Nucleotides

核苷酸
  • 文章类型: Journal Article
    一些研究表明,病毒的核苷酸和二核苷酸组成可能遵循其宿主物种或蛋白质编码区。然而,病毒片段对病毒核苷酸和二核苷酸组成的影响尚不清楚。这里,我们通过番茄斑萎病毒(TSWV)进行了探索,一种分段的病毒,严重威胁着全世界西红柿的生产。通过核苷酸组成分析,我们发现A在所有病毒片段的第一和第二密码子位置都有相同的过度表达,但它在第三个密码子位置表现出不同的片段。有趣的是,由相同或不同片段编码的蛋白质编码区表现出明显不同的核苷酸偏好。然后,我们发现,二核苷酸UpG和CpU被过度代表,二核苷酸UpA,CpG和GpU代表性不足,不仅在完整的基因组序列中,而且在不同的领域,蛋白质编码区和宿主物种。值得注意的是,这里调查的数据的100%被预测到正确的病毒片段和蛋白质编码区,尽管在这里分析的数据中只有67%被预测为正确的病毒宿主物种。总之,在TSWV的案例研究中,片段病毒的核苷酸组成和二核苷酸偏好更强烈地依赖于片段和蛋白质编码区,而不是宿主物种。本研究为研究TSWV的分子进化机制提供了新的视角,为今后分段病毒遗传多样性研究提供了参考。
    Several studies have showed that the nucleotide and dinucleotide composition of viruses possibly follows their host species or protein coding region. Nevertheless, the influence of viral segment on viral nucleotide and dinucleotide composition is still unknown. Here, we explored through tomato spotted wilt virus (TSWV), a segmented virus that seriously threatens the production of tomatoes all over the world. Through nucleotide composition analysis, we found the same over-representation of A across all viral segments at the first and second codon position, but it exhibited distinct in segments at the third codon position. Interestingly, the protein coding regions which encoded by the same or different segments exhibit obvious distinct nucleotide preference. Then, we found that the dinucleotides UpG and CpU were overrepresented and the dinucleotides UpA, CpG and GpU were underrepresented, not only in the complete genomic sequences, but also in different segments, protein coding regions and host species. Notably, 100% of the data investigated here were predicted to the correct viral segment and protein coding region, despite the fact that only 67% of the data analyzed here were predicted to the correct viral host species. In conclusion, in case study of TSWV, nucleotide composition and dinucleotide preference of segment viruses are more strongly dependent on segment and protein coding region than on host species. This research provides a novel perspective on the molecular evolutionary mechanisms of TSWV and provides reference for future research on genetic diversity of segmented viruses.
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  • 文章类型: Case Reports
    经典途径(CP)的早期补体成分的缺陷与系统性红斑狼疮(SLE)或SLE样综合征和严重的化脓性感染有关。其中,到目前为止,已经报告了9例完全的C1缺乏症。这里,我们描述了一名34岁的男性患者,从童年开始反复感染,包括肺炎球菌和脑膜炎球菌,丹毒,皮下脓肿,和上呼吸道的反复感染。患者还表现为成人发作性SLE,符合ACR标准的7/11和2019年EULAR/ACR分类标准的34,以及IV-G(A)类增生性狼疮性肾炎(LN)。补体级联的筛选显示出不可估量的低CH50,而替代途径(AP)功能正常。随后的补体成分测定显示无法检测到C1r和C1q水平低的C1s,C3正常,C4和C2浓度略有升高。患者没有抗C1q抗体。肾活检显示IV-G(A)LN类,补体C1q阳性沿肾小球基底膜(GBM)和IgG弱沉积,IgM,补片和GBM中的C3和C4。在基于ELISA的功能测定C4d沉积中,患者的补体活性缺失通过添加C1完全恢复。通过全基因组测序分析患者的基因组,显示C1S基因中的两个截短变体。一个突变位于外显子5的核苷酸514,由G到T的核苷酸取代引起,导致Gly172的无义突变(p。Gly172*)。另一个突变位于外显子7的核苷酸750,其中C被G取代,导致Tyr250的无义突变(p.Tyr250*).两种突变都产生过早的终止密码子,并且以前在文献中没有报道过。这些基因发现,再加上循环中没有C1,强烈提示我们的患者存在复合杂合子C1s缺乏症,在补体级联中没有额外的缺陷。与之前的C1缺陷案例一样,患者对利妥昔单抗反应良好.本病例强调了关于CP在SLE病因发病机制中的作用的悬而未决的问题。
