■分析特纳综合征(TS)儿童X染色体缺失比例变化与临床表现之间的关系。
■使用荧光原位杂交(FISH)鉴定了8,635名生长迟缓儿童的X染色体数量异常。同时,X染色体缺失比例与TS临床表现的关系,如面部和身体表型,心血管,肾,并分析了TS患儿的其他合并症。
■共有389名儿童X染色体数目异常,诊断时的平均年龄为9.2岁。3岁和7岁左右的诊断显着增加,10岁时的诊断数量最高。130与XO(X染色体完全丢失),205与XO/XX,8与XO/XXX,23与XO/XX/XXX,19与XO/XY,和4与XO/XY/XYY。身体和面部表型随着较高的镶嵌比例而增加,Pearson相关分析显示出相对较高的相关性(r=0.26,p=1.7e-06)。先天性心脏畸形的发生率为25.56%,主要涉及二叶主动脉瓣,并且在X染色体完全缺失的患者中更为常见。然而,肾脏疾病不存在这种关系(p=0.26),中枢神经系统,甲状腺,或肝脏疾病。
■镶嵌性(XO/XX)是筛选病例中最常见的TS核型。TS患儿的表型可能随着X染色体缺失比例的增加而增加,但是肾脏疾病和合并症没有表现出相同的特征。
UNASSIGNED: Analyze the relationship between changes in the proportion of X-chromosome deletions and clinical manifestations in children with Turner syndrome (TS).
UNASSIGNED: X-chromosome number abnormalities in 8,635 children with growth retardation were identified using fluorescence in situ hybridization (FISH). Meanwhile, the relationship between the proportion of X-chromosome deletions and the clinical manifestations of TS, such as face and body phenotype, cardiovascular, renal, and other comorbidities in children with TS was analyzed.
UNASSIGNED: A total of 389 children had X-chromosome number abnormalities, with an average age at diagnosis of 9.2 years. There was a significant increase in diagnoses around the ages of 3 and 7 years and highest number of diagnoses at 10 years of age. 130 with XO (complete loss of an X-chromosome), 205 with XO/XX, 8 with XO/XXX, 23 with XO/XX/XXX, 19 with XO/XY, and 4 with XO/XY/XYY. Body and facial phenotypes increased with higher mosaicism proportions, with a relatively high correlation shown with Pearson correlation analysis (r = 0.26, p = 1.7e-06). The incidence of congenital heart malformations was 25.56%, mainly involving a bicuspid aortic valve, and were more common in patients who had complete loss of an X-chromosome. However, this relationship was not present for renal disease (p = 0.26), central nervous system, thyroid, or liver disease.
UNASSIGNED: The mosaicism (XO/XX) is the most common karyotype of TS in screened cases. The phenotypes in children with TS may increase with the proportion of X-chromosome deletions, but the renal disease and comorbidities did not show the same characteristics.