesis imperfecta. 中国成骨不全家族中一种新的致病性COL1A1剪接变异的鉴定和功能特征。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-06 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1758799
Hongjuan Nie, Yuanxiong Chen, Peifang Qin, Guiming Xie, Di Zhang, Yifan Sun, Yongjun Mo

Background: Osteogenesis imperfecta (OI) is a hereditary disorder primarily caused by mutations in COL1A1 or COL1A2, leading to bone fragility and deformities. Although numerous pathogenic variants have been identified, novel mutations in specific populations remain underreported, complicating diagnosis and genetic counseling.

Methods: A Chinese family with mild type I OI was recruited. Whole-exome sequencing and Sanger sequencing were used to identify and validate a novel splice-site variant in COL1A1. Functional effects were assessed using two minigene constructs (pcMINI-COL1A1 and pcMINI-N-COL1A1) transfected into HEK293T cells, followed by reverse transcription-polymerase chain reaction (RT-PCR) and sequencing of transcripts.

Results: A novel heterozygous splice-site variant (c.298 + 1G>A) at the donor site of COL1A1 intron 2 was identified and found to co-segregate with the disease. Minigene assays demonstrated that this mutation induces abnormal splicing patterns, including partial and complete skipping of exon 2, resulting in frameshifted transcripts with premature termination codons.

Conclusion: The c.298 + 1G>A variant leads to aberrant splicing and likely haploinsufficiency, consistent with a mild OI phenotype. This study expands the COL1A1 mutation spectrum and supports the use of functional assays for clarifying pathogenicity.

背景:成骨不全症(Osteogenesis imperfecta, OI)是一种主要由COL1A1或COL1A2基因突变引起的遗传性疾病,可导致骨脆性和畸形。尽管已经确定了许多致病变异,但在特定人群中的新突变仍然未被报道,这使诊断和遗传咨询复杂化。方法:招募1例轻度I型成骨不全的中国家庭。使用全外显子组测序和Sanger测序来鉴定和验证COL1A1中一个新的剪接位点变异。将两个miniigene构建体(pcMINI-COL1A1和pcMINI-N-COL1A1)转染HEK293T细胞,然后进行逆转录聚合酶链反应(RT-PCR)和转录物测序,评估功能效应。结果:在COL1A1内含子2的供体位点发现了一种新的杂合剪接位点变异(c.298 + 1G>A),并发现与该疾病共分离。Minigene分析表明,该突变诱导异常剪接模式,包括部分和完全跳过外显子2,导致具有过早终止密码子的移帧转录本。结论:c.298 + 1G>A变异导致剪接异常和可能的单倍不全,与轻度成骨不全表型一致。这项研究扩大了COL1A1突变谱,并支持使用功能测定来阐明致病性。
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引用次数: 0
Alterations in gut microbiota and plasma metabolites in pulmonary arterial hypertension secondary to congenital left-to-right shunt heart disease: potential mechanisms and biomarkers. 先天性左向右分流心脏病继发肺动脉高压患者肠道微生物群和血浆代谢物的改变:潜在机制和生物标志物
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-06 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1699787
Diwen Li, Tianli Zhao, Xueyang Gong, Yiliya Ahemaiti, Luyao Wei, Yuyang Huang, Shijun Hu

Introduction: Pulmonary arterial hypertension (PAH) secondary to congenital left-to-right shunt heart disease (CL-RSHD) is a life-threatening complication with unclear microbial and metabolic mechanisms. This study investigated gut microbiota and plasma metabolic alterations in CL-RSHD-associated PAH to identify biomarkers and mechanistic pathways.

Methods: This cross-sectional study included 86 participants: healthy controls (HC, n = 13), CL-RSHD (n = 46), and CL-RSHD + PAH (n = 27). Gut microbiota was analyzed using 16S rRNA gene sequencing of the V3-V4 region on 41 fecal samples (HC, n = 9; CL-RSHD, n = 15; and CL-RSHD + PAH, n = 17). Untargeted plasma metabolomics was analyzed on all 86 plasma samples. Microbial diversity, differential taxa (DESeq2), metabolic pathways (OPLS-DA, KEGG), and biomarker potential (ROC curves) were assessed. Dynamic correlations linked microbiota-metabolite interactions.

Results: CL-RSHD + PAH patients showed preserved α/β-diversity but distinct taxonomic shifts: enriched Lachnoclostridium phocaeense (Firmicutes) and reduced SCFA-producing Anaerostipes. Metabolomics revealed dysregulated steroid biosynthesis, cortisol metabolism, and oxidative stress pathways. Key metabolites, including elevated 5-hydroxymethylcytidine (5-hmC) and γ-L-glutamyl-L-cysteine, and reduced histidine intermediate D-E1IG3P, correlated with PAH severity. Strong microbiota-metabolite interactions (e.g., Lactonifactor-D-E1IG3P, r = 0.82, P < 0.01) suggested a disrupted vascular remodeling axis. Metabolites like ADP-glucose (AUC = 0.94) and 3-phenylpropyl glucosinolate (AUC = 0.92) showed high diagnostic accuracy.

Conclusion: CL-RSHD-associated PAH involves gut microbial restructuring and metabolic reprogramming linked to immune-inflammatory activation and oxidative stress. The Firmicutes-histidine metabolism axis emerges as a therapeutic target. Despite limitations, this study provides foundational insights into microbial-metabolic drivers of PAH, highlighting novel biomarkers for early diagnosis and intervention.

