临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (5): 328-.doi: 10.3969/j.issn.1000-3606.2020.05.003

• 遗传学疾病专栏 • 上一篇    下一篇

IFT140 基因纯合突变致Mainzer-Saldino 综合征1 例报告并文献复习

魏海霞 1, 孙良忠 1, 林宏容 2, 岳智慧 2, 李敏 1, 陈华木 1   

  1. 1.南方医科大学南方医院儿科(广东广州 510515);2. 中山大学附属第一医院儿科 (广东广州 510080)
  • 出版日期:2020-05-15 发布日期:2020-06-02
  • 通讯作者: 孙良忠 电子信箱:sunlzh2018@smu.edu.cn
  • 基金资助:
    国家自然科学基金面上项目(No.81670610,81470913)

IFT140 homozygous mutation causes Mainzer-Saldino syndrome: a case report with literature review

WEI Haixia1, SUN Liangzhong1, LIN Hongrong2, YUE zhihui2, LI Min1, CHEN Huamu1   

  1. 1. Department of Pediatrics, Nanfang Hospital of Southern Medical University, Guangzhou 510515, Guangdong, China; 2. Department of Pediatrics, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, Guangdong, China
  • Online:2020-05-15 Published:2020-06-02

摘要: 目的 分析IFT140基因突变致Mainzer-Saldino综合征(MSS)的临床与基因突变特点。方法 总结1例临床 诊断MSS患儿的临床资料,分析患儿及家系成员的全外显子测序与生物信息学检测结果。结果 女性患儿, 3岁时出现弱 视, 5岁8月龄因贫血就诊发现已进入终末期肾病,视网膜退行性病变,指骨骨骺呈锥状改变。基因检测显示IFT140纯合 突变(c.634G>A,p.G212R),分别来源于父母。结论 MSS有特征性临床表现,基因检测有助于明确诊断。

关键词: Mainzer-Saldino综合征; 肾单位肾痨; IFT140基因; 突变

Abstract: Objective Mainzer-Saldino syndrome (MSS) is a rare nephronophthisis associated ciliopathy with skeletal dysplasia. This study is aim to summarize the clinical features and genetic analysis of a child with IFT140 mutation-associated MSS. Related literatures were reviewed. Methods Clinical data and blood sample of the proband were collected, and Whole-exome sequencing and bioinformatics analysis were performed. Results The child was a 5-year-old female, and she was firstly noticed with amblyopia at 3 years old. At the age of 5 years and 8 months, she was found to have anemia and was on the end stage renal disease. Retinal degeneration and cone-shape phalanges were revealed. Genetic testing identified a homozygous mutation of c.634G>A (p.G212R) in IFT140, which was predicted to be pathogenic. The mutations were inherited from her parents. Conclusion MSS has characteristic clinical manifestations, and genetic testing is helpful to confirm the diagnosis of MSS.

Key words: Mainzer-Saldino syndrome; nephronophthisis; IFT140 gene; mutation