ras GTPase-Activating Proteins

ras GTP 酶激活蛋白
  • 文章类型: Journal Article
    目的:本研究旨在通过磷酸化蛋白质组学分析阐明SOX4/MAPK1调节轴介导的IQGAP1磷酸化修饰在胰腺癌发展中的功能作用。
    方法:胰腺癌的蛋白质组学和磷酸蛋白质组学数据来自临床蛋白质组学肿瘤分析联盟(CPTAC)数据库。差异分析,激酶-底物富集分析(KSEA),并对这些数据集进行独立预后分析.根据预后相关蛋白的表达对胰腺癌患者进行亚型分析,并通过预后分析评估不同亚型的预后。对不同亚型中的蛋白质进行差异分析以鉴定高风险亚型中的差异蛋白质。根据预后相关蛋白的表达进行临床相关性分析,胰腺癌分型结果,和胰腺癌蛋白质组学数据集中的临床特征。使用GSEA/GO/KEGG进行功能途径富集分析,并且使用WGCNA分析选择与胰腺癌相关的大多数模块蛋白。在细胞实验中,胰腺癌细胞被分组,通过RT-qPCR和Westernblot实验检测SOX4,MAPK1的表达水平和IQGAP1的磷酸化水平。SOX4对MAPK1启动子转录活性的影响使用双荧光素酶测定来评估,并使用ChIP测定法检查MAPK1启动子上SOX4的富集。扩散,迁移,使用CCK-8,集落形成评估分组胰腺癌细胞的侵袭功能,和Transwell分析。在动物实验中,通过构建皮下和原位胰腺癌异种移植模型,研究了SOX4通过调节MAPK1-IQGAP1磷酸化修饰对肿瘤生长和转移的影响,以及裸鼠肝转移模型。
    结果:磷酸化蛋白质组学和蛋白质组学数据分析显示,激酶MAPK1可能通过促进IQGAP1磷酸化修饰在胰腺癌进展中发挥重要作用。蛋白质组学分析将胰腺癌患者分为两种亚型,C1和C2,其中高风险C2亚型与不良预后相关,恶性肿瘤分型,和丰富的肿瘤相关通路。SOX4可能通过调节MAPK1-IQGAP1磷酸化修饰促进胰腺癌高危C2亚型的发生。体外细胞实验证实,SOX4通过激活MAPK1转录促进IQGAP1磷酸化修饰,沉默SOX4抑制增殖,迁移,通过降低MAPK1-IQGAP1的磷酸化水平来实现胰腺癌细胞的侵袭。在体内,动物实验进一步证实沉默SOX4通过降低MAPK1-IQGAP1的磷酸化水平抑制胰腺癌的生长和转移。
    结论:这项研究的结果表明,SOX4通过激活MAPK1转录促进IQGAP1的磷酸化修饰,从而促进胰腺癌的生长和转移。
    OBJECTIVE: This study aims to elucidate the functional role of IQGAP1 phosphorylation modification mediated by the SOX4/MAPK1 regulatory axis in developing pancreatic cancer through phosphoproteomics analysis.
    METHODS: Proteomics and phosphoproteomics data of pancreatic cancer were obtained from the Clinical Proteomic Tumor Analysis Consortium (CPTAC) database. Differential analysis, kinase-substrate enrichment analysis (KSEA), and independent prognosis analysis were performed on these datasets. Subtype analysis of pancreatic cancer patients was conducted based on the expression of prognostic-related proteins, and the prognosis of different subtypes was evaluated through prognosis analysis. Differential analysis of proteins in different subtypes was performed to identify differential proteins in the high-risk subtype. Clinical correlation analysis was conducted based on the expression of prognostic-related proteins, pancreatic cancer typing results, and clinical characteristics in the pancreatic cancer proteomics dataset. Functional pathway enrichment analysis was performed using GSEA/GO/KEGG, and most module proteins correlated with pancreatic cancer were selected using WGCNA analysis. In cell experiments, pancreatic cancer cells were grouped, and the expression levels of SOX4, MAPK1, and the phosphorylation level of IQGAP1 were detected by RT-qPCR and Western blot experiments. The effect of SOX4 on MAPK1 promoter transcriptional activity was assessed using a dual-luciferase assay, and the enrichment of SOX4 on the MAPK1 promoter was examined using a ChIP assay. The proliferation, migration, and invasion functions of grouped pancreatic cancer cells were assessed using CCK-8, colony formation, and Transwell assays. In animal experiments, the impact of SOX4 on tumor growth and metastasis through the regulation of MAPK1-IQGAP1 phosphorylation modification was studied by constructing subcutaneous and orthotopic pancreatic cancer xenograft models, as well as a liver metastasis model in nude mice.
