T(p.R1690X) ,是無(wú)義突變?;颊?的基因突變位點(diǎn)為c.3787delG(p.Val1263fsTer21),為移碼突變。兩例患者突變位點(diǎn)均為新生突變。兩例患者臨床發(fā)作表現(xiàn)均為失張力發(fā)作,失神發(fā)作,失張力-肌陣攣-失神發(fā)作,中度智力障礙。腦部磁共振檢查沒(méi)有明顯改變,多種藥物不能控制癲癇發(fā)作。結(jié)論報(bào)道兩例和CHD2基因突變相關(guān)的發(fā)育性癲癇性腦病患者,報(bào)道的患者基因突變?yōu)槲稽c(diǎn)可以增加基因數(shù)據(jù)庫(kù)。CHD2基因?qū)е掳d癇的機(jī)制仍需要進(jìn)一步研究。-龍?jiān)雌诳W(wǎng)" />

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兩例CHD2基因突變癲癇性腦病病例報(bào)道

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中圖分類號(hào)】 R651 【文獻(xiàn)標(biāo)志碼】 B 【文章編號(hào)】1672-7770(2025)03-0348-

Abstract:ObjectiveTo investigate the mechanism of developmental epileptic encephalopathy type 94 caused by CHD2 gene mutation.MethodsPeripheral blood wasdrawn from patient and theirparents,and whole-exon detection was performed to identify gene mutation sites and types.ResultsThe patient1 gene mutation site was c. 5068C>T(p. R1690X),which was a nonsense mutation. The patient 2 gene mutation site was c.3787delG(p. Vall263fsTer21),whichwasaframeshiftmutation.Botharedenovo mutation.Theclinical manifestationsof seizures were atonicseizures,absenceseizures,atonic-myoclonic-absence seizures.Patients had moderateintelectual disability.Seizures could notbe controlld by medication,andno significant changes in MRI. ConclusionsThis study reports two patients with developmentalepileptic encephalopathyassociated with a mutation in the CHD2 gene, andreport that patients has gene mutations atalocus that increases the gene database.In adition,the mechanismof causedbyCHD2 geneisstillunclearand needs furtherresearch.

Key words: CHD2 gene;epileptic encephalopathy;gene mutation

1997年,Woodage和他的同事詳細(xì)描述了CHD2基因[1]。(剩余8047字)

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