摘要:继发于先天性左-右分流性心脏病(CL-RSHD)的肺动脉高压(PAH)是一种危及生命的并发症,其微生物和代谢机制尚不清楚。本研究研究了cl - rshd相关PAH的肠道微生物群和血浆代谢变化,以确定生物标志物和机制途径。方法:本横断面研究包括86名参与者:健康对照(HC, n = 13), CL-RSHD (n = 46)和CL-RSHD + PAH (n = 27)。对41份粪便样本(HC, n = 9; CL-RSHD, n = 15; CL-RSHD + PAH, n = 17)的肠道微生物群进行16S rRNA基因测序分析。对所有86份血浆样本进行非靶向血浆代谢组学分析。评估微生物多样性、差异分类群(DESeq2)、代谢途径(OPLS-DA、KEGG)和生物标志物潜力(ROC曲线)。微生物群-代谢物相互作用的动态相关性。结果:CL-RSHD + PAH患者表现出保留的α/β多样性,但分类上发生了明显的变化:丰富的phocaeense Lachnoclostridium(厚壁菌门)和减少的产生scfa的厌氧菌。代谢组学揭示了类固醇生物合成、皮质醇代谢和氧化应激途径的失调。关键代谢物,包括升高的5-羟甲基胞氨酸(5-hmC)和γ- l-谷氨酰胺- l-半胱氨酸,以及降低的组氨酸中间产物D-E1IG3P,与PAH严重程度相关。较强的微生物-代谢物相互作用(如乳酸因子- d - e1ig3p, r = 0.82, P < 0.01)提示血管重构轴被破坏。代谢物如adp -葡萄糖(AUC = 0.94)和3-苯丙基硫代葡萄糖苷(AUC = 0.92)具有较高的诊断准确性。结论:cl - rshd相关的PAH涉及与免疫炎症激活和氧化应激相关的肠道微生物重组和代谢重编程。厚壁菌-组氨酸代谢轴成为治疗靶点。尽管存在局限性,但该研究为PAH的微生物代谢驱动因素提供了基础见解,突出了早期诊断和干预的新生物标志物。
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引用次数: 0
Editorial: Genetic horizons: exploring genetic biomarkers in therapy and evolution with the aid of artificial intelligence. 社论:遗传学视野:在人工智能的帮助下探索治疗和进化中的遗传生物标志物。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-06 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1775149
Yiting Chen, Yiyin Zhang, Georgia Damoraki, Shu Wang
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引用次数: 0
Correction: Transcriptome profiling of intrahepatocytic Plasmodium and their host hepatocytes based on the infection phase and the zonation of the liver. 更正:基于感染阶段和肝脏分区的肝内细胞疟原虫及其宿主肝细胞的转录组分析。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-06 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1799315
Zhuning Mo, Yuhong Chen, Yujuan Qin, Jian Song

[This corrects the article DOI: 10.3389/fgene.2025.1548487.].

[这更正了文章DOI: 10.3389/fgene.2025.1548487.]。
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引用次数: 0
Maternal nutrition alters mRNA isoform expression, usage, and splicing dynamics in skeletal muscle of beef cattle offspring. 母体营养改变肉牛后代骨骼肌mRNA异构体的表达、使用和剪接动态。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-05 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1734234
Guilherme Henrique Gebim Polizel, Ángela Cánovas, Germán D Ramírez-Zamudio, Aline Silva Mello Cesar, Wellison J S Diniz, José Bento Sterman Ferraz, Heidge Fukumasu, Luiz F Brito, Felipe Eguti de Carvalho, Miguel Santana

Background: Maternal nutrition during gestation plays a critical role in fetal muscle development and long-term metabolic programming; however, its persistent molecular effects on offspring skeletal muscle remain unclear. Therefore, the main objective of this study was to investigate the influence of prenatal nutrition on long-term differential gene expression (DGE), differential mRNA transcript expression (DTE), and differential transcript usage (DTU) in skeletal muscle of beef cattle.

Methods: A total of 126 pregnant Nellore cows were assigned to three dietary treatments: mineral supplementation only (NP), protein-energy supplementation during late gestation (PP), and protein-energy supplementation throughout gestation (FP). At 676 ± 28 days of age, muscle samples were collected from offspring for RNA sequencing. The DGE and DTE analyses were performed using the edgeR package, while DTU was evaluated with the IsoformSwitchAnalyzeR package. Over-representation analysis was conducted using g:Profiler.

Results: A total of 27,412 genes and 111,185 transcripts, including novel loci and isoforms were identified. Gene-level differences were modest (16 genes), whereas transcript-level analyses revealed stronger effects, with a higher number of significant expression and usage changes across conditions. The FP × NP comparison exhibited the greatest impact on gene expression, with 14 DTEs and 87 DTUs, compared with 12 and 30 in PP × NP, and 10 and three in FP × PP, respectively. Isoform switching was observed in key genes including SLC7A8, SLC25A30, SORBS3, and CDH13 genes, influencing coding potential, functional domains, and mRNA stability, with potential consequences for amino acid transport, cytoskeletal organization, and muscle regeneration. Functional enrichment analyses highlighted significant metabolic pathways related to amino acid and biotin metabolism, intracellular trafficking, and immune regulation.

Conclusion: Overall, prenatal nutrition, particularly protein-energy supplementation throughout gestation in comparison to mineral supplementation, modulates offspring muscle mainly through transcript usage and splicing, suggesting long-term adaptive mechanisms beyond gene-level regulation.