    RESULTS: Phosphoproteomics and proteomics data analysis revealed that the kinase MAPK1 may play an important role in pancreatic cancer progression by promoting IQGAP1 phosphorylation modification. Proteomics analysis classified pancreatic cancer patients into two subtypes, C1 and C2, where the high-risk C2 subtype was associated with poor prognosis, malignant tumor typing, and enriched tumor-related pathways. SOX4 may promote the occurrence of the high-risk C2 subtype of pancreatic cancer by regulating MAPK1-IQGAP1 phosphorylation modification. In vitro cell experiments confirmed that SOX4 promoted IQGAP1 phosphorylation modification by activating MAPK1 transcription while silencing SOX4 inhibited the proliferation, migration, and invasion of pancreatic cancer cells by reducing the phosphorylation level of MAPK1-IQGAP1. In vivo, animal experiments further confirmed that silencing SOX4 suppressed the growth and metastasis of pancreatic cancer by reducing the phosphorylation level of MAPK1-IQGAP1.
    CONCLUSIONS: The findings of this study suggest that SOX4 promotes the phosphorylation modification of IQGAP1 by activating MAPK1 transcription, thereby facilitating the growth and metastasis of pancreatic cancer.
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  • 文章类型: Journal Article
    巨噬细胞吞噬介导细胞外液的非选择性大量摄取,使细胞能够调查环境并获得营养。一组保守的信号蛋白协调了肌动蛋白动力学,导致各种真核生物中的膜皱褶和大克隆体形成。这个信令网络的中心是RasGTPases,其激活有力地刺激巨细胞增多症。然而,在巨噬细胞增多过程中,Ras信号是如何启动和时空调控的,目前尚不清楚。通过使用模型系统Dictyostelium和基于蛋白质组学的方法来鉴定巨细胞增多的调节因子,我们发现了Leep2,由Leep2A和Leep2B组成,作为RasGAP复合体。Leep2复合物专门定位于新兴的大红细胞杯和新生的大红细胞体,其中它通过调节三个Ras家族小GTP酶的活性来调节大克隆体的形成。复合物的缺失或过表达,以及目标RasGTPases的破坏或持续激活,削弱巨噬细胞活动。我们的数据揭示了微调Ras活性在指导巨染色体形成中的关键作用。
    Macropinocytosis mediates the non-selective bulk uptake of extracellular fluid, enabling cells to survey the environment and obtain nutrients. A conserved set of signaling proteins orchestrates the actin dynamics that lead to membrane ruffling and macropinosome formation across various eukaryotic organisms. At the center of this signaling network are Ras GTPases, whose activation potently stimulates macropinocytosis. However, how Ras signaling is initiated and spatiotemporally regulated during macropinocytosis is not well understood. By using the model system Dictyostelium and a proteomics-based approach to identify regulators of macropinocytosis, we uncovered Leep2, consisting of Leep2A and Leep2B, as a RasGAP complex. The Leep2 complex specifically localizes to emerging macropinocytic cups and nascent macropinosomes, where it modulates macropinosome formation by regulating the activities of three Ras family small GTPases. Deletion or overexpression of the complex, as well as disruption or sustained activation of the target Ras GTPases, impairs macropinocytic activity. Our data reveal the critical role of fine-tuning Ras activity in directing macropinosome formation.
