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BRYANT-LI-BHOJ神经发育综合征2型1例并文献复习
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作者 周佳俊 朱敏 +3 位作者 赵晓科 陆芬 李薇 高园园 《中华实用儿科临床杂志》 CAS CSCD 北大核心 2024年第5期380-382,共3页
回顾性分析2022年10月在南京医科大学附属儿童医院康复医学科确诊的1例BRYANT-LI-BHOJ神经发育综合征2型(BRYLIB2)患儿临床资料。患儿,女,7月龄,因"发现运动发育落后6个月"就诊,主要表现为四肢肌张力低,竖头困难,追视、追听欠... 回顾性分析2022年10月在南京医科大学附属儿童医院康复医学科确诊的1例BRYANT-LI-BHOJ神经发育综合征2型(BRYLIB2)患儿临床资料。患儿,女,7月龄,因"发现运动发育落后6个月"就诊,主要表现为四肢肌张力低,竖头困难,追视、追听欠佳,逗笑欠佳,腭裂伴呼吸困难及喂养困难,临床诊断为全面性发育迟缓。全外显子测序显示患儿H3F3B基因新发杂合突变c.11(exon2)C>T,生物信息学分析提示该突变有害。结合既往文献及本例研究,结果显示患儿均表现发育迟缓,考虑为H3F3B基因突变导致的氨基酸序列改变,致使H3.3蛋白中翻译后修饰出现改变,从而引发患儿表观症状。本例为国内首次报道的BRYLIB2病例,丰富了H3F3B基因的变异谱和临床表型谱,为该病的临床诊疗及后续研究提供了基础。 展开更多
关键词 bryant-li-bhoj神经发育综合征2 H3F3B基因 基因突变
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KMT2C基因变异致Kleefstra综合征2型1例
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作者 张秋雯 郑宏 +1 位作者 陆相朋 卢婷婷 《中国优生与遗传杂志》 2024年第9期1882-1886,共5页
目的探讨1例Kleefstra综合征2型(KLEFS2)患儿的临床特征及遗传学病因。方法回顾性分析1例经基因检测最终确诊为KLEFS2患儿的临床资料并复习相关文献。结果患儿女,10岁7个月,身材矮小,边缘智力(IQ=71),注意力缺陷、多动并有语言发育迟缓... 目的探讨1例Kleefstra综合征2型(KLEFS2)患儿的临床特征及遗传学病因。方法回顾性分析1例经基因检测最终确诊为KLEFS2患儿的临床资料并复习相关文献。结果患儿女,10岁7个月,身材矮小,边缘智力(IQ=71),注意力缺陷、多动并有语言发育迟缓史。核心家系3人外显子组测序(Trio-WES)检出患儿携带KMT2C(NM_170606.3)基因新发移码变异,即c.10825_10826delAA(p.Lys3609Glufs*5)。经Sanger验证,其父母未携带相同的变异。美国医学遗传学与基因组学学会(ACMG)判定为致病性变异(PVS1+PS2+PM2)。且该变异为首次报道。数据库共检索筛选到10篇相关英文文献,16例KLEFS2患者,结合本例中国患儿,共涉及KMT2C基因的17种变异。KLEFS2患者均有轻度至重度智力障碍、语言/运动发育迟缓和行为障碍(如自闭症谱系障碍、注意力缺陷多动症)。结论本案例丰富了KMT2C基因的变异谱。对于以智力障碍(或落后)起病的患儿,伴或不伴运动/语言发育落后、行为异常以及生长发育迟缓的患儿,建议积极行韦氏智商测试、格里菲斯发育评估量表、注意力缺陷多动障碍量表、孤独症行为评定量表评估,及早行基因检查有助于诊治。 展开更多
关键词 KMT2C基因 Kleefstra综合征2 智力障碍 神经发育障碍 生长迟缓
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Receptor-interacting Protein 140 Overexpression Promotes Neuro-2a Neuronal Differentiation by ERK1/2 Signaling 被引量:5
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作者 Xiao Feng Weidong Yu +3 位作者 Rong Liang Cheng Shi Zhuran Zhao Jingzhu Guo 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第1期119-124,共6页
Background:Abnormal neuronal differentiation plays an important role in central nervous system (CNS) development abnormalities such as Down syndrome (DS),a disorder that results directly from overexpression of ge... Background:Abnormal neuronal differentiation plays an important role in central nervous system (CNS) development abnormalities such as Down syndrome (DS),a disorder that results directly from overexpression of genes in trisomic cells.Receptor-interacting protein 140 (RIP 140) is significantly upregulated in DS brains,suggesting its involvement in DS CNS development abnormalities.However,the role of RIP140 in neuronal differentiation is still not clear.The current study aimed to investigate the effect of RIP 140 overexpression on the differentiation of neuro-2a (N2a) neuroblastoma cells,in vitro.Methods:Stably RIP 140-overexpressing N2a (N2a-RIP140) cells were used as a neurodevelopmental model,and were constructed by lipofection and overexpression validated by real-time polymerase chain reaction and Western blot.Retinoic acid (RA) was used to stimulate N2a differentiation.Combining the expression of Tuj 1 at the mRNA and protein levels,the percentage of cells baring neurites,and the number of neurites per cell body was semi-quantified to determine the effect of RIP 140 on differentiation of N2a cells.Furthermore,western blot and the ERK1/2 inhibitor U0126 were used to identify the specific signaling pathway by which RIP 140 induces differentiation of N2a cells.Statistical significance of the differences between groups was determined by one-way analysis of variance followed by the Dunnett test.Results:Compared to untransfected N2a cells RIP140 expression in N2a-RIP 140 cells was remarkably upregulated at both the mRNA and protein levels.N2a-RIP 140 cells had a significantly increased percentage of cells baring neurites,and numbers of neurites per cell,as compared to N2a cells,in the absence and presence of RA (P 〈 0.05).In addition,Tuj l,a neuronal biomarker,was strongly upregulated in N2a-RIP140 cells (P 〈 0.05) and phosphorylated ERK1/2 (p-ERK1/2) levels in N2a-RIP140 cells were dramatically increased,while differentiation was inhibited by the ERK 1/2-specific inhibitor U0126.Conclusions:RIP140 overexpression promotes N2a cell neuronal differentiation by activating the ERK1/2 pathway. 展开更多
关键词 Differentiation Down syndrome ERK 1/2 Neuro-2a Cells neurodevelopment OVEREXPRESSION Receptor-interacting Protein 140
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