庞贝病1例报告

A. Çim, S. Coşkun, A. Yilmaz, H. Onay
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引用次数: 2

摘要

庞贝病以常染色体隐性遗传方式遗传,通常在无症状携带者的儿童中观察到。庞贝病,被称为糖原储存障碍II型,是由编码溶酶体酸-葡萄糖苷酶(GAA)基因的致病性突变引起的。庞贝病有三种类型:经典婴儿型、非经典婴儿型和迟发性庞贝病。发病年龄和疾病的严重程度决定了庞贝病的类型。我们的目标是在一对近亲父母身上发现GAA基因突变,他们的女婴因庞贝病而去世。女婴的酸性α -葡萄糖苷酶活性降低,但没有进行遗传分析。采用高通量DNA测序法对亲本进行突变分析。c.896的杂合突变在父母的第5外显子中发现t>c,并对其下一次怀孕进行产前诊断。总之,c.896GAA基因的t> C替换可能导致重症庞贝病。采用一种相对快速可靠的分子遗传学分析方法对庞贝病进行早期诊断,对该病的治疗具有重要意义。关键词:庞贝病,GSD2, GAA缺乏,高通量DNA测序
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Pompe disease: A case report
Pompe disease is inherited in an autosomal recessive manner, and is usually observed in the children of asymptomatic carriers. Pompe disease, known as Glycogen Storage Disorder type II, is caused by pathogenic mutations in the gene encoding lysosomal acid alpha-glucosidase ( GAA ). There are three types of Pompe disease: classical infantile form, non-classical infantile form and late-onset Pompe disease. Age of onset and severity of the disease determine the type of Pompe disease. We aimed to identify a mutation in  GAA  gene in parents who were first cousins and their baby girl was passed away due to the Pompe disease. The baby girl had reduced acid alpha-glucosidase activity, but genetic analysis had not been performed. Mutation analysis of parents was performed using high-throughput DNA sequencing method. Heterozygous mutation of c.896 T>C in exon 5 was found in parents, and prenatal diagnosis was performed for their next pregnancy. In conclusion, c.896 T>C substitution in  GAA  gene may lead to the severe type of Pompe disease. Using a relatively fast and reliable molecular genetic analysis method to confirm the early diagnosis of the Pompe disease is important for the management of the disease. Key words:  Pompe disease, GSD2, GAA deficiency, high-throughput DNA sequencing
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67
审稿时长
10 weeks
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