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  • 文章类型: Journal Article
    AIDA-1,由ANKS1B编码,是大脑发育所必需的丰富的突触后支架蛋白。ANKS1B的突变与各种精神疾病密切相关。然而,关于AIDA-1在生理和病理生理条件下参与的分子机制知之甚少。这里,我们通过使用AIDA-1d作为诱饵的亲和纯化,发现了AIDA-1与SynGAP家族Ras-GTP酶激活蛋白(GAP)之间的相互作用。生化研究表明,AIDA-1的PTB结构域与SynGAP家族蛋白的扩展NPx[F/Y]基序结合具有高亲和力。与SynGAPNPxF基序复合的AIDA-1PTB结构域的高分辨率晶体结构揭示了控制AIDA-1与SynGAP之间特定相互作用的分子机制。我们的研究不仅解释了为什么ANKS1B或SYNGAP1突变的患者共享重叠的临床表型,但也允许鉴定新的AIDA-1结合靶标,如Ras和Rab相互作用子。
    AIDA-1, encoded by ANKS1B, is an abundant postsynaptic scaffold protein essential for brain development. Mutations of ANKS1B are closely associated with various psychiatric disorders. However, very little is known regarding the molecular mechanisms underlying AIDA-1\'s involvements under physiological and pathophysiological conditions. Here, we discovered an interaction between AIDA-1 and the SynGAP family Ras-GTPase activating protein (GAP) via affinity purification using AIDA-1d as the bait. Biochemical studies showed that the PTB domain of AIDA-1 binds to an extended NPx[F/Y]-motif of the SynGAP family proteins with high affinities. The high-resolution crystal structure of AIDA-1 PTB domain in complex with the SynGAP NPxF-motif revealed the molecular mechanism governing the specific interaction between AIDA-1 and SynGAP. Our study not only explains why patients with ANKS1B or SYNGAP1 mutations share overlapping clinical phenotypes, but also allows identification of new AIDA-1 binding targets such as Ras and Rab interactors.
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  • 文章类型: Journal Article
    直肠腺癌(READ)是一种常见的消化道恶性肿瘤。越来越多的研究证实RasGTP酶激活蛋白参与了几种肿瘤的进展。本研究旨在探讨RasGTP酶激活蛋白在READ中的表达及功能。在这项研究中,我们分析了165例READ患者和789例正常组织样本的RNA测序数据,鉴定5603个差异表达基因(DEGs),包括2937个上调基因和2666个下调基因。此外,我们还发现了两个失调的基因,RASA4和SYNGAP1,在六种RasGTP酶激活蛋白中。高NF1表达与更长的总生存期相关。而高SYNGAP1表达显示出延长总生存期的趋势。进一步的分析揭示了RasGTP酶激活蛋白在各种癌症样品中的突变频率和拷贝数变异。此外,DNA甲基化分析表明RasGTP酶激活蛋白的DNA甲基化与其表达之间呈负相关。此外,在RasGTPase激活蛋白中,我们关注SYNGAP1,实验验证证实SYNGAP1在READ中的过表达通过调节Wnt/β-Catenin信号通路显著抑制READ细胞增殖并增加细胞凋亡.这些发现强调了SYNGAP1在READ中的潜在意义,并为进一步的研究和治疗提供了新的见解。
    Rectal adenocarcinoma (READ) is a common malignant tumor of the digestive tract. Growing studies have confirmed Ras GTPase-activating proteins are involved in the progression of several tumors. This study aimed to explore the expression and function of Ras GTPase-activating proteins in READ. In this study, we analyzed RNA sequencing data from 165 patients with READ and 789 normal tissue samples, identifying 5603 differentially expressed genes (DEGs), including 2937 upregulated genes and 2666 downregulated genes. Moreover, we also identified two dysregulated genes, RASA4 and SYNGAP1, among six Ras GTPase-activating proteins. High NF1 expression was associated with longer overall survival, while high SYNGAP1 expression showed a trend towards extended overall survival. Further analysis revealed the mutation frequency and copy number variations of Ras GTPase-activating proteins in various cancer samples. Additionally, DNA methylation analysis demonstrated a negative correlation between DNA methylation of Ras GTPase-activating proteins and their expression. Moreover, among Ras GTPase-activating proteins, we focused on SYNGAP1, and experimental validation confirmed that the overexpression of SYNGAP1 in READ significantly suppressed READ cell proliferation and increased apoptosis via regulating the Wnt/β-Catenin signaling pathway. These findings underscored the potential significance of SYNGAP1 in READ and provide new insights for further research and treatment.