    Deficiencies of the early complement components of the classical pathway (CP) are well-documented in association with systemic lupus erythematosus (SLE) or SLE-like syndromes and severe pyogenic infections. Among these, complete C1s deficiency has been reported in nine cases so far. Here, we describe a 34-year-old male patient who presented with severe, recurrent infections since childhood, including meningitides with pneumococci and meningococci, erysipelas, subcutaneous abscess, and recurrent infections of the upper airways. The patient also exhibited adult-onset SLE, meeting 7/11 of the ACR criteria and 34 of the 2019 EULAR/ACR classification criteria, along with class IV-G (A) proliferative lupus nephritis (LN). A screening of the complement cascade showed immeasurably low CH50, while the alternative pathway (AP) function was normal. Subsequent determination of complement components revealed undetectable C1s with low levels of C1r and C1q, normal C3, and slightly elevated C4 and C2 concentrations. The patient had no anti-C1q antibodies. Renal biopsy showed class IV-G (A) LN with complement C1q positivity along the glomerular basement membranes (GBMs) and weak deposition of IgG, IgM, and complement C3 and C4 in the mesangium and GBM. In an ELISA-based functional assay determining C4d deposition, the patient\'s absent complement activity was fully restored by adding C1s. The genome of the patient was analyzed by whole genome sequencing showing two truncating variants in the C1S gene. One mutation was located at nucleotide 514 in exon 5, caused by a nucleotide substitution from G to T, resulting in a nonsense mutation from Gly172 (p.Gly172*). The other mutation was located at nucleotide 750 in exon 7, where C was replaced by a G, resulting in a nonsense mutation from Tyr250 (p.Tyr250*). Both mutations create a premature stop codon and have not previously been reported in the literature. These genetic findings, combined with the absence of C1s in the circulation, strongly suggest a compound heterozygote C1s deficiency in our patient, without additional defect within the complement cascade. As in a previous C1s deficiency case, the patient responded well to rituximab. The present case highlights unanswered questions regarding the CP\'s role in SLE etiopathogenesis.
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  • 文章类型: Journal Article
    天然核苷是非荧光的并且不具有可以容易地用于分析核酸结构和识别的内在标记。在这方面,研究人员通常使用所谓的“一个标签,一种技术“研究核酸的方法”。然而,我们设想了一种响应式双应用核苷系统,它利用了两种互补的生物物理技术的力量,即,荧光和19FNMR,将允许比以前更全面地研究核酸构象。我们最近通过在2'-脱氧尿苷的C5位置标记三氟甲基-苯并呋喃来引入核苷类似物,它是一种出色的荧光和19FNMR探针,用于研究G-四链体和i-基序结构。向前看,在这里,我们报道了双app探针核糖核苷酸版本的开发,用于监测抗生素诱导的RNA构象变化.核糖核苷酸类似物通过在尿苷的C5位置缀合三氟甲基-苯并呋喃(TFBF-UTP)而衍生。通过T7RNA聚合酶有效地掺入类似物以产生官能化的RNA转录物。掺入RNA寡核苷酸中的核苷和核苷酸的详细光物理和19FNMR表明,该类似物在结构上具有最小的侵入性,可用于通过荧光和19FNMR技术探测RNA构象。使用探头,我们监测并估计了与细菌核糖体解码位点RNA结合的氨基糖苷类抗生素(A位点,一个非常重要的RNA靶标)。而2-氨基嘌呤,著名的荧光核酸探针,未能检测到与A位点结合的结构相似的氨基糖苷类抗生素,我们的探针报告了不同氨基糖苷与A位点的结合。一起来看,我们的结果表明,TFBF-UTP是核酸分析工具箱中非常有用的补充,可用于设计发现平台,以鉴定具有治疗潜力的新RNA结合剂.
