Protein Tyrosine Phosphatases

蛋白酪氨酸磷酸酶
  • 文章类型: Journal Article
    PRL1和PRL3,蛋白酪氨酸磷酸酶家族的成员,已与癌症转移和不良预后有关。尽管对它们的蛋白磷酸酶活性进行了广泛的研究,它们作为脂质磷酸酶的潜在作用仍然难以捉摸。方法:我们进行了全面的调查,以阐明PRL1和PRL3的脂质磷酸酶活性,使用细胞试验的组合,生化分析,和蛋白质相互作用组分析。进行了功能研究以描述PRL1/3对巨细胞增殖的影响及其在癌症生物学中的意义。结果:我们的研究已确定PRL1和PRL3为与磷酸肌醇(PIP)脂质相互作用的脂质磷酸酶,在细胞膜上将PI(3,4)P2和PI(3,5)P2转化为PI(3)P。PRL的这些酶活性促进膜皱褶的形成,膜起泡和随后的巨噬细胞增多,促进营养提取,细胞迁移,和入侵,从而促进肿瘤的发展。PRL的这些酶活性促进膜皱褶的形成,膜起泡和随后的巨噬细胞增多。此外,我们发现PRL1/3的表达与胶质瘤的发展之间存在相关性,提示他们参与了神经胶质瘤的进展。结论:结合已确定PRL参与mTOR的知识,EGFR与自噬,在这里,我们总结了PRL1/3在协调营养传感中的生理作用,通过其脂质磷酸酶活性调节巨细胞作用来吸收和再循环。这种机制可以被面临营养耗尽的微环境的肿瘤细胞利用,强调在癌症治疗中靶向PRL1/3介导的巨噬细胞增多症的潜在治疗意义。
    PRL1 and PRL3, members of the protein tyrosine phosphatase family, have been associated with cancer metastasis and poor prognosis. Despite extensive research on their protein phosphatase activity, their potential role as lipid phosphatases remains elusive. Methods: We conducted comprehensive investigations to elucidate the lipid phosphatase activity of PRL1 and PRL3 using a combination of cellular assays, biochemical analyses, and protein interactome profiling. Functional studies were performed to delineate the impact of PRL1/3 on macropinocytosis and its implications in cancer biology. Results: Our study has identified PRL1 and PRL3 as lipid phosphatases that interact with phosphoinositide (PIP) lipids, converting PI(3,4)P2 and PI(3,5)P2 into PI(3)P on the cellular membranes. These enzymatic activities of PRLs promote the formation of membrane ruffles, membrane blebbing and subsequent macropinocytosis, facilitating nutrient extraction, cell migration, and invasion, thereby contributing to tumor development. These enzymatic activities of PRLs promote the formation of membrane ruffles, membrane blebbing and subsequent macropinocytosis. Additionally, we found a correlation between PRL1/3 expression and glioma development, suggesting their involvement in glioma progression. Conclusions: Combining with the knowledge that PRLs have been identified to be involved in mTOR, EGFR and autophagy, here we concluded the physiological role of PRL1/3 in orchestrating the nutrient sensing, absorbing and recycling via regulating macropinocytosis through its lipid phosphatase activity. This mechanism could be exploited by tumor cells facing a nutrient-depleted microenvironment, highlighting the potential therapeutic significance of targeting PRL1/3-mediated macropinocytosis in cancer treatment.