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  • 文章类型: Journal Article
    低级别胶质瘤(GBMLGG)很常见,致命的,和难以治疗的癌症。目前的治疗选择具有令人印象深刻的疗效限制。因此,迫切需要开发有效的治疗方法和确定新的治疗靶点。二硫化物代谢是非凋亡性程序性细胞死亡的原因,称为二硫化物凋亡,这是最近才发现的。本研究使用从公共数据库下载的GBMLGG患者的mRNA表达数据和相关临床信息来研究参与二硫化物沉积的基因的预后意义。在癌症基因组图谱(TCGA)和基因表达综合(GEO)队列中,我们的发现表明,许多与二硫键凋亡相关的基因在正常和GBMLGG组织中表达不同。发现含有IQ基序的GTP酶激活蛋白1(IQGAP1)是影响GBMLGG结果的关键基因。此外,建立了一个列线图模型来预测GBMLGG患者的可视化。此外,对IQGAP1的促癌功能进行了体内和体外验证。总之,我们发现了一个与二硫键沉积相关的基因标签,它可以有效预测GBMLGG患者的OS.因此,治疗二硫键下垂可能是GBMLGG患者的可行替代方案。
    Lower-grade gliomas (GBMLGG) are common, fatal, and difficult-to-treat cancers. The current treatment choices have impressive efficacy constraints. As a result, the development of effective treatments and the identification of new therapeutic targets are urgent requirements. Disulfide metabolism is the cause of the non-apoptotic programmed cell death known as disulfideptosis, which was only recently discovered. The mRNA expression data and related clinical information of GBMLGG patients downloaded from public databases were used in this study to investigate the prognostic significance of genes involved in disulfideptosis. In the Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) cohort, our findings showed that many disulfidptosis-related genes were expressed differently in normal and GBMLGG tissues. It was discovered that IQ motif-containing GTPase-activating protein 1 (IQGAP1) is a key gene that influences the outcome of GBMLGG. Besides, a nomogram model was built to foresee the visualization of GBMLGG patients. In addition, in vivo and in vitro validation of IQGAP1\'s cancer-promoting function was done. In conclusion, we discovered a gene signature associated with disulfideptosis that can effectively predict OS in GBMLGG patients. As a result, treating disulfideptosis may be a viable alternative for GBMLGG patients.
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  • 文章类型: Journal Article
    RasGTP酶激活蛋白(RasGAP)充当Ras蛋白的负调节因子,并参与影响细胞功能的各种信号过程。这里,四个RasGAP的功能,UvGap1至UvGap4,在Ustilaginoidea病毒中进行了鉴定和分析,水稻假黑穗病的病原体。UvGAP1或UvGAP2的破坏导致菌丝体生长减少,较大或哑铃形分生孢子的百分比增加。值得注意的是,突变体ΔUvgap1完全失去致病性。与野生型菌株相比,突变体ΔUvgap1,ΔUvgap2和ΔUvgap3对H2O2氧化应激的耐受性降低。特别是,ΔUvgap1突变体几乎不能在H2O2板上生长,发现UvGAP1影响与活性氧合成和清除有关的基因的表达水平。ΔUvgap1突变体的细胞内cAMP水平升高,由于UvGap1通过影响磷酸二酯酶的表达在维持细胞内cAMP水平中起重要作用,这与U.virens中的cAMP降解有关。在酵母双杂交试验中,UvRas1和UvRasGef(Ras鸟苷酸交换因子)与UvGap1物理相互作用。通过双分子荧光互补测定和亲和捕获-质谱分析将UvRas2鉴定为UvGap1的相互作用伴侣。一起来看,这些研究结果表明,UvGAP1介导的Ras通路对U.virens的发展和致病性至关重要。
    Ras GTPase-activating proteins (Ras GAPs) act as negative regulators for Ras proteins and are involved in various signalling processes that influence cellular functions. Here, the function of four Ras GAPs, UvGap1 to UvGap4, was identified and analysed in Ustilaginoidea virens, the causal agent of rice false smut disease. Disruption of UvGAP1 or UvGAP2 resulted in reduced mycelial growth and an increased percentage of larger or dumbbell-shaped conidia. Notably, the mutant ΔUvgap1 completely lost its pathogenicity. Compared to the wild-type strain, the mutants ΔUvgap1, ΔUvgap2 and ΔUvgap3 exhibited reduced tolerance to H2 O2 oxidative stress. In particular, the ΔUvgap1 mutant was barely able to grow on the H2 O2 plate, and UvGAP1 was found to influence the expression level of genes involved in reactive oxygen species synthesis and scavenging. The intracellular cAMP level in the ΔUvgap1 mutant was elevated, as UvGap1 plays an important role in maintaining the intracellular cAMP level by affecting the expression of phosphodiesterases, which are linked to cAMP degradation in U. virens. In a yeast two-hybrid assay, UvRas1 and UvRasGef (Ras guanyl nucleotide exchange factor) physically interacted with UvGap1. UvRas2 was identified as an interacting partner of UvGap1 through a bimolecular fluorescence complementation assay and affinity capture-mass spectrometry analysis. Taken together, these findings suggest that the UvGAP1-mediated Ras pathway is essential for the development and pathogenicity of U. virens.