    Natural nucleosides are nonfluorescent and do not have intrinsic labels that can be readily utilized for analyzing nucleic acid structure and recognition. In this regard, researchers typically use the so-called \"one-label, one-technique\" approach to study nucleic acids. However, we envisioned that a responsive dual-app nucleoside system that harnesses the power of two complementing biophysical techniques namely, fluorescence and 19F NMR, will allow the investigation of nucleic acid conformations more comprehensively than before. We recently introduced a nucleoside analogue by tagging trifluoromethyl-benzofuran at the C5 position of 2\'-deoxyuridine, which serves as an excellent fluorescent and 19F NMR probe to study G-quadruplex and i-motif structures. Taking forward, here, we report the development of a ribonucleotide version of the dual-app probe to monitor antibiotics-induced conformational changes in RNA. The ribonucleotide analog is derived by conjugating trifluoromethyl-benzofuran at the C5 position of uridine (TFBF-UTP). The analog is efficiently incorporated by T7 RNA polymerase to produce functionalized RNA transcripts. Detailed photophysical and 19F NMR of the nucleoside and nucleotide incorporated into RNA oligonucleotides revealed that the analog is structurally minimally invasive and can be used for probing RNA conformations by fluorescence and 19F NMR techniques. Using the probe, we monitored and estimated aminoglycoside antibiotics binding to the bacterial ribosomal decoding site RNA (A-site, a very important RNA target). While 2-aminopurine, a famous fluorescent nucleic acid probe, fails to detect structurally similar aminoglycoside antibiotics binding to the A-site, our probe reports the binding of different aminoglycosides to the A-site. Taken together, our results demonstrate that TFBF-UTP is a very useful addition to the nucleic acid analysis toolbox and could be used to devise discovery platforms to identify new RNA binders of therapeutic potential.
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  • 文章类型: Case Reports
    背景:由非结核分枝杆菌感染引起的肠道非结核分枝杆菌病的临床表现与肠结核和炎症性肠病相似,导致临床诊断困难。
    方法:自2021年4月以来,一名42岁男性患者因腹泻和间歇性便血于2021年6月入住吉林大学中日友好医院。通过结肠镜检查和中横结肠活检诊断为炎症性肠道疾病。然而,美沙拉嗪治疗2个月后症状未缓解.2021年8月,该患者因疑似肠结核入院门诊。“根据病理学和基于核苷酸的基质辅助激光解吸/电离飞行时间质谱(MALDI-TOFMS)确认了肠道非结核性分枝杆菌病的诊断。抗分枝杆菌治疗2周后,病人的腹泻缓解了,便血不再出现。2021年11月,重新结肠镜检查发现回盲瓣和升结肠有散见性糜烂和溃疡,而基于核苷酸的MALDI-TOFMS和下一代测序仍然可以检测细胞内分枝杆菌。
    结论:本研究报告了一名患者,通过结肠镜活检和基于核苷酸的MALDI-TOFMS诊断为肠道非结核分枝杆菌病,抗分枝杆菌治疗后症状缓解。
    BACKGROUND: Intestinal nontuberculous mycobacteriosis due to nontuberculous mycobacteria infection has clinical manifestations similar to intestinal tuberculosis and inflammatory bowel disease, causing difficulties in clinical diagnosis.
    METHODS: A 42-year-old male patient was admitted to the Sino-Japanese Friendship Hospital of Jilin University in June 2021 for diarrhea and intermittent hematochezia since April 2021. He was diagnosed with inflammatory intestinal disease by colonoscopy and midtransverse colon biopsy. However, the symptoms did not relieve after 2 months of mesalazine treatment. In August 2021, the patient was admitted to the outpatient department for suspected \"intestinal tuberculosis.\" A diagnosis of intestinal nontuberculous mycobacteriosis was confirmed based on pathology and nucleotide-based matrix-assisted laser desorption/ionization time of flight mass spectrometry (MALDI-TOF MS). After 2 weeks of antimycobacterial therapy, the patient\'s diarrhea was relieved, and hematochezia no longer appeared. In November 2021, recolonoscopy revealed scattered erosions and ulcers in ileocecal valve and ascending colon, while both nucleotide-based MALDI-TOF MS and next-generation sequencing could still detect Mycobacterium intracellulare.
    CONCLUSIONS: This study reported a patient with an intestinal nontuberculous mycobacteriosis diagnosed by colonoscopy biopsy and nucleotide-based MALDI-TOF MS, and symptoms were relieved after antimycobacterial treatment.