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  • 文章类型: Journal Article
    蛋白酪氨酸磷酸酶(PTP),必需的和进化上高度保守的酶,通过调节酪氨酸磷酸化来管理细胞功能,信号转导的关键翻译后修饰。磷酸酶药物发现的最新进展,导致酶的选择性调节剂的鉴定,恢复对蛋白质磷酸酶治疗靶向的兴趣。
    截至2023年的专利汇编侧重于各种类别的酪氨酸磷酸酶及其抑制剂的功效,详细说明它们的化学结构和生化特性。这些发现具有广泛的含义,因为它们可以用于治疗癌症等多种疾病,糖尿病,自身免疫性疾病,和神经系统疾病。科学文章和专利文献的搜索是使用众所周知的不同平台进行的,以收集截至2023年的信息。
    蛋白酪氨酸磷酸酶(PTP)研究的最新进展包括发现了靶向特定PTP酶的新抑制剂,重点开发变构位点共价抑制剂,以增强疗效和特异性。这些进步不仅为各种疾病的治疗干预开辟了新的可能性,而且还具有创新治疗的潜力。PTP为一系列健康状况的药物发现工作和创新治疗提供了有希望的途径。
    UNASSIGNED: Protein tyrosine phosphatases (PTPs), essential and evolutionarily highly conserved enzymes, govern cellular functions by modulating tyrosine phosphorylation, a pivotal post-translational modification for signal transduction. The recent strides in phosphatase drug discovery, leading to the identification of selective modulators for enzymes, restoring interest in the therapeutic targeting of protein phosphatases.
    UNASSIGNED: The compilation of patents up to the year 2023 focuses on the efficacy of various classes of Tyrosine phosphatases and their inhibitors, detailing their chemical structure and biochemical characteristics. These findings have broad implications, as they can be applied to treating diverse conditions like cancer, diabetes, autoimmune disorders, and neurological diseases. The search for scientific articles and patent literature was conducted using well known different platforms to gather information up to 2023.
    UNASSIGNED: The latest improvements in protein tyrosine phosphatase (PTP) research include the discovery of new inhibitors targeting specific PTP enzymes, with a focus on developing allosteric site covalent inhibitors for enhanced efficacy and specificity. These advancements have not only opened up new possibilities for therapeutic interventions in various disease conditions but also hold the potential for innovative treatments. PTPs offer promising avenues for drug discovery efforts and innovative treatments across a spectrum of health conditions.
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  • 文章类型: Journal Article
    背景:关于免疫组织化学检测到的前列腺标记蛋白在与女性尿道相关的腺体中的分布,可能与固定时的组织完整性有关。
    目的:在这项研究中,我们使用来自女性患者快速尸检的组织来确定表达前列腺特异性抗原(PSA)和前列腺特异性酸性磷酸酶(PSAP)的腺体结构在女性尿道和周围组织中的分布。包括阴道前壁(AVW)。
    方法:分析了包含整个尿道和相邻AVW的7个供体的组织块。这些组织样品在死亡后4-12小时内固定,并分成石蜡包埋的5mm横向切片。对从每个切片上切下的切片进行PSA或PSAP免疫标记,并将相邻切片用苏木精和曙红染色。通过光学显微镜检查切片并使用QuPath软件进行分析。
    方法:在所有供体的组织中,表达PSA和/或PSAP的腺体结构位于尿道壁内,并沿其整个长度存在。
    结果:在来自所有捐献者的尿道近半部,表达PSAP的小腺体,但不是PSA,观察到邻近并排空到管腔中。在7个捐献者中的5个的尿道的远端一半,由腺上皮内衬的肾小管泡状结构表达PSA和PSAP。此外,来自所有供体的尿道远半部具有多层过渡上皮的结构表面的柱状细胞表达PSAP。在尿道周围组织中未发现表达PSA或PSAP的腺体,包括AVW。
    结论:对女性患者中表达前列腺蛋白的尿道腺体的分布有更多的了解是重要的,因为据报道这些腺体有助于女性的性反应和尿道病理,包括尿道囊肿,憩室,和腺癌。
    本研究的优势包括使用快速尸检以最大程度地减少蛋白质降解和自溶,并准备大组织切片,以证明尿道腔周围所有组织内的精确解剖关系。限制包括样本大小和所有供体都患有晚期恶性肿瘤并且已经经历过可能具有未知组织效应的先前治疗。
    结论:在所有供体的组织中观察到表达前列腺特异性蛋白的近端和远端腺体,这些腺体仅位于尿道壁内。
    BACKGROUND: There are varying reports of immunohistochemically detected prostatic marker protein distribution in glands associated with the female urethra that may be related to tissue integrity at the time of fixation.
    OBJECTIVE: In this study we used tissue derived from rapid autopsies of female patients to determine the distribution of glandular structures expressing prostate-specific antigen (PSA) and prostate-specific acid phosphatase (PSAP) along the female urethra and in surrounding tissues, including the anterior vaginal wall (AVW).