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  • 文章类型: Journal Article
    微血管侵犯(MVI)是肝细胞癌(HCC)肝内转移和术后复发的主要不良预后因素。然而,由于缺乏确切的机制和分子标志物,因此MVI的干预和术前预测仍是临床挑战.在这里,我们的目的是研究血管侵犯的潜在机制,可应用于HCCMVI的临床干预。
    使用多重免疫荧光染色分析临床MVI+/HCC标本的组织病理学特征。肝脏原位异种移植小鼠模型和人类患者来源的HCC细胞系的机制实验,包括共文化建模,RNA测序,和蛋白质组学分析,用于研究MVI相关基因和机制。
    IQGAP3过表达与HCC的MVI状态和生存率降低显著相关。IQGAP3的上调促进MVI-HCC细胞采用浸润性血管共生长模式,并通过诱导活化的肝星状细胞(HSC)从内皮脱离而进入毛细血管。机械上,IQGAP3过表达通过双重机制促进HCC血管侵袭,其中IQGAP3通过上调多种细胞因子诱导HSC激活和HSC-内皮相互作用的破坏,并通过维持GTPaseRac1活性重塑细胞骨架来增强MVI-HCC细胞的跨内皮迁移。重要的是,靶向IQGAP3的小干扰RNA纳米颗粒的全身递送破坏了浸润血管共生长模式并降低了HCC的MVI。
    我们的结果揭示了IQGAP3介导的肝癌微血管侵袭的潜在机制,并为开发治疗MVIHCC的治疗策略提供了潜在的目标。
    UNASSIGNED: Microvascular invasion (MVI) is a major unfavorable prognostic factor for intrahepatic metastasis and postoperative recurrence of hepatocellular carcinoma (HCC). However, the intervention and preoperative prediction for MVI remain clinical challenges due to the absent precise mechanism and molecular marker(s). Herein, we aimed to investigate the mechanisms underlying vascular invasion that can be applied to clinical intervention for MVI in HCC.
    UNASSIGNED: The histopathologic characteristics of clinical MVI+/HCC specimens were analyzed using multiplex immunofluorescence staining. The liver orthotopic xenograft mouse model and mechanistic experiments on human patient-derived HCC cell lines, including coculture modeling, RNA-sequencing, and proteomic analysis, were used to investigate MVI-related genes and mechanisms.
    UNASSIGNED: IQGAP3 overexpression was correlated significantly with MVI status and reduced survival in HCC. Upregulation of IQGAP3 promoted MVI+-HCC cells to adopt an infiltrative vessel co-optive growth pattern and accessed blood capillaries by inducing detachment of activated hepatic stellate cells (HSC) from the endothelium. Mechanically, IQGAP3 overexpression contributed to HCC vascular invasion via a dual mechanism, in which IQGAP3 induced HSC activation and disruption of the HSC-endothelial interaction via upregulation of multiple cytokines and enhanced the trans-endothelial migration of MVI+-HCC cells by remodeling the cytoskeleton by sustaining GTPase Rac1 activity. Importantly, systemic delivery of IQGAP3-targeting small-interfering RNA nanoparticles disrupted the infiltrative vessel co-optive growth pattern and reduced the MVI of HCC.
    UNASSIGNED: Our results revealed a plausible mechanism underlying IQGAP3-mediated microvascular invasion in HCC, and provided a potential target to develop therapeutic strategies to treat HCC with MVI.