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  • 文章类型: Journal Article
    由肌肉功能障碍引起的持续性高CKA血症通常归因于肌肉相关基因的遗传改变,如肌营养不良蛋白基因(DMD)。DMD分析结果的回顾性评估,与持续性高CK血症相关,进行了。
    评估1996-2021年期间转诊的1354例无关病例的病历。关于DMD基因重排和核苷酸变体检测的数据评估。
    总共730例(657例,确定了569个希腊语和88个阿尔巴尼亚语),从而可以对〜1:3800名男性活产的肌营养不良蛋白病发病率进行总体估计。275个不同的DMD改变的异质谱包括外显子缺失/重复,核苷酸变体,和罕见的事件,如染色体易位{t(X;20)},连续的基因缺失和涉及DMD和DOCK8基因的融合基因。种族特异性的发现包括外显子36中的一个常见创始人变体(\'希腊\'变体)。
    大约50%的高CKemia病例以肌养蛋白病为特征,强调DMD变异可能被认为是希腊高CK血症的最常见原因。广泛的遗传和临床异质性的划定是可行的公共卫生决策和治疗诊断的基础,以及建立解决道德考虑的指导方针,特别是与轻度无症状患者亚组有关。
    UNASSIGNED: Persistent hyperCKemia results from muscle dysfunction often attributed to genetic alterations of muscle-related genes, such as the dystrophin gene (DMD). Retrospective assessment of findings from DMD analysis, in association with persistent HyperCKemia, was conducted.
    UNASSIGNED: Evaluation of medical records from 1354 unrelated cases referred during the period 1996-2021. Assessment of data concerning the detection of DMD gene rearrangements and nucleotide variants.
    UNASSIGNED: A total of 730 individuals (657 cases, 569 of Greek and 88 of Albanian origins) were identified, allowing an overall estimation of dystrophinopathy incidence at ~1:3800 live male births. The heterogeneous spectrum of 275 distinct DMD alterations comprised exon(s) deletions/duplications, nucleotide variants, and rare events, such as chromosome translocation {t(X;20)}, contiguous gene deletions, and a fused gene involving the DMD and the DOCK8 genes. Ethnic-specific findings include a common founder variant in exon 36 (\'Hellenic\' variant).
    UNASSIGNED: Some 50% of hyperCKemia cases were characterized as dystrophinopathies, highlighting that DMD variants may be considered the most common cause of hyperCKemia in Greece. Delineation of the broad genetic and clinical heterogeneity is fundamental for actionable public health decisions and theragnosis, as well as the establishment of guidelines addressing ethical considerations, especially related to the mild asymptomatic patient subgroup.
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  • 文章类型: Journal Article
    修饰的核苷酸普遍存在于RNA中。也与靶向核糖体的药物接触。这是否代表药物-核糖体复合物的稳定,从而影响药物的亲和力和可能的内在功效,仍然是一个悬而未决的问题,however.回答这个问题的挑战是目前临床使用的唯一靶向人类核糖体的小分子,抗肿瘤植物生物碱高三尖杉酯碱(HHT)。该方法包括从显式水中的QM-MM模拟中解剖HHT-核苷酸相互作用能。出现的是一个主要是弱相互作用的网络,具有标准核苷酸和单个修饰核苷酸的分支HHT,在PCT的A站点中存在的四个。这与小的情况不同,紧凑型海洋抗肿瘤生物碱agelastinA,只显示几个,虽然强大,与位点A核糖体核苷酸的相互作用。这应该有助于定制靶向核糖体的药物。p{页边距-底部:0.25cm;方向:ltr;颜色:#000000;行高:115%;文本对齐:左;孤儿:2;寡妇:2;背景:透明}p.western{font-family:\"TimesNewRoman\",衬线;字体大小:11pt;so-language:en-US}p.cjk{font-family:\"DejaVuSans\";font-size:11pt;so-language:zh-CN}p.ctl{font-family:\"DejaVuSans\";font-size:12pt;so-language:hi-IN}a:link{color:#000080;so-language:zxx;text-demoration:underline}。
    Modified nucleotides are ubiquitous with RNAs, also in contact with drugs that target the ribosome. Whether this represents a stabilization of the drug-ribosome complex, thus affecting the drug\'s affinity and possibly also intrinsic efficacy, remains an open question, however. The challenge of answering this question has been taken here with the only human-ribosome-targeting small-molecule currently in clinical use, the antitumor plant alkaloid homoharringtonine (HHT). The approach consisted in dissecting HHT-nucleotide interaction energies from QM-MM simulations in explicit water. What emerged is a network of mostly weak interactions of the large, branched HHT with standard nucleotides and a single modified nucleotide, out of the four ones present at PCT\'s A site. This is unlike the case of the small, compact marine antitumor alkaloid agelastatin A, which displays only a few, albeit strong, interactions with site-A ribosome nucleotides. This should aid tailoring drugs targeting the ribosome.
