江汉大学学报(自然科学版) ›› 2023, Vol. 51 ›› Issue (1): 64-71.doi: 10.16389/j.cnki.cn42-1737/n.2023.01.008

• 医学 • 上一篇    下一篇

新生儿 CHARGE 综合征 3 例临床特征及 CHD7 基因突变位点分析并文献复习

王劲,王丹,曾凌空,王石*   

  1. 华中科技大学 同济医学院附属武汉儿童医院(武汉市妇幼保健院)新生儿内科,湖北 武汉 430016
  • 发布日期:2023-02-21
  • 通讯作者: 王石
  • 作者简介:王劲(1991— ),男,住院医师,硕士,研究方向:新生儿疾病。*通信作者:王石(1982— ),男,主治医师,硕士,研究方向:新生儿疾病。

Efficacy Observation and Mechanism Discussion of Mintuole Combined with Fire Acupuncture in Treating Chronic Eczema

WANG Jing,WANG Dan,ZNEG Lingkong,WANG Shi*   

  1. Department of Neonatology,Wuhan Children's Hospital(Wuhan Maternal and Child Health Care Hospital), Tongji Medical College,Huazhong University of Science & Technology,Wuhan 430016,Hubei,China
  • Published:2023-02-21
  • Contact: WANG Shi

摘要: 目 的 报道 3 例诊断为 CHARGE 综合征的患儿,对其临床特点及基因突变位点进行分析,并总结文献报道的中国新生儿CHARGE 综合征患儿的基因突变特点及临床表现特点。方 法 经临床诊断 CHARGE 综合征后,留取先证者及其父母的外周血标本并提取 DNA,选择全外显子捕获芯片进行突变筛查,然后对疑似致病突变序列进行 PCR 扩增后对致病性突变位点进行Sanger 测序验证结 果 根据 CHARGE 综合征的诊断标准,3 例患儿均存在 2 项主要标准及2 项次要标准符合,满足临床诊断 CHARGE 综合征诊断标准。基因分析结果示 3 例患儿均存在CHD7 基因突变,其中 2 例表现为 CHD7 基因杂合突变,1 例表现为 CHD7 基因的杂合缺失,且其中 2 例突变位点均暂未见文献报道。结 论 对于临床诊断 CHARGE 综合征的患儿,开展基因检测有利于分析该病的可能遗传致病机制。

关键词: CHARGE综合征, CHD7基因突变, 临床特征

Abstract: Objective Three neonates diagnosed with CHARGE syndrome were reported,and their clinical characteristics and gene mutation sites were analyzed. In addition,the characteristics of gene mutations and clinical manifestations in Chinese neonates with CHARGE syndrome reported in the literature were summarized.Methods After the clinical diagnosis of CHARGE syndrome,the peripheral blood samples of the proband and their parents were left,and DNA was extracted. The whole exon capture chip was selected for mutation screening. Then the suspected pathogenic mutation sequence was amplified by PCR,and Sanger sequencing was carried out to verify the pathogenic mutation site. Results According to the diagnostic criteria of CHARGE syndrome,two main and two secondary criteria in all 3 cases met the clinical diagnostic criteria of CHARGE syndrome. The gene analysis results showed that there were CHD7 gene mutations in all 3 cases,including 2 cases of heterozygous mutation of the CHD7 gene and 1 case of heterozygosity loss of the CHD7 gene. Two of the mutant sites had not been reported.Conclusion For the clinical diagnosis of CHARGE syndrome in children, the development of gene detection is conducive to the analysis of the possible genetic pathogenesis of the disease.

Key words: CHARGE syndrome, CHD7 gene mutation, clinical features

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