TRIM8基因缺陷相关肾病综合征、惊厥发作及发育迟缓1例报告
TRIM8 gene related pediatric nephrotic syndrome, seizures and developmental retardation: a case report
Received date: 2022-08-01
Online published: 2024-04-09
总结1例TRIM8(Tripartite Motif 8)基因变异导致肾病综合征、惊厥发作及发育迟缓患儿的临床及基因变异特征并进行文献复习。患儿,男,2岁6个月,因“发热5天,反复抽搐2天”入院。患儿生后因发育迟缓行康复治疗。查体提示眼睑轻度水肿。辅助检查示白蛋白24.6 g/L,多次复查尿常规尿蛋白(+++),伴镜下血尿。基因检测示TRIM8基因的c.1375C>T新发突变,患儿父母均为野生型。TRIM8基因变异可导致具有神经-肾脏特征的综合征。在儿童期起病局灶节段性肾小球硬化的患者中也应考虑对TRIM8基因进行测序,特别是如果存在癫痫、发育迟缓等神经系统异常的患者。
宋沅瑾 , 王一冰 , 封东宁 , 孙莉莉 , 李斐 , 孙清 . TRIM8基因缺陷相关肾病综合征、惊厥发作及发育迟缓1例报告[J]. 临床儿科杂志, 2024 , 42(4) : 351 -354 . DOI: 10.12372/jcp.2024.22e1037
To explore the clinical characteristics and mutation spectrum of TRIM8 related pediatric nephrotic syndrome, seizures and developmental retardation in a child and related literature were reviewed. A boy aged 2 years and 6 months was admitted to the hospital due to fever for 5 days and recurrent convulsions for 2 days. The child received rehabilitation training for developmental retardation after birth. Physical examination revealed the child had mild eyelid edema. Laboratory examination showed hypoalbuminaemia (albumin 24.6g/L). Repeated urinalysis indicated massive proteinuria (+++), accompanied by microscopic hematuria. Genetic testing showed the boy carried a de novo heterozygous mutation of c.1375C>T in TRIM8 gene, and his parents were wild-type. TRIM8 gene variants can lead to syndromes with neuro-renal characteristics. Sequencing of the TRIM8 gene should be considered in patients with focal segmental glomerulosclerosis that starts in childhood, especially in patients with neurological abnormalities such as epilepsy and developmental retardation.
Key words: TRIM8 gene; nephrotic syndrome; child
| [1] | Sakai Y, Fukai R, Matsushita Y, et al. De novo truncating mutation of TRIM8 causes early-onset epileptic encephalopathy[J]. Ann Hum Genet, 2016, 80(4): 235-240. |
| [2] | Weng PL, Majmundar AJ, Khan K, et al. De novo TRIM8 variants impair its protein localization to nuclear bodies and cause developmental delay, epilepsy, and focal segmental glomerulosclerosis[J]. Am J Hum Genet, 2021, 108(2): 357-367. |
| [3] | Warren M, Takeda M, Partikian A, et al. Association of a de novo nonsense mutation of the TRIM8 gene with childhood-onset focal segmental glomerulosclerosis[J]. Pediatr Nephrol, 2020, 35(6): 1129-1132. |
| [4] | McClatchey MA, du Toit ZD, Vaughan R, et al. Focal segmental glomerulosclerosis and mild intellectual disability in a patient with a novel de novo truncating TRIM8 mutation[J]. Eur J Med Genet, 2020, 63(9): 103972. |
| [5] | Assoum M, Lines MA, Elpeleg O, et al. Further delineation of the clinical spectrum of de novo TRIM8 truncating mutations[J]. Am J Med Genet A, 2018, 176(11): 2470 -2478. |
| [6] | Zhang Y, Zhang W, Zheng L, et al. The roles and targeting options of TRIM family proteins in tumor[J]. Front Pharmacol, 2022, 13: 999380. |
| [7] | Hatakeyama S. TRIM family proteins: roles in autophagy, immunity, and carcinogenesis[J]. Trends Biochem Sci, 2017, 42(4): 297-311. |
| [8] | Marzano F, Guerrini L, Pesole G, et al. Emerging roles of TRIM8 in health and disease[J]. Cells, 2021, 10(3): 561. |
| [9] | Ye W, Hu MM, Lei CQ, et al. TRIM8 negatively regulates TLR3/4-mediated innate immune response by blocking TRIF-TBK1 interaction[J]. J Immunol, 2017, 199(5): 1856-1864. |
| [10] | Maarifi G, Smith N, Maillet S, et al. TRIM8 is required for virus-induced IFN response in human plasmacytoid dendritic cells[J]. Sci Adv, 2019, 5(11): eaax3511. |
| [11] | Schoch K, Meng L, Szelinger S, et al. A recurrent de novo variant in NACC1 causes a syndrome characterized by infantile epilepsy, cataracts, and profound developmental delay[J]. Am J Hum Genet, 2017, 100(2): 343-351. |
| [12] | Chernin G, Vega-Warner V, Schoeb DS, et al. Genotype/phenotype correlation in nephrotic syndrome caused by WT1 mutations[J]. Clin J Am Soc Nephrol, 2010, 5(9): 1655-1662. |
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