背景:妊娠期母体营养在胎儿肌肉发育和长期代谢规划中起着关键作用;然而,其对后代骨骼肌的持续分子效应尚不清楚。因此,本研究的主要目的是研究产前营养对肉牛骨骼肌长期差异基因表达(DGE)、差异mRNA转录物表达(DTE)和差异转录物利用(DTU)的影响。方法:选取126头妊娠Nellore奶牛,分为单纯矿物质补充(NP)、妊娠后期蛋白质-能量补充(PP)和妊娠全期蛋白质-能量补充(FP) 3个饲粮处理。在676±28日龄时,收集子代肌肉样本进行RNA测序。DGE和DTE分析使用edgeR软件包,而DTU评估使用IsoformSwitchAnalyzeR软件包。使用g:Profiler进行过度代表性分析。结果:共鉴定出27,412个基因和111,185个转录本,包括新的位点和同工型。基因水平差异不大(16个基因),而转录水平分析显示出更强的影响,在不同条件下有更多显著的表达和使用变化。FP × NP组对基因表达的影响最大,有14个dte和87个dtu,而PP × NP组分别为12个和30个,FP × PP组分别为10个和3个。在SLC7A8、SLC25A30、SORBS3和CDH13等关键基因中观察到异构体开关,影响编码电位、功能域和mRNA稳定性,对氨基酸运输、细胞骨架组织和肌肉再生具有潜在影响。功能富集分析强调了与氨基酸和生物素代谢、细胞内运输和免疫调节相关的重要代谢途径。结论:总的来说,产前营养,特别是在整个妊娠期补充蛋白质能量,与补充矿物质相比,主要通过转录物的使用和剪接来调节后代肌肉,这表明了基因水平调控之外的长期适应机制。
{"title":"Maternal nutrition alters mRNA isoform expression, usage, and splicing dynamics in skeletal muscle of beef cattle offspring.","authors":"Guilherme Henrique Gebim Polizel, Ángela Cánovas, Germán D Ramírez-Zamudio, Aline Silva Mello Cesar, Wellison J S Diniz, José Bento Sterman Ferraz, Heidge Fukumasu, Luiz F Brito, Felipe Eguti de Carvalho, Miguel Santana","doi":"10.3389/fgene.2026.1734234","DOIUrl":"https://doi.org/10.3389/fgene.2026.1734234","url":null,"abstract":"<p><strong>Background: </strong>Maternal nutrition during gestation plays a critical role in fetal muscle development and long-term metabolic programming; however, its persistent molecular effects on offspring skeletal muscle remain unclear. Therefore, the main objective of this study was to investigate the influence of prenatal nutrition on long-term differential gene expression (DGE), differential mRNA transcript expression (DTE), and differential transcript usage (DTU) in skeletal muscle of beef cattle.</p><p><strong>Methods: </strong>A total of 126 pregnant Nellore cows were assigned to three dietary treatments: mineral supplementation only (NP), protein-energy supplementation during late gestation (PP), and protein-energy supplementation throughout gestation (FP). At 676 ± 28 days of age, muscle samples were collected from offspring for RNA sequencing. The DGE and DTE analyses were performed using the edgeR package, while DTU was evaluated with the IsoformSwitchAnalyzeR package. Over-representation analysis was conducted using g:Profiler.</p><p><strong>Results: </strong>A total of 27,412 genes and 111,185 transcripts, including novel loci and isoforms were identified. Gene-level differences were modest (16 genes), whereas transcript-level analyses revealed stronger effects, with a higher number of significant expression and usage changes across conditions. The FP × NP comparison exhibited the greatest impact on gene expression, with 14 DTEs and 87 DTUs, compared with 12 and 30 in PP × NP, and 10 and three in FP × PP, respectively. Isoform switching was observed in key genes including <i>SLC7A8</i>, <i>SLC25A30</i>, <i>SORBS3</i>, and <i>CDH13</i> genes, influencing coding potential, functional domains, and mRNA stability, with potential consequences for amino acid transport, cytoskeletal organization, and muscle regeneration. Functional enrichment analyses highlighted significant metabolic pathways related to amino acid and biotin metabolism, intracellular trafficking, and immune regulation.</p><p><strong>Conclusion: </strong>Overall, prenatal nutrition, particularly protein-energy supplementation throughout gestation in comparison to mineral supplementation, modulates offspring muscle mainly through transcript usage and splicing, suggesting long-term adaptive mechanisms beyond gene-level regulation.</p>","PeriodicalId":12750,"journal":{"name":"Frontiers in Genetics","volume":"17 ","pages":"1734234"},"PeriodicalIF":2.8,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12916067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
POLR3A-related syndrome complicated with cerebral abscesses: a case report and literature review. polr3a相关综合征并发脑脓肿1例并文献复习。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-05 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1668022
Mengyao Zhou, Lingli Hou, Huijuan Fan, Yuanfang Duan, Xinye Xie, Haohao Wu, Hanmin Wang, Wei Zhang, Kang Du

Background: POLR3A gene-related syndrome is a complex genetic disorder with diverse clinical manifestations. Understanding its characteristics is crucial for diagnosis and management. Previous studies have reported various aspects of this syndrome, yet a comprehensive analysis of different Variant sites and their associated phenotypes remains necessary.