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  • 文章类型: Journal Article
    形态学特征和DNA测序用于鉴定血头菌属的类细菌。从新不伦瑞克省北部感染粘质的sculpin(Cottuscognatus),并在芬迪国家公园(FNP,新不伦瑞克省)。据我们所知,以前的出版物没有记录新不伦瑞克省的任何一个节食,加拿大。Blaknosedace代表了肠乳杆菌的新宿主记录。基于是否存在分段进行鉴定,并对部分烟酰胺腺嘌呤二核苷酸脱氢酶亚基1(ND1;线粒体DNA)和/或部分细胞色素c氧化酶亚基1(COI;线粒体DNA)进行测序。在NCBIGenBank数据库中,基于与该物种的COI的>99%核苷酸同一性,将FNP中的backnosedace中的plerocercoids鉴定为Ligulaintestinalis。来自新不伦瑞克省北部的黏糊糊的鳞茎类动物被鉴定为Schistocephalussp。基于NCBIGenBank数据库中与同系物的高核苷酸同一性。缺乏与我们的标本具有足够高百分比同一性的GenBank条目,和这个属中潜在的物种杂种,阻止了对血头菌的物种水平鉴定。plerocercoids目前。以前没有这些昆虫的文献可能反映了最近的环境变化,促进了这些寄生虫的传播,这些寄生虫可以调节宿主鱼的行为,诱导寄主鱼类不育,并为流行病学做出贡献。
    Morphological characteristics and DNA sequencing were used to identify plerocercoids of a Schistocephalus sp. infecting slimy sculpin (Cottus cognatus) from northern New Brunswick and plerocercoids of Ligula intestinalis infecting blacknose dace (Rhinichthys atratulus) in Fundy National Park (FNP, New Brunswick). To our knowledge, no previous publications documented either cestode from New Brunswick, Canada. Blacknose dace represent a new host record for L. intestinalis. Identifications were made based on the presence or absence of segmentation and sequencing partial nicotinamide adenine dinucleotide dehydrogenase subunit 1 (ND1; mitochondrial DNA) and/or partial cytochrome c oxidase subunit 1 (COI; mitochondrial DNA). Plerocercoids from blacknose dace in FNP were identified as Ligula intestinalis based on >99% nucleotide identity with COI for this species in the NCBI GenBank database. Plerocercoids in slimy sculpin from northern New Brunswick were identified as a Schistocephalus sp. based on high nucleotide identity with congenerics in the NCBI GenBank database. The absence of GenBank entries with sufficient high percent identity to our specimens, and potential species hybrids in this genus, prevents species-level identification of Schistocephalus sp. plerocercoids currently. The absence of previous documentation of these cestodes might reflect recent environmental change promoting the transmission of these parasites that can modulate host fish behavior, induce sterility of host fishes, and contribute to epizootics.
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  • 文章类型: Journal Article
    辅因子是许多酶的重要组成部分,因此它们的结构表征,生物物理,生化方法对于理解由此产生的催化和调节机制至关重要。在这一章中,我们提供了一个最近发现的辅因子的案例研究,镍夹式核苷酸(NPN),通过证明我们如何鉴定和彻底表征这种前所未有的含镍辅酶,该辅酶与植物乳杆菌的乳糖酶消旋酶相连。此外,我们描述了如何通过lar操纵子中编码的一组蛋白质生物合成NPN辅因子,并描述了这些新型酶的特性。对含NPN的乳酸消旋酶(LarA)和羧化酶/水解酶(LarB)进行功能和机理研究的综合方案,硫转移酶(LarE),和用于NPN生物合成的金属插入酶(LarC)被提供用于表征相同或同源家族中的酶的潜在应用。
    Cofactors are essential components of numerous enzymes, therefore their characterization by structural, biophysical, and biochemical approaches is crucial for understanding the resulting catalytic and regulatory mechanisms. In this chapter, we present a case study of a recently discovered cofactor, the nickel-pincer nucleotide (NPN), by demonstrating how we identified and thoroughly characterized this unprecedented nickel-containing coenzyme that is tethered to lactase racemase from Lactiplantibacillus plantarum. In addition, we describe how the NPN cofactor is biosynthesized by a panel of proteins encoded in the lar operon and describe the properties of these novel enzymes. Comprehensive protocols for conducting functional and mechanistic studies of NPN-containing lactate racemase (LarA) and the carboxylase/hydrolase (LarB), sulfur transferase (LarE), and metal insertase (LarC) used for NPN biosynthesis are provided for potential applications towards characterizing enzymes in the same or homologous families.