    METHODS: Tissue blocks from 7 donors that contained the entire urethra and adjacent AVW were analyzed. These tissue samples were fixed within 4-12 hours of death and divided into 5-mm transverse slices that were paraffin embedded. Sections cut from each slice were immunolabeled for PSA or PSAP and a neighboring section was stained with hematoxylin and eosin. The sections were reviewed by light microscopy and analyzed using QuPath software.
    METHODS: In tissue from all donors, glandular structures expressing PSA and/or PSAP were located within the wall of the urethra and were present along its whole length.
    RESULTS: In the proximal half of the urethra from all donors, small glands expressing PSAP, but not PSA, were observed adjacent to the and emptying into the lumen. In the distal half of the urethra from 5 of the 7 donors, tubuloacinar structures lined by a glandular epithelium expressed both PSA and PSAP. In addition, columnar cells at the surface of structures with a multilayered transitional epithelium in the distal half of the urethra from all donors expressed PSAP. No glands expressing PSA or PSAP were found in tissues surrounding the urethra, including the AVW.
    CONCLUSIONS: Greater understanding of the distribution of urethral glands expressing prostatic proteins in female patients is important because these glands are reported to contribute to the female sexual response and to urethral pathology, including urethral cysts, diverticula, and adenocarcinoma.
    UNASSIGNED: Strengths of the present study include the use of rapid autopsy to minimize protein degradation and autolysis, and the preparation of large tissue sections to demonstrate precise anatomical relations within all the tissues surrounding the urethral lumen. Limitations include the sample size and that all donors had advanced malignancy and had undergone previous therapy which may have had unknown tissue effects.
    CONCLUSIONS: Proximal and distal glands expressing prostate-specific proteins were observed in tissue from all donors, and these glands were located only within the wall of the urethra.
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  • 文章类型: Journal Article
    连同蛋白酪氨酸激酶,蛋白质酪氨酸磷酸酶(PTP)控制蛋白质酪氨酸磷酸化并调节许多细胞功能。PTP活性失调与多种人类疾病的发作有关。然而,对大多数PTP的生理功能和疾病生物学的理解仍然有限,主要是由于缺乏PTP特异性化学探针。在这项研究中,从众所周知的不可水解的磷酸酪氨酸(pTyr)模拟物开始,膦二氟甲基苯丙氨酸(F2Pmp),我们合成了7种新型的含膦二氟甲基的双环/三环芳基衍生物,具有改善的细胞渗透性和对各种PTP的效力。此外,采用基于碎片和结构的设计策略,我们将化合物9推进到化合物15,这是一流的,强力,选择性,和人CDC14A和B磷酸酶的生物可利用性抑制剂。这项研究证明了基于片段的设计策略在创建有效的、选择性,和生物可利用的PTP抑制剂,并为询问hCDC14磷酸酶的生物学作用和评估其治疗干预潜力提供了有价值的探针。
    Together with protein tyrosine kinases, protein tyrosine phosphatases (PTPs) control protein tyrosine phosphorylation and regulate numerous cellular functions. Dysregulated PTP activity is associated with the onset of multiple human diseases. Nevertheless, understanding of the physiological function and disease biology of most PTPs remains limited, largely due to the lack of PTP-specific chemical probes. In this study, starting from a well-known nonhydrolyzable phosphotyrosine (pTyr) mimetic, phosphonodifluoromethyl phenylalanine (F2Pmp), we synthesized 7 novel phosphonodifluoromethyl-containing bicyclic/tricyclic aryl derivatives with improved cell permeability and potency toward various PTPs. Furthermore, with fragment- and structure-based design strategies, we advanced compound 9 to compound 15, a first-in-class, potent, selective, and bioavailable inhibitor of human CDC14A and B phosphatases. This study demonstrates the applicability of the fragment-based design strategy in creating potent, selective, and bioavailable PTP inhibitors and provides a valuable probe for interrogating the biological roles of hCDC14 phosphatases and assessing their potential for therapeutic interventions.
