临床儿科杂志 ›› 2019, Vol. 37 ›› Issue (8): 612-.doi: 10.3969/j.issn.1000-3606.2019.08.014

• 综合报道 • 上一篇    下一篇

TRIM37基因新剪接位点突变致Mulibrey侏儒症1例报告

连群 1, 许珊珊 1, 李伶俐 1, 张丰丰 2   

  1. 1.厦门大学附属第一医院儿科,2.厦门基源医学检验实验室(福建厦门 361000)
  • 发布日期:2019-08-09
  • 通讯作者: 许珊珊 电子信箱:xushan68@163.com
  • 基金资助:
    福建省卫生计生委青年科研课题(No.2015-2-44)

A patient with Mulibrey dwarfism caused by a novel homogeneous mutation in a splicing site of TRIM37 gene

 LIAN Qun1, XU Shanshan1, LI Lingli1, ZHANG Fengfeng2   

  1. 1.Department of Pediatrics,The First Affiliated Hospital of Xiamen University, 2. Genokon Institute of Medical Science and Laboratory Co.,Ltd., Xiamen 361000, Fujian, China
  • Published:2019-08-09

摘要: 目的 探讨Mulibrey侏儒症的临床及基因突变特点。方法 回顾分析1例经基因检测确诊Mulibrey侏儒症患 儿的临床资料、基因检测及家系验证结果。结果 男性患儿,12岁5个月,有身材矮小、皮肤牛奶咖啡斑、三角形脸、牙齿 不齐、肝肿大,合并缩窄性心包炎。二代测序检测分析发现患儿17号染色体TRIM37基因存在一个未报道的剪接区纯合变 异位点IVS13-1G>C,分别来自于父母;患儿同胞弟弟未检出该变异;参考ACMG遗传变异分类标准与指南,判定为致病 性变异。结论 发现1例 TRIM37 基因剪接位点突变导致的 Mulibrey侏儒症,但尚需RNA或蛋白质功能分析确认。

关键词: 身材矮小; Mulibrey侏儒症; TRIM37基因; 全外显子组测序; 基因突变

Abstract: Objective To report the clinical phenotype and genotype of a patient with Mulibrey nanism. Methods Clinical data and genetic test of a patient diagnosed with Mulibrey nanism were retrospectively analyzed. Results The patient presented with short stature, milk and coffee spots on the skin, triangular face, teeth dysplasia, and hepatomegaly complicated with constrictive pericarditis, next-generation sequencing of the proband revealed a novel homozygous splicing variant (IVS13-1G>C) in the TRIM37 gene, separately inherited from his father and mother. According to the classification standards and guidelines of ACMG genetic variation, it is determined to be a pathogenic variant, but the impact of this variant still needs to be confirmed through RNA or protein functional analysis. Conclusion The TRIM37 gene mutation can lead to Mulibrey nanism (muscleliver-brain-eye nanism). This is the first case reported in China and a novel splicing variant has been detected.

Key words: short stature; Mulibrey nanism; TRIM37 gene; whole exome sequencing; gene mutation