Case report: This study presents a case of POLR3A-related syndrome in a pediatric patient. Symptom onset occurred after 2 years of age, initially presenting with gait disturbance. As the disease progressed, gait instability worsened progressively and was accompanied by dysarthria, intellectual developmental impairment, and tremor. Subsequent neuroimaging revealed multiple intracerebral infectious lesions with abscess formation. Whole-genome sequencing identified a homozygous c.1771-6C>G variant in the POLR3A gene. This variant has been previously reported as pathogenic at this locus; however, the complication of multiple intracerebral infections and abscess formation represents a previously unreported manifestation. It is noteworthy that the parents of the proband were consanguineous (first-degree relatives).

Conclusion: A review of 60 unrelated probands with POLR3A-related syndrome was conducted based on previously published cases. The analysis revealed no significant sex difference in disease occurrence. The median age of onset was approximately 8 years, with common initial symptoms including gait disturbance and cognitive developmental impairment. Neuroimaging findings indicated cerebral atrophy in 31 cases (66.0%) and white matter hypomyelination in 17 cases (34.7%). Among the reported genetic variants, c.1909 + 22G>A was the most prevalent, identified in 19 families (17.8%), followed by c.1771-6C>G in 9 families (6.4%). Furthermore, patients with different variant sites displayed heterogeneity in initial symptoms, clinical presentations, and imaging characteristics. This comprehensive review enhances the understanding of the phenotypic and genotypic spectrum of POLR3A-related syndrome.

