临床儿科杂志 ›› 2021, Vol. 39 ›› Issue (11): 825-.doi: 10.3969/j.issn.1000-3606.2021.11.007

• 遗传代谢疾病专栏 • 上一篇    下一篇

SON 基因变异致ZTTK 综合征1 例报告

贠国俊 1, 王景刚 1, 李庆云 1, 郭莹莹 2   

  1. 1 .深圳市儿童医院康复科(广东深圳 518037);2 .佳木斯大学康复医学院(黑龙江佳木斯 154007)
  • 发布日期:2021-11-19
  • 通讯作者: 郭莹莹 电子信箱:913797912 @qq.com

ZTTK syndrome caused by a novel mutation of SON gene: a case report

YUN Guojun1 , WANG Jinggang1 , LI Qingyun1 , GUO Yingying2   

  1. 1 . Rehabilitation Department, Shenzhen Children's Hospital, Shenzhen 518037 , Guangdong, China; 2 . Jiamusi University, Rehabilitation Medical College, Jiamusi 154007, Heilongjiang, China
  • Published:2021-11-19

摘要: 目的 分析由SON基因变异引起ZTTK综合征的临床特点及遗传学特征。方法 回顾分析1例ZTTK综合征 患儿的临床资料。结果 患儿,男,3岁,表现为运动发育迟缓、智力异常,脑电图异常,头颅磁共振成像示胼胝体发育不良。 二代测序发现患儿SON基因3号外显子存在c. 5753 - 5756 del(p.Val 1918 GlufsTer 87)杂合变异。Sanger验证发现患儿父母 均未携带该变异,为新生变异。根据美国医学遗传学与基因组学学会(ACMG)指南,符合“PVS 1 +PS 2 +PM 2”证据,综合 评级为“致病”。结论 患儿确诊ZTTK综合征,丰富了SON基因变异谱。

关键词: ZTTK综合征; SON基因; 新发变异; 基因检测

Abstract: To analyze the clinical phenotype and genetic characteristics of Zhu-Tokita-TakenouchiKim (ZTTK) syndrome caused by SON gene mutation. Methods The clinical data of ZTTK syndrome from one proband were collected, and the suspected ZTTK syndrome was diagnosed by the next generation sequencing technology and Sanger sequencing. Results A 3 -year-old boy presented with psychomotor developmental delay, intellectual disability, ECG abnormality and hypoplasia of the corpus calloum. Gene tests found a de novo heterozygous mutation of c. 5753 - 5756 del, (p.Val 1918 Glufs* 87 ) in the SON gene. According to the ACMG guidelines, the mutation was classified as pathogenic. Conclusions The patient’s clinical phenotype was consistent with ZTTK syndrome. The heterozygous mutation of c. 5753 - 5756 del, p.Val1918 Glufs* 87 in SON was pathogenic, which enriches the SON gene variant spectrum in Chinese children.

Key words: ZTTK syndrome; SON gene; new mutation; gene detection