COL11A1

COL11A1
  • 文章类型: Journal Article
    Stickler综合征(STL)是由胶原蛋白编码基因的致病变异引起的胶原病,主要与Stickler综合征1型(STL1)或2型(STL2)相关的COL2A1或COL11A1,分别。受影响的个体表现为眼部,听觉,关节,和不同程度的颅面发现。先前的文献和病例报告描述了STL患者临床发现的高度变异性。有了这个病例报告,我们拓宽了表型的临床范围。
    关于一个家庭的两个成员(母亲和儿子)的病例报告,包括使用靶向三体全外显子组测序(trio-WES)的临床检查和基因检测。
    一个男孩和他的母亲出现了小眼症,先天性白内障,上睑下垂,和中度至重度感音神经性听力损失。Trio-WES发现了一个新的杂合子错义变体,c.4526A>G;COL11A1中的p(Gln1509Arg)在两个受影响的个体中。
    我们报告了一个先前未描述的表型,该表型与母亲和儿子的COL11A1变体相关,扩大STL2中表型-基因型相关性的范围,表现为小眼症,先天性白内障,上睑下垂通常与Stickler综合征无关。
    UNASSIGNED: Stickler syndrome (STL) is a collagenopathy caused by pathogenic variants in collagen-coding genes, mainly COL2A1 or COL11A1 associated with Stickler syndrome type 1 (STL1) or type 2 (STL2), respectively. Affected individuals manifest ocular, auditory, articular, and craniofacial findings in varying degrees. Previous literature and case reports describe high variability in clinical findings for patients with STL. With this case report, we broaden the clinical spectrum of the phenotype.
    UNASSIGNED: Case report on two members of a family (mother and son) including clinical examination and genetic testing using targeted trio whole exome sequencing (trio-WES).
    UNASSIGNED: A boy and his mother presented with microphthalmia, congenital cataract, ptosis, and moderate-to-severe sensorineural hearing loss. Trio-WES found a novel heterozygote missense variant, c.4526A>G; p(Gln1509Arg) in COL11A1 in both affected individuals.
    UNASSIGNED: We report a previously undescribed phenotype associated with a COL11A1-variant in a mother and son, expanding the spectrum for phenotype-genotype correlation in STL2, presenting with microphthalmia, congenital cataract, and ptosis not normally associated with Stickler syndrome.
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  • 文章类型: Case Reports
    Inherited eye disorders are genetically determined conditions that are present from birth and usually manifest early, although some may develop later in life. Despite their low incidence, they are a common etiology of pediatric blindness. The occurrence of more than one such disease in a patient is very rare.
    Case series of two unrelated patients with simultaneous Stargardt disease (STGD1) as well as Stickler\'s Syndrome (SS), both genetically confirmed.
    Patient 1: 13-year-old girl was referred for unexplained bilateral decreased vision for 6 months. She had a clinical diagnosis of SS, same as her mother. Her visual acuity was 20/200 with high myopia in both eyes. Her fundus showed foveal/perifoveal atrophy, retinal pigment epithelium (RPE) changes and beaded vitreous. Goldman visual fields (GVF) revealed enlarged blind spots with central depression. A macular dystrophy was suspected. Genetic testing revealed SS, COL11A1 gene mutation; and STGD1, ABCA4 gene mutation. Patient 2: 67-year-old female with a history of hearing loss, cleft palate, strabismus and myopia, same as her daughter and granddaughters. Her visual acuity was 20/400 and 20/250 with high myopia in both eyes. Her fundus showed macular pigment clumping and RPE atrophy with no vitreous abnormality. GVF revealed a relative central scotoma with generalized constriction. Genetic testing revealed SS, COL11A2 gene mutation; and STGD1, ABCA4 gene mutation.
    If a patient\'s signs/symptoms cannot be explained by the working/known diagnosis, additional work up should be pursued for concomitant diseases. SS and STGD1 are commonly diagnosed inherited eye disorders and can coexist in one patient on rare occasions.
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