背景:POLR3A基因相关综合征是一种临床表现多样的复杂遗传性疾病。了解其特征对诊断和治疗至关重要。先前的研究已经报道了该综合征的各个方面,但对不同变异位点及其相关表型的综合分析仍然是必要的。病例报告:本研究报告一例小儿polr3a相关综合征。2岁后出现症状,最初表现为步态障碍。随着疾病的进展,步态不稳定逐渐恶化,并伴有构音障碍、智力发育障碍和震颤。随后的神经影像学显示多发性脑内感染性病变伴脓肿形成。全基因组测序鉴定出POLR3A基因c.1771-6C >g纯合子变异。该变异先前已报道在该位点具有致病性;然而,多发性脑内感染和脓肿形成的并发症是以前未报道的表现。值得注意的是,先证者的父母是近亲(一级亲属)。结论:基于先前发表的病例,对60例polr3a相关综合征的无关联先证者进行了回顾。分析显示,疾病发生的性别差异不显著。中位发病年龄约为8岁,常见的初始症状包括步态障碍和认知发育障碍。神经影像学表现为脑萎缩31例(66.0%),白质低髓鞘17例(34.7%)。在报告的遗传变异中,c.1909 + 22G>A最为普遍,在19个家族中发现(17.8%),其次是c.1771-6C>G,在9个家族中发现(6.4%)。此外,不同变异位点的患者在初始症状、临床表现和影像学特征上表现出异质性。这篇全面的综述提高了对polr3a相关综合征的表型和基因型谱的理解。
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引用次数: 0
KIR AA individuals possess strong inhibitory KIR alleles alongside HLA ligands that are protective against leukemia in the Chinese population. 在中国人群中,KIR AA个体具有强抑制KIR等位基因和HLA配体,对白血病具有保护作用。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-05 eCollection Date: 2025-01-01 DOI: 10.3389/fgene.2025.1745482
Zhihui Deng, Jianxin Zhen, Yunan Li, Shuang Liang, Manru Zhang, Siqi Cai, Renhui Jiang, Zhichao Yang, Qiong Yu, Jinyong Wang, Jie Liu
<p><strong>Introduction: </strong>The killer-cell immunoglobulin-like receptor (<i>KIR</i>) gene cluster exhibits complicated diversity in haplotype content, copy-number variation (CNV), and allelic polymorphism. To date, 2,286 distinct <i>KIR</i> alleles have been released in the IPD-KIR Database. However, little is known about the impact of high-resolution-level <i>KIR</i> allelic polymorphisms on leukemia. Our previous study showed that the <i>KIR AA</i> genotype carrying more inhibitory genes conferred differential protection against leukemia in the Chinese Southern Han population. Herein, we hypothesized the impact of <i>KIR</i> alleles in the <i>KIR A</i> haplotype and cognate human leukocyte antigen (HLA) ligand on leukemia.</p><p><strong>Methods: </strong>The study cohort included 318 ALL patients, 336 AML patients, and 306 unrelated healthy controls. All the study samples were subject to <i>HLA-A</i>, -<i>B</i>, and -<i>C</i> sequencing-based genotyping (PCR-SBT) and high-resolution <i>KIR</i> genotyping for all the seven functional <i>KIR</i> genes (<i>KIR2DL1</i>, <i>KIR2DL3</i>, <i>KIR2DL4</i>, <i>KIR3DL1</i>, <i>KIR3DL2</i>, <i>KIR3DL3</i>, and <i>KIR2DS4</i>) on the <i>KIR A</i> haplotype. <i>HLA</i> and <i>KIR</i> genotypes were assigned using Assign 4.7.1 software.</p><p><strong>Results: </strong>In the present study, our high-resolution genetic analysis revealed protective <i>KIR</i>-<i>HLA</i> interactions in individuals with the <i>KIR AA</i> genotype. The strong inhibitory <i>KIR2DL1*00201</i>+<i>C2</i> interaction reduced ALL risk (<i>p</i> = 0.01), while <i>KIR2DL1*00302</i> +<i>C2</i> (<i>p</i> = 0.008), <i>KIR2DL3*00201</i>+<i>C1</i> (<i>p</i> = 0.03), and <i>KIR3DL1*00501</i>+<i>Bw4 80I</i> (<i>p</i> = 0.008) interactions protected against AML (<i>p</i> < 0.05). However, the functionally weaker inhibitory <i>KIR2DL1*004</i>+<i>C2</i> interaction conferred ALL risk (<i>p</i> = 0.01) in individuals with the <i>KIR Bx</i> genotype. Notably, we found that the allelic polymorphisms of the structure gene <i>KIR3DL3</i> were associated with the occurrence of leukemia. <i>KIR3DL3*001</i> tends to confer protection against AML (8.4% vs. 1.3%, <i>p</i> = 0.004, <i>Pc</i> = 0.06), whereas <i>KIR3DL3*009</i> conferred susceptibility to AML (29.3% vs. 47.1%, <i>p</i> = 0.001, <i>Pc =</i> 0.016). <i>KIR3DL3*001</i> differs from <i>KIR3DL3*009</i> by an amino acid substitution of non-charged asparagine (N) to charged histidine (H) in its transmembrane domain, suggesting that this functional variant site KIR3DL3_N300H may play a critical role in the occurrence of leukemia in the Chinese population.</p><p><strong>Conclusion: </strong>These data suggest that <i>KIR AA</i> individuals possess strong inhibitory interactions of <i>KIR</i> alleles and <i>HLA</i>, arming <i>KIR AA</i> <sup><i>+</i></sup> NK cells to meditate stronger alloreactivity and cytotoxicity against leukemia cells with lowered HLA expression. Our findings may provide val
杀伤细胞免疫球蛋白样受体(KIR)基因簇在单倍型含量、拷贝数变异(CNV)和等位基因多态性方面具有复杂的多样性。迄今为止,IPD-KIR数据库中已发布了2,286个不同的KIR等位基因。然而,高分辨率水平的KIR等位基因多态性对白血病的影响知之甚少。我们之前的研究表明,携带更多抑制基因的KIR AA基因型在中国南方汉族人群中对白血病具有不同的保护作用。在此,我们假设KIR A单倍型和同源人类白细胞抗原(HLA)配体中的KIR等位基因对白血病的影响。方法:研究队列包括318例ALL患者、336例AML患者和306例无关健康对照。所有研究样本均对KIR A单倍型上的所有7个功能性KIR基因(KIR2DL1、KIR2DL3、KIR2DL4、KIR3DL1、KIR3DL2、KIR3DL3和KIR2DS4)进行基于HLA-A、-B和-C测序的基因分型(PCR-SBT)和高分辨率KIR分型。HLA和KIR基因型采用Assign 4.7.1软件进行分配。结果:在本研究中,我们的高分辨率遗传分析揭示了KIR- hla在KIR AA基因型个体中的保护性相互作用。强抑制KIR2DL1*00201+C2相互作用降低ALL风险(p = 0.01),而KIR2DL1*00302 +C2 (p = 0.008), KIR2DL3*00201+C1 (p = 0.03)和KIR3DL1*00501+Bw4 80I (p = 0.008)相互作用对AML有保护作用(p < 0.05)。然而,在KIR Bx基因型个体中,功能较弱的KIR2DL1*004+C2相互作用可增加ALL风险(p = 0.01)。值得注意的是,我们发现结构基因KIR3DL3的等位基因多态性与白血病的发生有关。KIR3DL3*001倾向于对AML具有保护作用(8.4%对1.3%,p = 0.004, Pc = 0.06),而KIR3DL3*009倾向于对AML具有敏感性(29.3%对47.1%,p = 0.001, Pc = 0.016)。KIR3DL3*001与KIR3DL3*009的不同之处在于,KIR3DL3*009的跨膜结构域将不带电的天门汀(N)替换为带电的组氨酸(H),这表明这个功能性变异位点KIR3DL3_N300H可能在中国人群白血病的发生中起关键作用。结论:KIR AA个体具有较强的KIR等位基因与HLA的相互抑制作用,使KIR AA + NK细胞对HLA表达降低的白血病细胞具有较强的同种异体反应性和细胞毒性。我们的发现可能为白血病的发病机制和更好地理解免疫机制提供有价值的见解。
