临床儿科杂志 ›› 2017, Vol. 35 ›› Issue (4): 286-.doi: 10.3969/j.issn.1000-3606.2017.04.011

• 综合报道 • 上一篇    下一篇

Cardio-facio-cutaneous 综合征2 例报告并文献复习

张欢欢1,2, 李牛1, 郁婷婷1, 胥雨菲1, 李国强1, 王秀敏1,3, 沈亦平1,4, 王剑1,3   

  1. 1 . 上海交通大学医学院附属上海儿童医学中心医学遗传科(分子诊断实验室)(上海 200127);2 . 上海交通大学医学院附属同仁医院检验科(上海 200336);3 . 上海交通大学医学院附属上海儿童医学中心内分泌遗传代谢科(上海 200127);4 . 美国哈佛大学医学院附属波士顿儿童医院基因诊断实验室(美国波士顿 02115)
  • 收稿日期:2017-04-15 出版日期:2017-04-15 发布日期:2017-04-15
  • 通讯作者: 王剑 E-mail:wangjian@scmc.com.cn
  • 基金资助:
    国家自然科学基金项目(No. 81472051);上海市科委国际合作项目( No. 15410722800);上海市教委高峰计划项目(No. 20152529)

The clinical feature and gene analysis of Cardio-facio-cutaneous syndrome in children: a report of 2 cases and literature review 

 ZHANG Huanhuan 1,2, LI Niu 1, YU Tingting 1, XU Yufei 1, LI Guoqiang 1, WANG Xiumin 1,3, SHEN Yiping 1,4, WANG Jian 1,3   

  1. 1. Department of Medical Genetics (Molecular Diagnostic Laboratory), Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 2. Department of Clinical Laboratory, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China; 3. Department of Endocrine and Genetic Metabolic, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China; 4.Department of Gene Diagnostic Laboratory, Boston Children's Hospital, Harvard Medical School, Boston, 02115, USA  
  • Received:2017-04-15 Online:2017-04-15 Published:2017-04-15

摘要:  目的 探讨Cardio-facio-cutaneous综合征(CFC)的临床表型及基因变异特征。方法 提取2例CFC患儿及其 父母外周血DNA,采用靶向基因高通量测序技术检测变异基因,并运用Sanger测序进行验证。结果 2例患儿均为汉族女 性,分别为13个月和7岁半,有内眦赘皮、鼻梁塌平、头发稀疏等相似的颅面部特征,均伴有生长发育迟缓及癫痫发作史。 1例心电图有T波变化,P-R间期正常高限;另1例心电图正常。基因检测显示, 2例患儿在MAP2K1基因3号外显子上各有 一处杂合的错义变异,分别为 c.383G>T,p.Gly128Val 和 c.389A>G,p.Tyr130Cys,且均为新生突变(de novo),均系文献报 道过的CFC变异位点。结论 2例为国内首次报道CFC病例,且均为MAP2K1基因突变型。因既往报道CFC患儿大多合 并心脏病变, 2例患儿均继续随访心脏功能。

Abstract: Objective To explore the clinical phenotype and gene variation features of Cardio-facio-cutaneous syndrome (CFC). Method DNA were extracted from peripheral blood in 2 children with CFC and their parents, and the mutation gene were detected by high throughput sequencing of target gene and verified by Sanger sequencing. Results Two patients were Han nationality females and aged 13 months and 7.5years respectively. Both of them showed craniofacial features of epicanthus, flat nose and scant hair, and had history of growth retardation and epileptic seizure. The electrocardiogram in one case showed that there was a change in T wave and P-R interval reached the normal high limit. The electrocardiogram in the other case was normal. Genetic detection revealed that there were two heterozygous missense mutation in the third exon of MAP2K1, c.383G>T, p.Gly128Val and c.389A>G, p.Tyr130Cys, which were new mutations (de novo) and CFC mutation sites reported in the literature. Conclusion The two cases of CFC were first reported in China and both had MAP2K1 mutations. The children with CFC were reported to be mostly complicated with heart disease, thus these 2 patients should be followed up for cardiac function.