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  • 文章类型: Journal Article
    细胞衰老被认为在糖尿病肾病的发生和发展中起重要作用。这项研究的目的是从衰老的角度探索与糖尿病肾病相关的潜在生物标志物。
    从基因表达综合数据库系统地获得与糖尿病肾病相关的人肾小球活检样品的数据集。通过差异基因分析和最小绝对收缩和选择算子分析研究了集线器衰老相关基因。采用聚类分析鉴定衰老分子亚型。使用单细胞数据集来验证上述发现并进一步评估衰老环境。基于Nephroseq数据库探索这些基因与肾小球滤过率之间的关系。这些基因表达也已在各种肾脏疾病中进行了探索。
    十二个代表性衰老相关基因(VEGFA,IQGAP2,JUN,PLAT,ETS2,ANG,MMP14,VEGFC,SERPINE2,CXCR2,PTGES,和EGF)最终确定。免疫炎症反应的生物学变化,细胞周期调节,代谢调节,和免疫微环境已经在不同的分子亚型中观察到。以上结果也基于单细胞分析进行了验证。此外,我们还发现了几种显著改变的细胞通讯通路,包括胶原蛋白,PTN,Laminin,SPP1和VEGF。最后,基于受试者工作特性分析,几乎所有这些基因都能很好地预测糖尿病肾病的发生,并与肾小球滤过率相关。这些基因在各种肾脏疾病中表达不同。
    本研究确定了潜在的衰老相关生物标志物,并进一步探索了糖尿病肾病的异质性,这可能为诊断提供新的见解。评估,管理,以及DN的个性化治疗。
    UNASSIGNED: Cellular senescence is thought to play a significant role in the onset and development of diabetic nephropathy. The goal of this study was to explore potential biomarkers associated with diabetic glomerulopathy from the perspective of senescence.
    UNASSIGNED: Datasets about human glomerular biopsy samples related to diabetic nephropathy were systematically obtained from the Gene Expression Omnibus database. Hub senescence-associated genes were investigated by differential gene analysis and Least Absolute Shrinkage and Selection Operator analysis. Cluster analysis was employed to identify senescence molecular subtypes. A single-cell dataset was used to validate the above findings and further evaluate the senescence environment. The relationship between these genes and the glomerular filtration rate was explored based on the Nephroseq database. These gene expressions have also been explored in various kidney diseases.
    UNASSIGNED: Twelve representative senescence-associated genes (VEGFA, IQGAP2, JUN, PLAT, ETS2, ANG, MMP14, VEGFC, SERPINE2, CXCR2, PTGES, and EGF) were finally identified. Biological changes in immune inflammatory response, cell cycle regulation, metabolic regulation, and immune microenvironment have been observed across different molecular subtypes. The above results were also validated based on single-cell analysis. Additionally, we also identified several significantly altered cell communication pathways, including COLLAGEN, PTN, LAMININ, SPP1, and VEGF. Finally, almost all these genes could well predict the occurrence of diabetic glomerulopathy based on receiver operating characteristic analysis and are associated with the glomerular filtration rate. These genes are differently expressed in various kidney diseases.
    UNASSIGNED: The present study identified potential senescence-associated biomarkers and further explored the heterogeneity of diabetic glomerulopathy that might provide new insights into the diagnosis, assessment, management, and personalized treatment of DN.
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  • 文章类型: Journal Article
    非典型性失神性癫痫发作是通常发生在有认知障碍的儿童中的全身性非惊厥性癫痫发作。它们在难治性癫痫中很常见,已被认为是发展性癫痫性脑病的标志之一。值得注意的是,与AAS相关的致病变异,如GABRG2,GABRG3,SLC6A1,CACNB4,SCN8A,和SYNGAP1也与发育性癫痫性脑病有关。非典型缺勤与典型缺勤的不同之处在于,它们通常具有耐药性,并且预后取决于病因或相关的癫痫综合征。提高临床医生对非典型缺勤的认识,为临床治疗提供新的视角,我们回顾了电临床特征,病因,治疗,非典型缺勤的预后,关注基因变异进展的病因,阐明改善临床管理的潜在途径。
    Atypical absence seizures are generalized non-convulsive seizures that often occur in children with cognitive impairment. They are common in refractory epilepsy and have been recognized as one of the hallmarks of developmental epileptic encephalopathies. Notably, pathogenic variants associated with AAS, such as GABRG2, GABRG3, SLC6A1, CACNB4, SCN8A, and SYNGAP1, are also linked to developmental epileptic encephalopathies. Atypical absences differ from typical absences in that they are frequently drug-resistant and the prognosis is dependent on the etiology or related epileptic syndromes. To improve clinicians\' understanding of atypical absences and provide novel perspectives for clinical treatment, we have reviewed the electro-clinical characteristics, etiologies, treatment, and prognosis of atypical absences, with a focus on the etiology of advancements in gene variants, shedding light on potential avenues for improved clinical management.