{"title":"<i>KIR AA</i> individuals possess strong inhibitory <i>KIR</i> alleles alongside HLA ligands that are protective against leukemia in the Chinese population.","authors":"Zhihui Deng, Jianxin Zhen, Yunan Li, Shuang Liang, Manru Zhang, Siqi Cai, Renhui Jiang, Zhichao Yang, Qiong Yu, Jinyong Wang, Jie Liu","doi":"10.3389/fgene.2025.1745482","DOIUrl":"https://doi.org/10.3389/fgene.2025.1745482","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;The killer-cell immunoglobulin-like receptor (&lt;i&gt;KIR&lt;/i&gt;) gene cluster exhibits complicated diversity in haplotype content, copy-number variation (CNV), and allelic polymorphism. To date, 2,286 distinct &lt;i&gt;KIR&lt;/i&gt; alleles have been released in the IPD-KIR Database. However, little is known about the impact of high-resolution-level &lt;i&gt;KIR&lt;/i&gt; allelic polymorphisms on leukemia. Our previous study showed that the &lt;i&gt;KIR AA&lt;/i&gt; genotype carrying more inhibitory genes conferred differential protection against leukemia in the Chinese Southern Han population. Herein, we hypothesized the impact of &lt;i&gt;KIR&lt;/i&gt; alleles in the &lt;i&gt;KIR A&lt;/i&gt; haplotype and cognate human leukocyte antigen (HLA) ligand on leukemia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study cohort included 318 ALL patients, 336 AML patients, and 306 unrelated healthy controls. All the study samples were subject to &lt;i&gt;HLA-A&lt;/i&gt;, -&lt;i&gt;B&lt;/i&gt;, and -&lt;i&gt;C&lt;/i&gt; sequencing-based genotyping (PCR-SBT) and high-resolution &lt;i&gt;KIR&lt;/i&gt; genotyping for all the seven functional &lt;i&gt;KIR&lt;/i&gt; genes (&lt;i&gt;KIR2DL1&lt;/i&gt;, &lt;i&gt;KIR2DL3&lt;/i&gt;, &lt;i&gt;KIR2DL4&lt;/i&gt;, &lt;i&gt;KIR3DL1&lt;/i&gt;, &lt;i&gt;KIR3DL2&lt;/i&gt;, &lt;i&gt;KIR3DL3&lt;/i&gt;, and &lt;i&gt;KIR2DS4&lt;/i&gt;) on the &lt;i&gt;KIR A&lt;/i&gt; haplotype. &lt;i&gt;HLA&lt;/i&gt; and &lt;i&gt;KIR&lt;/i&gt; genotypes were assigned using Assign 4.7.1 software.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In the present study, our high-resolution genetic analysis revealed protective &lt;i&gt;KIR&lt;/i&gt;-&lt;i&gt;HLA&lt;/i&gt; interactions in individuals with the &lt;i&gt;KIR AA&lt;/i&gt; genotype. The strong inhibitory &lt;i&gt;KIR2DL1*00201&lt;/i&gt;+&lt;i&gt;C2&lt;/i&gt; interaction reduced ALL risk (&lt;i&gt;p&lt;/i&gt; = 0.01), while &lt;i&gt;KIR2DL1*00302&lt;/i&gt; +&lt;i&gt;C2&lt;/i&gt; (&lt;i&gt;p&lt;/i&gt; = 0.008), &lt;i&gt;KIR2DL3*00201&lt;/i&gt;+&lt;i&gt;C1&lt;/i&gt; (&lt;i&gt;p&lt;/i&gt; = 0.03), and &lt;i&gt;KIR3DL1*00501&lt;/i&gt;+&lt;i&gt;Bw4 80I&lt;/i&gt; (&lt;i&gt;p&lt;/i&gt; = 0.008) interactions protected against AML (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). However, the functionally weaker inhibitory &lt;i&gt;KIR2DL1*004&lt;/i&gt;+&lt;i&gt;C2&lt;/i&gt; interaction conferred ALL risk (&lt;i&gt;p&lt;/i&gt; = 0.01) in individuals with the &lt;i&gt;KIR Bx&lt;/i&gt; genotype. Notably, we found that the allelic polymorphisms of the structure gene &lt;i&gt;KIR3DL3&lt;/i&gt; were associated with the occurrence of leukemia. &lt;i&gt;KIR3DL3*001&lt;/i&gt; tends to confer protection against AML (8.4% vs. 1.3%, &lt;i&gt;p&lt;/i&gt; = 0.004, &lt;i&gt;Pc&lt;/i&gt; = 0.06), whereas &lt;i&gt;KIR3DL3*009&lt;/i&gt; conferred susceptibility to AML (29.3% vs. 47.1%, &lt;i&gt;p&lt;/i&gt; = 0.001, &lt;i&gt;Pc =&lt;/i&gt; 0.016). &lt;i&gt;KIR3DL3*001&lt;/i&gt; differs from &lt;i&gt;KIR3DL3*009&lt;/i&gt; by an amino acid substitution of non-charged asparagine (N) to charged histidine (H) in its transmembrane domain, suggesting that this functional variant site KIR3DL3_N300H may play a critical role in the occurrence of leukemia in the Chinese population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;These data suggest that &lt;i&gt;KIR AA&lt;/i&gt; individuals possess strong inhibitory interactions of &lt;i&gt;KIR&lt;/i&gt; alleles and &lt;i&gt;HLA&lt;/i&gt;, arming &lt;i&gt;KIR AA&lt;/i&gt; &lt;sup&gt;&lt;i&gt;+&lt;/i&gt;&lt;/sup&gt; NK cells to meditate stronger alloreactivity and cytotoxicity against leukemia cells with lowered HLA expression. Our findings may provide val","PeriodicalId":12750,"journal":{"name":"Frontiers in Genetics","volume":"16 ","pages":"1745482"},"PeriodicalIF":2.8,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12916065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
G6PD deficiency as a underrecognized genetic risk factor for rare neurological disorders: evidence from a population-based genetic analysis. G6PD缺乏症作为罕见神经系统疾病未被充分认识的遗传风险因素:来自基于人群的遗传分析的证据
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-05 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1766081
Qi Peng, Siping Li, Fen Lv, Xiaomei Zeng, Qingqiu Cheng, Baimao Zhong, Xiaomei Lu

