临床儿科杂志 ›› 2018, Vol. 36 ›› Issue (9): 670-.doi: 10.3969/j.issn.1000-3606.2018.09.006

• 围产新生儿疾病专栏 • 上一篇    下一篇

芬兰型先天性肾病综合征 1 例家系基因分析及文献复习#br#

高金枝, 陈玲   

  1. 华中科技大学同济医学院附属同济医院儿科(湖北武汉 430030)
  • 收稿日期:2018-09-15 出版日期:2018-09-15 发布日期:2018-09-15
  • 通讯作者: 陈玲  E-mail:790356760@qq.com
  • 基金资助:
    华中科技大学自主创新研究基金资助项目(No.2017KFYXJJ129)

Congenital nephrotic syndrome of the Finnish type: a case report with literature review

 GAO Jinzhi, CHEN Ling   

  1. Department of Pediatrics, Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China
  • Received:2018-09-15 Online:2018-09-15 Published:2018-09-15

摘要: 目的 探讨芬兰型先天性肾病综合征(CNF)的临床特点和基因突变。方法 回顾分析1例CNF患儿及其同 胞、父母的临床资料及基因检测结果,并进行相关文献复习。结果 女性患儿,31周早产,出生体质量1 560 g;生后3天 发现低蛋白血症、蛋白尿以及进行性加重的凹陷性水肿。基因检测发现患儿NPHS1的2个杂合突变位点,c.3478C>T(外 显子27)和c.2515delC(外显子19);其父亲、母亲、双胎妹妹的尿常规检查无异常,c.3478C>T来自父亲,c.2515delC 来自母亲,其妹妹未检测出突变。这两种基因突变均为已报道的致病性基因突变,其中c.2515delC是国内首次报道。结 论 本次发现的突变基因扩充了国内CNF的基因突变谱。

Abstract:  Objective To explore the clinical characteristics and gene mutation of congenital nephrotic syndrome of the Finnish type (CNF). Method The clinical data and gene test results of one CNF child and her siblings and parents were retrospectively analyzed and relevant literature were reviewed. Results A female neonate who was born at gestational age of 31 weeks with birth weight of 1560 g presented with hypoproteinemia, proteinuria, and progressive pitting edema 3 days after birth. Two heterozygous mutations in NPHS1 gene, c.3478C > T (exon 27) and c.2515delC (exon 19), were found in the neonate by Gene detection. The results of routine urinalysis of her father, mother and twin sister were normal. The mutation of c.3478C> T was inherited from her father and c.2515delC (exon 19) from her mother, and her twin sister had no mutation. The two genetic mutations have been reported as pathogenic gene mutations, while c. 2515delC has not been reported domestically. Conclusion The gene mutation spectrum of CNF in China has been expanded by the discovered mutation gene.