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  • 文章类型: English Abstract
    目的:探讨SYNGAP1变异的幼儿早期神经发育特征及其基因型-表型相关性。
    方法:选择2019年1月至2022年7月转诊至首都儿科研究所附属儿童医院的神经发育障碍(NDDs)幼儿(<5岁)作为研究对象。所有的孩子都接受了全外显子组测序,综合儿科神经心理学评估,家庭隔离分析,和致病性分类。同时,从文献中检索到具有致病性/可能致病性SYNGAP1变异的年轻中国NDD儿童(<5岁),包括详细的临床和基因检测,儿童神经心理和行为量表-修订版2016(CNBS-R2016)的神经发育商(DQ)。还包括没有详细DQ但由医学专业人员评估其发育状况的儿童。神经发育严重程度之间的相关性,总结了合并症和SYNGAP1变体。
    结果:招募了4名携带SYNGAP1变异的NDD儿童(1名男性和3名女性,平均年龄34.0±18.2个月),其中有一个新的变体(c.437C>G,p.S146*).结合从文献中检索到的19例类似病例,23名中国NDD幼儿被纳入我们的研究(8名男性和10名女性,5未知性别,平均年龄37.1±14.2个月)。在19名(82.6%)儿童中发现了功能丧失(LOF)变体。所有儿童在两岁之前都出现了全球发育迟缓(GDD)。此外,16人(69.6%)在27.0±12.1个月时有癫痫发作/癫痫,其中15人与全球发育迟缓无关。肌阵挛性和不存在是癫痫的常见类型。与外显子8至15变异的儿童相比,外显子1至5变异的儿童发育迟缓的严重程度更轻。
    结论:SYNGAP1变异体对幼儿(<5岁)的早期神经发育特征包括整体发育迟缓和癫痫发作/癫痫。所有的孩子都可以在两岁前出现GDD。发育迟缓的严重程度可能与SYNGAP1变体的类型和位置有关。
    OBJECTIVE: To explore the early neurodevelopmental features of young children with SYNGAP1 variants and their genotype-phenotype correlation.
    METHODS: Young children with neurodevelopmental disorders (NDDs) (< 5 years old) who were referred to the Children\'s Hospital Affiliated to the Capital Institute of Pediatrics between January 2019 and July 2022 were selected as the study subjects. All children had undergone whole-exome sequencing, comprehensive pediatric neuropsychological assessment, familial segregation analysis, and pathogenicity classification. Meanwhile, young Chinese NDD children (< 5 years old) with pathogenic/likely pathogenic SYNGAP1 variants were retrieved from the literature, with information including detailed clinical and genetic testing, neurodevelopmental quotient (DQ) of the Children Neuropsychological and Behavior Scale-Revision 2016 (CNBS-R2016). Children who did not have a detailed DQ but had their developmental status assessed by a medical professional were also included. The correlation between neurodevelopmental severity, comorbidity and SYNGAP1 variants were summarized.
    RESULTS: Four young NDD children carrying SYNGAP1 variants were recruited (1 male and 3 females, with a mean age of 34.0 ± 18.2 months), among whom one harboring a novel variant (c.437C>G, p.S146*). Combined with 19 similar cases retrieved from the literature, 23 Chinese NDD young children were included in our study (8 males and 10 females, 5 with unknown sex, with a mean age of 37.1 ± 14.2 months). A loss of function (LOF) variant was found in 19 (82.6%) children. All of the children had presented global developmental delay (GDD) before the age of two. In addition, 16 (69.6%) had seizure/epilepsy at the age of 27.0 ± 12.1 months, among whom 15 had occurred independent of the global developmental delay. Myoclonic and absence were common types of seizures. Compared with those with variants of exons 8 to 15, the severity of developmental delay was milder among children with variants in exons 1 to 5.
    CONCLUSIONS: The early neurodevelopment features of the SYNGAP1 variants for young children (< 5 years old) have included global developmental delay and seizure/epilepsy. All of the children may present GDD before the age of two. The severity of developmental delay may be related to the type and location of the SYNGAP1 variants.
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