Crigler-Najjar syndrome type Ⅱ:A case report and literature review
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摘要:
<正>1病例资料患儿女性,13岁,藏族。因"皮肤巩膜黄染13年"于2018年12月13日入住本院。患者出生后即出现皮肤巩膜黄染至今,黄染偶可于进食油腻食物后加深,近期劳累后黄染加重,入院前查肝功能:总胆红素343μmol/L,ALT 17 U/L,AST 37 U/L。病史特点:自幼皮肤巩膜黄染,劳累、进食油腻食物后黄染程度加重,无皮肤瘙痒,无乏力,无关节疼痛。多次查肝功能提示总胆红素升高,波动于200~300μmol/L,以非结合胆红素升高为主,酶学正常。父母非近亲结婚,患者兄弟姐妹5人,家族中母亲有类似黄疸病史,妹妹出生时有黄疸,但均未行特殊检查。
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关键词:
- Crigler-Najjar综合征 /
- UDP-葡萄糖醛酸转移酶 /
- 点突变
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Key words:
- Crigler-Najjar syndrome /
- UDP-glucuronosyltransferases /
- point mutation
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[1] LI H,DURBIN R. Fast and accurate long-read alignment with Burrows-Wheeler transform[J]. Bioinformatics,2010,26(5):589-595. [2] ZHANG L,ZHANG J,YANG J,et al. Pri Var:A toolkit for prioritizing SNVs and indels from next-generation sequencing data[J]. Bioinformatics,2013,29(1):124-125. [3] RANJAN P,KOHLI S,SAXENA R,et al. Mutation analysis in Crigler-Najjar syndrome type II-case report and literature review[J]. J Clin Exp Hepatol,2011,1(3):204-206. [4] RADLOVIC'N. Hereditary hyperbilirubinemias[J]. Srp Arh Celok Lek,2014,142(3-4):257-260. [5] RODRIGUES C,VIEIRA E,SANTOS R,et al. Impact of UGT1A1gene variants on total bilirubin levels in Gilbert syndrome patients and in healthy subjects[J]. Blood Cells Mol Dis,2012,48(3):166-172. [6] SUGATANI J. Function,genetic polymorphism,and transcriptional regulation of human UDP-glucuronosyltransferase(UGT)1A1[J]. Drug Metab Pharmacokinet,2013,28(2):83-92. [7] OWENS IS,BASU NK,BANERJEE R. UDP-glucuronosyltransferases:Gene structures of UGT1 and UGT2 families[J].Methods Enzymol,2005,400:1-22. [8] YUEH MF,CHEN S,NGUYEN N,et al. Developmental,genetic,dietary,and xenobiotic influences on neonatal hyperbilirubinemia[J]. Mol Pharmacol,2017,91(5):545-553. [9] HUANG CS,CHANG PF,HUANG MJ,et al. Glucose-6-phosphate dehydrogenase deficiency,the UDP-glucuronosyl transferase 1A1 gene,and neonatal hyperbilirubinemia[J].Gastroenterology,2002,123(1):127-133. [10] MARUO Y,NAKAHARA S,YANAGI T,et al. Genotype of UGT1A1 and phenotype correlation between Crigler-Najjar syndrome type II and Gilbert syndrome[J]. J Gastroenterol Hepatol,2016,31(2):403-408. [11] MARUO Y,D’ADDARIO C,MORI A,et al. Two linked polymorphic mutations(A(TA)7TAA and T-3279G)of UGT1A1as the principal cause of Gilbert syndrome[J]. Hum Genet,2004,115(6):525-526. [12] KOIWAI O,NISHIZAWA M,HASADA K,et al. Gilbert’s syndrome is caused by a heterozygous missense mutation in the gene for bilirubin UDP-glucuronosyltransferase[J]. Hum Mol Genet,1995,4(7):1183-1186. [13] MARUO Y,SATO H,YAMANO T,et al. Gilbert syndrome caused by a homozygous missense mutation(Tyr486Asp)of bilirubin UDP-glucuronosyltransferase gene[J]. J Pediatr,1998,132(6):1045-1047. [14] MARUO Y,WADA S,YAMAMOTO K,et al. A case of anorexia nervosa with hyperbilirubinaemia in a patient homozygous for a mutation in the bilirubin UDP-glucuronosyltransferase gene[J]. Eur J Pediatr,1999,158(7):547-549. [15] STRASSBURG CP. Hyperbilirubinemia syndromes(GilbertMeulengracht,Crigler-Najjar,Dubin-Johnson,and Rotor syndrome)[J]. Best Pract Res Clin Gastroenterol,2010,24(5):555-571. [16] MARUO Y,BEHNAM M,IKUSHIRO S,et al. Two different UGT1A1 mutations causing Crigler-Najjar syndrome types I and II in an Iranian family[J]. J Gastrointestin Liver Dis,2015,24(4):523-526. [17] GAILITE L,ROTS D,PUKITE I,et al. Case report:Multiple UGT1A1 gene variants in a patient with Crigler-Najjar syndrome[J]. BMC Pediatr,2018,18(1):317. [18] ZHENG B,HU G,YU J,et al. Crigler-Najjar syndrome type II in a Chinese boy resulting from three mutations in the bilirubin uridine 5'-diphosphate-glucuronosyltransferase(UGT1A1)gene and a family genetic analysis[J]. BMC Pediatr,2014,14:267. [19] WU JX,CHENG GY,HUANG J. A homozygous mutation in a Chinese man with Crigler-Najjar syndrome type II and a family genetic analysis[J]. J Dig Dis,2008,9(2):89-94. [20] YAMAMOTO K,SATO H,FUJIYAMA Y,et al. Contribution of two missense mutations(G71R and Y486D)of the bilirubin UDP glycosyltransferase(UGT1A1)gene to phenotypes of Gilbert’s syndrome and Crigler-Najjar syndrome type II[J].Biochim Biophys Acta,1998,1406(3):267-273. [21] MARUO Y,OZGENC F,MIMURA Y,et al. Compound heterozygote of a novel missense mutation(p. K402T)and a double missense mutation(p.[G71R; Y486D])in type II CriglerNajjar syndrome[J]. J Pediatr Gastroenterol Nutr,2011,52(3):362-365. [22] MINUCCI A,CANU G,GENTILE L,et al. Identification of a novel mutation in UDP-glucuronosyltransferase(UGT1A1)gene in a child with neonatal unconjugated hyperbilirubinemia[J]. Clin Biochem,2013,46(1-2):170-172.
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