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  • 文章类型: Journal Article
    背景:胞内蛋白的酪氨酸磷酸化是一种翻译后修饰,在细胞事件期间的信号转导中起调节作用。由蛋白酪氨酸磷酸酶(PTP)引起的信号转导蛋白的去磷酸化作用是它们作为会聚节点介导信号通路之间的串扰的作用。在癌症的背景下,PTP介导的途径已被鉴定为使癌细胞能够减轻由临床治疗引起的应激的信号传导中心。这是通过促进生长刺激信号通路的组成型激活或调节免疫抑制性肿瘤微环境来实现的。临床前证据表明,当与PTP抑制剂联合使用时,抗癌药物将释放其最大的治疗效力。逆转导致癌症治疗期间临床失败的耐药性。
    方法:这篇综述旨在阐述支持PTP介导的通路参与靶向治疗和免疫检查点治疗抗性发展的最新见解。
    结论:这篇综述提出了在抗癌联合治疗中抑制PTP的概念,作为临床上实现长期肿瘤消退的潜在策略。目前正在进行临床试验,以评估联合治疗在晚期肿瘤中的安全性和有效性。
    BACKGROUND: Tyrosine phosphorylation of intracellular proteins is a post-translational modification that plays a regulatory role in signal transduction during cellular events. Dephosphorylation of signal transduction proteins caused by protein tyrosine phosphatases (PTPs) contributed their role as a convergent node to mediate cross-talk between signaling pathways. In the context of cancer, PTP-mediated pathways have been identified as signaling hubs that enabled cancer cells to mitigate stress induced by clinical therapy. This is achieved by the promotion of constitutive activation of growth-stimulatory signaling pathways or modulation of the immune-suppressive tumor microenvironment. Preclinical evidences suggested that anticancer drugs will release their greatest therapeutic potency when combined with PTP inhibitors, reversing drug resistance that was responsible for clinical failures during cancer therapy.
    METHODS: This review aimed to elaborate recent insights that supported the involvement of PTP-mediated pathways in the development of resistance to targeted therapy and immune-checkpoint therapy.
    CONCLUSIONS: This review proposed the notion of PTP inhibition in anticancer combination therapy as a potential strategy in clinic to achieve long-term tumor regression. Ongoing clinical trials are currently underway to assess the safety and efficacy of combination therapy in advanced-stage tumors.
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  • 文章类型: Journal Article
    衰老是一个渐进的、不可逆转的自然过程。随着年龄的增长,身体经历功能衰退,这些影响放大了对一系列与年龄有关的疾病的脆弱性,包括神经退行性疾病,心血管,和代谢性疾病。在衰老过程中,线粒体和内质网(ER)的形态和功能发生改变,特别是在连接这些称为线粒体相关膜(MAMs)的细胞器的结构中。MAMs作为重要的细胞内信号枢纽,在调节各种细胞事件时促进ER和线粒体之间的通讯,包括钙稳态,脂质代谢,线粒体功能,和凋亡。MAM的形成部分取决于囊泡相关膜蛋白相关蛋白B(VAPB)和蛋白酪氨酸磷酸酶相互作用蛋白51(PTPIP51)之间的相互作用。越来越多的证据已经开始阐明VAPB-PTPIP51系链在年龄相关疾病的发生和发展中的关键作用。在这项研究中,我们描述了VAPB-PTPIP51系链的复杂结构和多功能作用,并讨论了其在衰老相关疾病中的深远影响.此外,我们提供了针对VAPB-PTPIP51介导的MAMs的潜在治疗干预和药物的全面概述,从而为减轻衰老过程和治疗与年龄有关的疾病提供了一线希望。
    Aging is a gradual and irreversible natural process. With aging, the body experiences a functional decline, and the effects amplify the vulnerability to a range of age-related diseases, including neurodegenerative, cardiovascular, and metabolic diseases. Within the aging process, the morphology and function of mitochondria and the endoplasmic reticulum (ER) undergo alterations, particularly in the structure connecting these organelles known as mitochondria-associated membranes (MAMs). MAMs serve as vital intracellular signaling hubs, facilitating communication between the ER and mitochondria when regulating various cellular events, including calcium homeostasis, lipid metabolism, mitochondrial function, and apoptosis. The formation of MAMs is partly dependent on the interaction between the vesicle-associated membrane protein-associated protein-B (VAPB) and protein tyrosine phosphatase-interacting protein-51 (PTPIP51). Accumulating evidence has begun to elucidate the pivotal role of the VAPB-PTPIP51 tether in the initiation and progression of age-related diseases. In this study, we delineate the intricate structure and multifunctional role of the VAPB-PTPIP51 tether and discuss its profound implications in aging-associated diseases. Moreover, we provide a comprehensive overview of potential therapeutic interventions and pharmacological agents targeting the VAPB-PTPIP51-mediated MAMs, thereby offering a glimmer of hope in mitigating aging processes and treating age-related disorders.
