罕见基因型的肝豆状核变性姐妹及其家系报告
DOI: 10.3969/j.issn.1001-5256.2022.05.029
A rare ATP7B genotype identified in the siblings with hepatolenticular degeneration and their pedigree analysis
-
-
Key words:
- Hepatolenticular Degeneration /
- Genotype /
- Pedigree
-
表 1 病例1~3主要临床资料
Table 1. Main clinical data of cases 1-3
指标 病例1 病例2 病例3(先证者) 发病年龄(岁) 57 48 46 性别 女 女 男 神经和/或精神症状 无 无 无 肝损伤 暴发性肝衰竭 脂肪变性 肝硬化 Alb(g/L) 23.9 42.63 23.6 TBil(μmol/L) 751.6 20.02 37.1 DBil(μmol/L) 263.6 7.26 19.2 ALT(U/L) 15.5 81.4 32 AST(U/L) 201.98 64.6 46 血清铜蓝蛋白(g/L) 0.13 0.04 0.09 24 h尿铜(Ug/24 h) 未测 200.9 未测 角膜K-F环 阴性 阴性 阳性 ATP7B基因型 c.2662A>C/p.Thr888Pro c.2662A>C/p.Thr888Pro 未测 表 2 既往报道HLD患者病例特点
Table 2. Characteristics of previously reported cases of HLD patients
特点 患者 发病年龄(岁) 46 性别 女 神经和/或精神症状 阳性 肝损伤 阳性 角膜K-F环 阳性 血清铜蓝蛋白(mg/L) 103 (参考范围180~450 mg/L) ATP7B基因型 c.2662A>C/p.Thr888Pro -
[1] BANDMANN O, WEISS KH, KALER SG. Wilson's disease and other neurological copper disorders[J]. Lancet Neurol, 2015, 14(1): 103-113. DOI: 10.1016/S1474-4422(14)70190-5. [2] LO C, BANDMANN O. Epidemiology and introduction to the clinical presentation of Wilson disease[J]. Handb Clin Neurol, 2017, 142: 7-17. DOI: 10.1016/B978-0-444-63625-6.00002-1. [3] XIONG F, KUAI Y, XIE SY, et al. The necessity for hepatolenticular degeneration screening among children based on the different results of two cases[J/CD]. Chin J Liver Dis(Electronic Edition), 2021, 13(2): 69-72. DOI: 10.3969/j.issn.1674-7380.2021.02.012.熊复, 蒯钰, 谢双宇, 等. 从2例患儿的不同结局探讨儿童肝豆状核变性筛查的必要性[J/CD]. 中国肝脏病杂志(电子版), 2021, 13(2): 69-72. DOI: 10.3969/j.issn.1674-7380.2021.02.012. [4] Neurogenetics Group, Neurology Branch of Chinese Medical Association, Chinese guidelines for diagnosis and treatment of Wilson's disease 2021[J]. Chin J Neurol, 2021, 54(4): 310-319. DOI: 10.3760/cma.j.cn113694-20200826-00661.中华医学会神经病学分会神经遗传学组. 中国肝豆状核变性诊治指南2021[J]. 中华神经科杂志, 2021, 54(4): 310-319. DOI: 10.3760/cma.j.cn113694-20200826-00661. [5] DING XR, JIA XF, SHI N, et al. Hepatolenticular degeneration in two sisters with liver disease as the first symptom[J/CD]. Chin J Clin(Electronic Edition), 2018, 12(6): 366-367. DOI: 10.3877/cma.j.issn.1674-0785.2018.06.011.丁晓蕊, 贾兴芳, 史宁, 等. 以肝病为首发症状姐妹2人肝豆状核变性[J/CD]. 中华临床医师杂志(电子版), 2018, 12(6): 366-367. DOI: 10.3877/cma.j.issn.1674-0785.2018.06.011. [6] ZHANG S, LI L, W ANG J. Wilson disease patient with rare heterozygous mutations in ATP7B accompanied by distinctive nocturnal enuresis: A case report[J]. Medicine (Baltimore), 2020, 99(28): e20997. DOI: 10.1097/MD.0000000000020997. [7] MERLE U, SCHAEFER M, FERENCI P, et al. Clinical presentation, diagnosis and long-term outcome of Wilson's disease: A cohort study[J]. Gut, 2007, 56(1): 115-120. DOI: 10.1136/gut.2005.087262.Epub2006May18. [8] SCHEIBER