Background: Glucose-6-phosphate dehydrogenase (G6PD) deficiency is traditionally recognized as a risk factor for drug- or infection-induced hemolytic anemia. Emerging evidence implicates potential roles of G6PD in neurodevelopment, yet its association with rare neurological disorders remains underexplored in population-based genetic studies, especially within the Chinese population.

Methods: We conducted a retrospective case-control study utilizing whole-exome sequencing (WES) data from a Chinese cohort. Six most prevalent pathogenic G6PD variants in China were screended in children with rare neurological disorders (n = 211) and in controls without neurological involvement (n = 202). Genotype and carrier frequency comparisons were performed. Stratified analyses were performed based on diagnostic certainty and the presence of de novo mutations. Multivariable logistic regression was employed to calculate sex-adjusted odds ratios (ORs) to control for potential sex-related confounding.

Results: After adjusting for sex, the overall carrier rate of pathogenic G6PD variants was significantly higher in patients with neurological disorders than in controls (adjusted OR = 2.44, 95% CI: 1.18-5.06, p = 0.014). Further comparisons across specific groups revealed distinct patterns: affected male patients had a higher carrier rate than their own unaffected fathers (OR = 2.30, 95% CI: 1.08-4.91, p = 0.043), and mothers of case patients showed a higher carrier rate than mothers of controls (OR = 2.03, 95% CI: 1.09-3.78, p = 0.030). The variants NM_001042351.3: c.1376G>T (G6PD Canton) and NM_001042351.3:c.1388G>A (G6PD Kaiping) were the most prevalent across all groups.

Conclusion: This population-based genetic analysis provides preliminary evidence that G6PD deficiency may be a underrecognized genetic risk factor for rare neurological disorders in Chinese children. The findings suggest a potential maternal genetic contribution and indicate that the phenotypic spectrum of G6PD deficiency may extend beyond hematological manifestations to include neurodevelopmental vulnerability. Important limitations include the lack of functional validation and the use of a clinical control group. Further prospective studies incorporating G6PD enzyme activity assessment and functional investigations are warranted to elucidate the underlying mechanisms.

背景:葡萄糖-6-磷酸脱氢酶(G6PD)缺乏传统上被认为是药物或感染引起的溶血性贫血的危险因素。新出现的证据暗示G6PD在神经发育中的潜在作用,但其与罕见神经疾病的关联在基于人群的遗传研究中仍未得到充分探索,特别是在中国人群中。方法:我们利用来自中国队列的全外显子组测序(WES)数据进行了一项回顾性病例对照研究。在中国筛查了6种最常见的致病性G6PD变异,这些变异在患有罕见神经系统疾病的儿童(n = 211)和没有神经系统疾病的对照组(n = 202)中进行。进行基因型和载体频率比较。根据诊断确定性和新生突变的存在进行分层分析。采用多变量逻辑回归计算性别校正的优势比(ORs),以控制潜在的性别相关混杂。结果:经性别调整后,神经系统疾病患者G6PD致病变异的总体携带率明显高于对照组(校正OR = 2.44, 95% CI: 1.18-5.06, p = 0.014)。在特定组之间的进一步比较揭示了不同的模式:受影响的男性患者的携带率高于其未受影响的父亲(OR = 2.30, 95% CI: 1.08-4.91, p = 0.043),病例患者的母亲的携带率高于对照组的母亲(OR = 2.03, 95% CI: 1.09-3.78, p = 0.030)。改型NM_001042351.3:c. 1376g >T (G6PD Canton)和NM_001042351.3:c。1388G b> A (G6PD开平)在所有组中最普遍。结论:这项基于人群的遗传分析提供了初步证据,表明G6PD缺乏症可能是中国儿童罕见神经系统疾病的一个未被充分认识的遗传危险因素。研究结果表明,潜在的母体遗传贡献,并表明G6PD缺乏症的表型谱可能超出血液表现,包括神经发育易感性。重要的限制包括缺乏功能验证和使用临床对照组。进一步的前瞻性研究包括G6PD酶活性评估和功能研究,以阐明潜在的机制是必要的。
{"title":"G6PD deficiency as a underrecognized genetic risk factor for rare neurological disorders: evidence from a population-based genetic analysis.","authors":"Qi Peng, Siping Li, Fen Lv, Xiaomei Zeng, Qingqiu Cheng, Baimao Zhong, Xiaomei Lu","doi":"10.3389/fgene.2026.1766081","DOIUrl":"https://doi.org/10.3389/fgene.2026.1766081","url":null,"abstract":"<p><strong>Background: </strong>Glucose-6-phosphate dehydrogenase (G6PD) deficiency is traditionally recognized as a risk factor for drug- or infection-induced hemolytic anemia. Emerging evidence implicates potential roles of G6PD in neurodevelopment, yet its association with rare neurological disorders remains underexplored in population-based genetic studies, especially within the Chinese population.</p><p><strong>Methods: </strong>We conducted a retrospective case-control study utilizing whole-exome sequencing (WES) data from a Chinese cohort. Six most prevalent pathogenic <i>G6PD</i> variants in China were screended in children with rare neurological disorders (n = 211) and in controls without neurological involvement (n = 202). Genotype and carrier frequency comparisons were performed. Stratified analyses were performed based on diagnostic certainty and the presence of <i>de novo</i> mutations. Multivariable logistic regression was employed to calculate sex-adjusted odds ratios (ORs) to control for potential sex-related confounding.</p><p><strong>Results: </strong>After adjusting for sex, the overall carrier rate of pathogenic G6PD variants was significantly higher in patients with neurological disorders than in controls (adjusted OR = 2.44, 95% CI: 1.18-5.06, p = 0.014). Further comparisons across specific groups revealed distinct patterns: affected male patients had a higher carrier rate than their own unaffected fathers (OR = 2.30, 95% CI: 1.08-4.91, p = 0.043), and mothers of case patients showed a higher carrier rate than mothers of controls (OR = 2.03, 95% CI: 1.09-3.78, p = 0.030). The variants NM_001042351.3: c.1376G>T (G6PD Canton) and NM_001042351.3:c.1388G>A (G6PD Kaiping) were the most prevalent across all groups.</p><p><strong>Conclusion: </strong>This population-based genetic analysis provides preliminary evidence that G6PD deficiency may be a underrecognized genetic risk factor for rare neurological disorders in Chinese children. The findings suggest a potential maternal genetic contribution and indicate that the phenotypic spectrum of G6PD deficiency may extend beyond hematological manifestations to include neurodevelopmental vulnerability. Important limitations include the lack of functional validation and the use of a clinical control group. Further prospective studies incorporating G6PD enzyme activity assessment and functional investigations are warranted to elucidate the underlying mechanisms.</p>","PeriodicalId":12750,"journal":{"name":"Frontiers in Genetics","volume":"17 ","pages":"1766081"},"PeriodicalIF":2.8,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12916064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146226702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analyzing the genetic profile of autistic children and adolescents with minimal verbal abilities. 分析自闭症儿童和青少年语言能力低下的基因特征。
IF 2.8 3区 生物学 Q2 GENETICS & HEREDITY Pub Date : 2026-02-04 eCollection Date: 2026-01-01 DOI: 10.3389/fgene.2026.1647481
Silvia Guerrera, Ilaria Venezia, Maria Grazia Logrieco, Laura Casula, Rossella Capolino, Maria Cristina Digilio, Maria Lisa Dentici, Marina Macchiaiolo, Federico Casciani, Fabiana Cortellessa, Lorenzo Sinibaldi, Andrea Bartuli, Silvia Di Tommaso, Gemma D'Elia, Viola Alesi, Cristina Roberti, Antonio Novelli, Giovanni Valeri, Stefano Vicari