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  • 文章类型: Journal Article
    在炎症的背景下,T细胞激活通过T细胞受体(TCR)的协调信号发生,共刺激受体连接,和促炎细胞因子微环境。微调这些信号对于维持T细胞稳态和防止自身反应性同时提供针对传染病和癌症的保护至关重要。在理解控制T细胞活化的分子事件与平衡调节线索之间的复杂串扰方面的最新进展为开发基于T细胞的免疫疗法提供了新方法。在复杂的监管过程中,蛋白酪氨酸激酶(PTK)和蛋白酪氨酸磷酸酶(PTP)之间的平衡控制着决定T细胞功能的转录和代谢程序,命运的决定,和激活。在那些,PTP是T细胞中信号转导的事实上的调节因子,在大多数情况下作为典型TCR途径的负调节因子。共刺激分子如CD28和细胞因子信号。在这次审查中,我们检查了两个紧密的PTP同源物的功能,PTP1B(PTPN1)和T细胞PTP(TCPTP;PTPN2),最近已被确定为新型T细胞免疫治疗方法的有希望的候选人。在这里,我们专注于最近的研究,检查这些PTP对T细胞发育的已知贡献,稳态,和T细胞介导的免疫。此外,我们描述了强调TCPTP和PTP1B能力的信令网络,无论是单独还是特别是组合,以减弱影响T细胞应答的TCR和JAK/STAT信号。因此,我们预计,发现这两种PTP在T细胞生物学中的作用可能会导致癌症免疫治疗领域的新治疗策略.这篇综述的结论是探索这些PTP酶的药理学抑制作为基于T细胞的免疫疗法的治疗方法提供的影响和风险。
    In the context of inflammation, T cell activation occurs by the concerted signals of the T cell receptor (TCR), co-stimulatory receptors ligation, and a pro-inflammatory cytokine microenvironment. Fine-tuning these signals is crucial to maintain T cell homeostasis and prevent self-reactivity while offering protection against infectious diseases and cancer. Recent developments in understanding the complex crosstalk between the molecular events controlling T cell activation and the balancing regulatory cues offer novel approaches for the development of T cell-based immunotherapies. Among the complex regulatory processes, the balance between protein tyrosine kinases (PTK) and the protein tyrosine phosphatases (PTPs) controls the transcriptional and metabolic programs that determine T cell function, fate decision, and activation. In those, PTPs are de facto regulators of signaling in T cells acting for the most part as negative regulators of the canonical TCR pathway, costimulatory molecules such as CD28, and cytokine signaling. In this review, we examine the function of two close PTP homologs, PTP1B (PTPN1) and T-cell PTP (TCPTP; PTPN2), which have been recently identified as promising candidates for novel T-cell immunotherapeutic approaches. Herein, we focus on recent studies that examine the known contributions of these PTPs to T-cell development, homeostasis, and T-cell-mediated immunity. Additionally, we describe the signaling networks that underscored the ability of TCPTP and PTP1B, either individually and notably in combination, to attenuate TCR and JAK/STAT signals affecting T cell responses. Thus, we anticipate that uncovering the role of these two PTPs in T-cell biology may lead to new treatment strategies in the field of cancer immunotherapy. This review concludes by exploring the impacts and risks that pharmacological inhibition of these PTP enzymes offers as a therapeutic approach in T-cell-based immunotherapies.