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  • 文章类型: Journal Article
    末端脱氧核苷酸转移酶(TdT)是一种非模板依赖性DNA聚合酶,在人类适应性免疫系统中起着至关重要的作用,并在几种类型的白血病中上调。因此,它作为白血病生物标志物和潜在的治疗靶标获得了兴趣。在这里,我们描述了一种基于大小扩展的脱氧腺苷的FRET淬灭的荧光探针,该探针直接报告了TdT的酶活性。该探针能够实时检测引物延伸和TdT的从头合成活性,并显示出对其他聚合酶和磷酸酶的选择性。重要的是,可以使用简单的荧光测定法在人T淋巴细胞提取物和Jurkat细胞中监测TdT活性及其对混杂聚合酶抑制剂处理的反应。最后,在高通量测定中使用该探针可鉴定出非核苷TdT抑制剂。
    Terminal deoxynucleotidyl Transferase (TdT) is a template-independent DNA polymerase that plays an essential role in the human adaptive immune system and is upregulated in several types of leukemia. It has therefore gained interest as a leukemia biomarker and potential therapeutic target. Herein, we describe a FRET-quenched fluorogenic probe based on a size-expanded deoxyadenosine that reports directly on TdT enzymatic activity. The probe enables real-time detection of primer extension and de novo synthesis activity of TdT and displays selectivity over other polymerase and phosphatase enzymes. Importantly, TdT activity and its response to treatment with a promiscuous polymerase inhibitor could be monitored in human T-lymphocyte cell extract and Jurkat cells using a simple fluorescence assay. Finally, employing the probe in a high-throughput assay resulted in the identification of a non-nucleoside TdT inhibitor.
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  • 文章类型: Case Reports
    为了进一步描述Lamb-Shaffer综合征(LSS)的临床表型,通过UKDecipher数据库或临床医生直接联系了研究小组,确定了16名未发表的SOX5杂合变异患者。由其负责的临床遗传学家为每位患者完成临床表型表。比较照片和临床特征以评估关键表型和基因型-表型相关性。我们报告了16种SOX5变体,所有这些变体都符合美国医学遗传学学院/临床基因组科学协会的ACMG/ACGS标准IV类或V类。7/16具有SOX5的基因内缺失,9/16具有单核苷酸变体(包括截短和错义变体)。该队列包括两组单卵双胞胎,在一个家庭中注意到父母的性腺镶嵌性。将这16例患者的队列与先前报道的71例病例进行比较,并证实了先前的表型发现。不出所料,最常见的发现包括全球发育迟缓和突出的言语迟缓,轻度至中度智力残疾,行为异常和有时微妙的特征性面部特征。我们对行为表型进行了更详细的扩展,并观察到单核苷酸变异患者的生长参数降低和小头畸形的趋势更大。该队列提供了SOX5变体中性腺镶嵌的进一步证据;在为有一个受影响的孩子和一个明显的从头变异的夫妇提供遗传咨询时,应该考虑这一点。
    To delineate further the clinical phenotype of Lamb-Shaffer Syndrome (LSS) 16 unpublished patients with heterozygous variation in SOX5 were identified either through the UK Decipher database or the study team was contacted by clinicians directly. Clinical phenotyping tables were completed for each patient by their responsible clinical geneticist. Photos and clinical features were compared to assess key phenotypes and genotype-phenotype correlation. We report 16 SOX5 variants all of which meet American College of Medical Genetics/Association for Clinical Genomic Science ACMG/ACGS criteria class IV or V. 7/16 have intragenic deletions of SOX5 and 9/16 have single nucleotide variants (including both truncating and missense variants). The cohort includes two sets of monozygotic twins and parental gonadal mosaicism is noted in one family. This cohort of 16 patients is compared with the 71 previously reported cases and corroborates previous phenotypic findings. As expected, the most common findings include global developmental delay with prominent speech delay, mild to moderate intellectual disability, behavioral abnormalities and sometimes subtle characteristic facial features. We expand in more detail on the behavioral phenotype and observe that there is a greater tendency toward lower growth parameters and microcephaly in patients with single nucleotide variants. This cohort provides further evidence of gonadal mosaicism in SOX5 variants; this should be considered when providing genetic counseling for couples with one affected child and an apparently de novo variant.
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