Introduction: Comprehensive care for autistic youth with severe symptoms and language impairment includes genetic testing to find underlying causes. Identifying a genetic diagnosis helps determine prognosis, guide treatment, assess recurrence risk, and connect families with targeted resources and support networks.

Methods: This cross-sectional study analyzed retrospectively data of a cohort of 60 Autism Spectrum Disorder Minimally Verbal (MV) past age 5 children and adolescents who underwent several genetic investigations and were included in an evaluation protocol including cognitive, adaptive, psychiatric, parental stress and autism characteristics' evaluations to identify whether there were any specific clinical or genetic characteristics in the group of minimally verbal autistic individuals.

Results: The percentage of genetic disorders detected in the series is 22.6%. Two groups of MV autistic individuals were defined: those without a known genetic cause (n = 46, neuropsychological data available for 32 individuals) and those with an associated genetic condition (n = 14, neuropsychological data available for 8 individuals). Most participants in both groups scored below 70 on Nonverbal Intelligence Quotient (NVIQ) (77.5% in the first group versus 77.7% in the latter) and adaptive functioning was impaired in both groups, without significant differences. Autism severity, measured by the ADOS-2, was significantly higher in individuals without causative alteration, particularly in Total Comparison Score. However, no differences were found between groups in restricted and repetitive behaviors. CBCL showed high levels of internalizing and externalizing problems in both groups, with no differences. Similarly, parental stress levels were high in both groups.

Discussion: This is the first study analyzing the genotype-phenotype correlation in MV autistic individuals. In this sample, the prevalence of genetic syndromes was found to be twice as high as in the general autistic population (22.6% versus 10%). Regarding the autistic characteristics' severity which appear to be higher in individuals without genetic causative alteration and the absence of significant differences in cognitive, functional and behavioural characteristics, we hypothesised that, in the MV autistic population without genetic causative alteration, there are specific and unknown characteristics of the MV profile which have a greater impact than the individual genetic condition reported.

对有严重症状和语言障碍的自闭症青少年的全面护理包括基因检测以发现潜在的原因。确定基因诊断有助于确定预后,指导治疗,评估复发风险,并将家庭与目标资源和支持网络联系起来。方法:本横断面研究回顾性分析了60名5岁以上自闭症谱系障碍最小言语障碍(MV)儿童和青少年的数据,这些儿童和青少年接受了多项遗传调查,并纳入了评估方案,包括认知、适应性、精神病学、父母压力和自闭症特征评估,以确定最小言语自闭症个体群体是否存在任何特定的临床或遗传特征。结果:遗传疾病检出率为22.6%。将MV自闭症患者分为两组:没有已知遗传原因的患者(n = 46,可获得32例神经心理学数据)和有相关遗传疾病的患者(n = 14,可获得8例神经心理学数据)。两组大多数参与者的非语言智商(NVIQ)得分低于70分(第一组为77.5%,第二组为77.7%),两组的适应功能受损,但无显著差异。用ADOS-2来衡量的自闭症严重程度,在没有致病变异的个体中明显更高,特别是在总比较分数中。然而,在限制性和重复性行为方面,两组之间没有发现差异。两组CBCL均表现出高水平的内化和外化问题,差异无统计学意义。同样,父母的压力水平在两组中都很高。讨论:这是第一个分析MV自闭症个体基因型-表型相关性的研究。在这个样本中,发现遗传综合征的患病率是普通自闭症人群的两倍(22.6%对10%)。鉴于自闭症特征的严重程度似乎在没有遗传致病改变的个体中更高,并且在认知、功能和行为特征方面没有显着差异,我们假设,在没有遗传致病改变的MV自闭症人群中,存在特定的和未知的MV特征,这些特征比所报道的个体遗传状况具有更大的影响。
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Frontiers in Genetics
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