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  • 文章类型: Journal Article
    蛋白酪氨酸磷酸酶(PTP)是细胞信号传导的关键调节因子。它们的活动受保守环的运动调节,WPD环路,从无催化活性的开放到有催化活性的封闭构象。WPD-loop运动最佳地将催化关键残基定位到活性位点,并与这些酶的周转数直接相关。通过将PTP1B的WPD环序列的一部分接枝到YopH的支架上而构建的嵌合PTP的晶体结构显示出WPD环处于宽开放构象,以前从未在任一亲本酶中观察到。这种敞开的构象,然而,在小分子抑制剂与其他PTP结合时观察到,表明有可能将其作为药物发现的目标。这里,我们已经对这两种酶进行了模拟,并表明在催化的化学步骤中能量差异可以忽略不计,但是WPD环的动力学特性存在显着差异。详细的相互作用网络分析提供了对这种种群向开放构象转变的分子基础的见解。一起来看,我们的研究提供了深入了解这些YopH变体中循环动力学和化学之间的联系,以及如何通过修饰内部蛋白质相互作用网络来设计WPD环动态。
    Protein tyrosine phosphatases (PTPs) are crucial regulators of cellular signaling. Their activity is regulated by the motion of a conserved loop, the WPD-loop, from a catalytically inactive open to a catalytically active closed conformation. WPD-loop motion optimally positions a catalytically critical residue into the active site, and is directly linked to the turnover number of these enzymes. Crystal structures of chimeric PTPs constructed by grafting parts of the WPD-loop sequence of PTP1B onto the scaffold of YopH showed WPD-loops in a wide-open conformation never previously observed in either parent enzyme. This wide-open conformation has, however, been observed upon binding of small molecule inhibitors to other PTPs, suggesting the potential of targeting it for drug discovery efforts. Here, we have performed simulations of both enzymes and show that there are negligible energetic differences in the chemical step of catalysis, but significant differences in the dynamical properties of the WPD-loop. Detailed interaction network analysis provides insight into the molecular basis for this population shift to a wide-open conformation. Taken together, our study provides insight into the links between loop dynamics and chemistry in these YopH variants specifically, and how WPD-loop dynamic can be engineered through modification of the internal protein interaction network.
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  • 文章类型: Journal Article
    再生肝脏(PRL)家族蛋白的磷酸酶,也称为蛋白酪氨酸磷酸酶4A(PTP4A),与许多类型的癌症有关。磷酸酶的PRL家族由三个成员组成,PRL1、PRL2和PRL3。已显示PRL具有致癌潜力并且在多种癌症中高度表达。鉴于它们在癌症进展和转移中的作用,PRL是抗癌疗法的潜在靶标。然而,需要进行更多的研究以充分了解PRL在血癌中的作用.
    在这篇评论中,我们将总结PRLs在正常和恶性造血中的最新研究,PRL在调节各种信号通路中的作用,以及靶向PRL在血液恶性肿瘤中的治疗潜力。我们还将讨论如何改善目前用于癌症治疗的PRL抑制剂。
    尽管PRL抑制剂在不同类型癌症的临床前研究中显示出良好的治疗效果,将PRL抑制剂从工作台转移到床边仍然具有挑战性。需要更有效和选择性的PRL抑制剂来靶向血液恶性肿瘤中的PRL并改善治疗结果。
    UNASSIGNED: Phosphatase of regenerating liver (PRL) family proteins, also known as protein tyrosine phosphatase 4A (PTP4A), have been implicated in many types of cancers. The PRL family of phosphatases consists of three members, PRL1, PRL2, and PRL3. PRLs have been shown to harbor oncogenic potentials and are highly expressed in a variety of cancers. Given their roles in cancer progression and metastasis, PRLs are potential targets for anticancer therapies. However, additional studies are needed to be performed to fully understand the roles of PRLs in blood cancers.
    UNASSIGNED: In this review, we will summarize recent studies of PRLs in normal and malignant hematopoiesis, the role of PRLs in regulating various signaling pathways, and the therapeutic potentials of targeting PRLs in hematological malignancies. We will also discuss how to improve current PRL inhibitors for cancer treatment.