IF, BRŠHA R, DUǓEK P. Pathogenesis of Wilson disease[J]. Handb Clin Neurol, 2017, 142: 43-55. DOI: 10.1016/B978-0-444-63625-6.00005-7. [9] Parkinson's Disease and Movement Disorders Group of Neurology Branch of Chinese Medical Association, Neurogenetics Group, Chinese Medical Association Neurology Branch. Guidelines for the diagnosis and treatment of hepatolenticular degeneration[J]. Chin J Neurol, 2008, 41(8): 566-569. DOI: 10.3321/j.issn:1006-7876.2008.08.022.中华医学会神经病学分会帕金森病及运动障碍学组, 中华医学会神经病学分会神经遗传病学组. 肝豆状核变性的诊断与治疗指南[J]. 中华神经科杂志, 2008, 41(8): 566-569. DOI: 10.3321/j.issn:1006-7876.2008.08.022. [10] STENSON PD, MORT M, BALL EV, et al. The Human Gene Mutation Database: Towards a comprehensive repository of inherited mutation data for medical research, genetic diagnosis and next-generation sequencing studies[J]. Hum Genet, 2017, 136(6): 665-677. DOI: 10.1007/s00439-017-1779-6. [11] SAPUPPO A, PAVONE P, PRATICÒ AD, et al. Genotype-phenotype variable correlation in Wilson disease: Clinical history of two sisters with the similar genotype[J]. BMC Med Genet, 2020, 21(1): 128. DOI: 10.1186/s12881-020-01062-6. [12] DONG Y, NI W, CHEN WJ, et al. Spectrum and classificationof ATP7B variants in a large cohort of Chinese patients with Wilson's disease guides genetic diagnosis[J]. Theranostics, 2016, 6(5): 638-649. DOI: 10.7150/thno.14596. [13] XIAO H, DENG S, DENG X, et al. Mutation analysis of the ATP7B gene in seven Chinese families with Wilson's Disease[J]. Digestion, 2019, 99(4): 319-326. DOI: 10.1159/000493314. [14] CHABIK G, LITWIN T, CZLONKOWSKA A. Concordance rates of Wilson's disease phenotype among siblings[J]. J Inherit Metab Dis, 2014, 37(1): 131-135. DOI: 10.1007/s10545-013-9625-z. [15] CHENG N, WANG H, WU W, et al. Spectrum of ATP7B mutations and genotype-phenotype correlation in large-scale Chinese patients with Wilson Disease[J]. Clin Genet, 2017, 92(1): 69-79. DOI: 10.1111/cge.12951. [16] EINER C, LEITZINGER C, LICHTMANNEGGER J, et al. A high-calorie diet aggravates mitochondrial dysfunction and triggers severe liver damage in Wilson Disease rats[J]. Cell Mol Gastroenterol Hepatol, 2019, 7(3): 571-596. DOI: 10.1016/j.jcmgh.2018.12.005. [17] ZHOU SM, GUO LP, CAI WF, et al. Latest advances in the treatment of hepatolenticular degeneration[J]. J Clin Hepatol, 2020, 36(1): 218-221. DOI: 10.3969/j.issn.1001-5256.2020.01.052.周思敏, 郭丽萍, 蔡王锋, 等. 肝豆状核变性的治疗现状[J]. 临床肝胆病杂志, 2020, 36(1): 218-221. DOI: 10.3969/j.issn.1001-5256.2020.01.052. [18] FANNI D, GEROSA C, NURCHI VM, et al. Copper-induced epigenetic changes shape the clinical phenotype in Wilson's Disease[J]. Curr Med Chem, 2021, 28(14): 2707-2716. DOI: 10.2174/0929867327666200730214757
计量
- 文章访问数: 456
- HTML全文浏览量: 96
- PDF下载量: 34
- 被引次数: 0