15q24 microdeletion syndrome

  • 文章类型: Journal Article
    15q24.1微缺失综合征是最近描述的通常由非等位基因同源重组(NAHR)引起的病症。典型的临床特征包括出生前和出生后的生长迟缓,面部畸形,发育迟缓和智力障碍。非特异性泌尿生殖系统,骨骼,可能存在手指异常,尽管其他先天性畸形的发生率较低。因此,只有一例是产前报告的,复杂的基因型-表型相关性和遗传咨询。我们在产前发现了第二个病例,表现为大脑异常,包括脑积水,大头畸形,小脑发育不全,蚯蚓发育不全,菱形脑突触,右肾发育不全伴左肾重复和小阴茎。全基因组aCGH检测允许在闭经26周时诊断,在15q24.1-q24.2(arr[GRCh37]15q24.1q24.2(74,399,112_76,019,966)x1)的15号染色体长臂上有1.6Mb间质缺失。对文献进行了深入的回顾,以进一步描述产前临床特征和与表型有关的候选基因。脑畸形通常是非特异性的,但是小头畸形在产后似乎是最常见的。我们的病例是第一个报道的坦率小脑参与。
    15q24.1 microdeletion syndrome is a recently described condition often resulting from non-allelic homologous recombination (NAHR). Typical clinical features include pre and post-natal growth retardation, facial dysmorphism, developmental delay and intellectual disability. Nonspecific urogenital, skeletal, and digit abnormalities may be present, although other congenital malformations are less frequent. Consequently, only one case was reported prenatally, complicating the genotype-phenotype correlation and the genetic counseling. We identified prenatally a second case, presenting with cerebral abnormalities including hydrocephaly, macrocephaly, cerebellum hypoplasia, vermis hypoplasia, rhombencephalosynapsis, right kidney agenesis with left kidney duplication and micropenis. Genome-wide aCGH assay allowed a diagnosis at 26 weeks of amenorrhea revealing a 1.6 Mb interstitial deletion on the long arm of chromosome 15 at 15q24.1-q24.2 (arr[GRCh37] 15q24.1q24.2(74,399,112_76,019,966)x1). A deep review of the literature was undertaken to further delineate the prenatal clinical features and the candidate genes involved in the phenotype. Cerebral malformations are typically nonspecific, but microcephaly appears to be the most frequent in postnatal cases. Our case is the first reported with a frank cerebellar involvement.
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  • 文章类型: Journal Article
    神经精神和神经退行性疾病的分子机制尚未得到充分阐明。对这些机制的详细了解可能有助于进一步改善医疗干预。最近,智力能力,创造力,健忘症与神经活酶有关,免疫球蛋白超家族的一种细胞识别糖蛋白,参与突触形成和功能以及钙信号传导。来自动物模型的数据表明神经激酶在神经精神和神经退行性疾病受影响的通路中的作用。与神经元过程相关的神经激酶丢失或分子通路的破坏与各种神经系统疾病有关。包括痴呆症,精神分裂症,和老年痴呆症。这里,我们回顾了细胞识别分子神经激酶的分子特征,及其具有约束力的合作伙伴,与神经过程有关,并参与学习和记忆。神经激酶的新功能可能对疾病的治疗有影响,尤其是那些神经系统。
    Molecular mechanisms underlying neuropsychiatric and neurodegenerative diseases are insufficiently elucidated. A detailed understanding of these mechanisms may help to further improve medical intervention. Recently, intellectual abilities, creativity, and amnesia have been associated with neuroplastin, a cell recognition glycoprotein of the immunoglobulin superfamily that participates in synapse formation and function and calcium signaling. Data from animal models suggest a role for neuroplastin in pathways affected in neuropsychiatric and neurodegenerative diseases. Neuroplastin loss or disruption of molecular pathways related to neuronal processes has been linked to various neurological diseases, including dementia, schizophrenia, and Alzheimer\'s disease. Here, we review the molecular features of the cell recognition molecule neuroplastin, and its binding partners, which are related to neurological processes and involved in learning and memory. The emerging functions of neuroplastin may have implications for the treatment of diseases, particularly those of the nervous system.
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