    UNASSIGNED: Although PRL inhibitors show promising therapeutic effects in preclinical studies of different types of cancers, moving PRL inhibitors from bench to bedside is still challenging. More potent and selective PRL inhibitors are needed to target PRLs in hematological malignancies and improve treatment outcomes.
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  • 文章类型: Journal Article
    目标:Branchio-oto-renicalsyndrome(BOR,OMIM#113,650)是一种罕见的常染色体显性疾病,表现为多种症状,包括听力损失(感音神经性,导电,或混合),影响外部的结构异常,中间,和内耳,分支瘘或囊肿,以及肾脏异常。本研究旨在通过对具有Branchio-oto-renal/Branchio-tic(BO,OMIM#602,588)使用全外显子组测序的综合征,并探讨可能的致病机制。
    方法:该家族跨越4代,由9个人组成,其中4例受到BOR/BO综合征的影响。表型信息,包括耳朵畸形和branch裂,是从家庭成员那里收集的。听力学,颞骨成像,并进行了肾脏超声检查。通过小基因实验进行全外显子组测序以鉴定候选致病变异并探索BOR/BO综合征的潜在分子病因。
    结果:在该家族的BOR/BO综合征的临床表型中观察到家族内变异性。听力损失的严重程度和性质因家庭成员而异,混合性或感音神经性听力损失。先证者,特别是,左侧有严重的感觉神经性听力损失,右侧有中度传导性听力损失。此外,先证者表现出发育迟缓,她的母亲在怀孕期间经历了肾功能衰竭,并提前终止了妊娠。遗传测试揭示了受影响家族成员中EYA1基因中的一种新的杂合变体NM_000503.6:c.6393A>C。体外小基因实验证明了其对剪接的影响。根据美国医学遗传学学院(ACMG)的指南,该变异体被分类为可能致病.
    结论:这项研究强调了同一家族内的表型异质性,报告一名育龄期女性BOR综合征患者肾功能衰竭的发生和不良妊娠结局,并丰富了EYA1基因致病变异的突变谱。
    OBJECTIVE: Branchio-oto-renal syndrome (BOR, OMIM#113,650) is a rare autosomal dominant disorder that presents with a variety of symptoms, including hearing loss (sensorineural, conductive, or mixed), structural abnormalities affecting the outer, middle, and inner ear, branchial fistulas or cysts, as well as renal abnormalities.This study aims to identify the pathogenic variants by performing genetic testing on a family with Branchio-oto-renal /Branchio-otic (BO, OMIM#602,588) syndrome using whole-exome sequencing, and to explore possible pathogenic mechanisms.
    METHODS: The family spans 4 generations and consists of 9 individuals, including 4 affected by the BOR/BO syndrome. Phenotypic information, including ear malformation and branchial cleft, was collected from family members. Audiological, temporal bone imaging, and renal ultrasound examinations were also performed. Whole-exome sequencing was conducted to identify candidate pathogenic variants and explore the underlying molecular etiology of BOR/BO syndrome by minigene experiments.
    RESULTS: Intra-familial variability was observed in the clinical phenotypes of BOR/BO syndrome in this family. The severity and nature of hearing loss varied in family members, with mixed or sensorineural hearing loss. The proband, in particular, had profound sensorineural hearing loss on the left and moderate conductive hearing loss on the right. Additionally, the proband exhibited developmental delay, and her mother experienced renal failure during pregnancy and terminated the pregnancy prematurely. Genetic testing revealed a novel heterozygous variant NM_000503.6: c.639 + 3 A > C in the EYA1 gene in affected family members. In vitro minigene experiments demonstrated its effect on splicing. According to the American College of Medical Genetics (ACMG) guidelines, this variant was classified as likely pathogenic.
    CONCLUSIONS: This study highlights the phenotypic heterogeneity within the same family, reports the occurrence of renal failure and adverse pregnancy outcomes in a female patient at reproductive age with BOR syndrome, and enriches the mutational spectrum of pathogenic variants in the EYA1 gene.
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