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首页> 外文期刊>Annals of Human Genetics >Analysis of RET, ZEB2, EDN3 and GDNF Genomic Rearrangements in Central Congenital Hyperventilation Syndrome Patients by Multiplex Ligation-dependent Probe Amplification
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Analysis of RET, ZEB2, EDN3 and GDNF Genomic Rearrangements in Central Congenital Hyperventilation Syndrome Patients by Multiplex Ligation-dependent Probe Amplification

机译:多重连接依赖探针扩增技术分析中枢先天性高换气综合征患者的RET,ZEB2,EDN3和GDNF基因组重排

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SummaryCentral congenital hypoventilation syndrome (CCHS) is an autonomous control disease producing hypoventilation, high PaCO2, and low PaO2 during quiet sleep. The main gene variants detected in CCHS are mutations in the PHOX2b gene in up to 97% of isolated cases. However, CCHS is sometimes associated with autonomic diseases such as Hirschsprung disease (HSCR). Since genomic rearrangements in particularly sensitive areas of the RET protooncogene and/or associated genes may account for the CCHS/HSCR phenotype in patients without other detectable RET variants, the aim of the present study was to identify rearrangements in the coding sequence of RET as well as in three HSCR-associated genes (ZEB2, EDN3 and GDNF) in CCHS/HSCR patients by using Multiplex Ligation-dependent Probe Amplification (MLPA). We have screened 27 CCHS and 11 CCHS/HSCR patients for genomic rearrangements in RET, ZEB2, EDN3 and GDNF and did not identify any deletion or amplification in these four genes in all patients. We conclude that genomic rearrangements in RET are rare and were not responsible for the CCHS/HSCR phenotype in individuals without identifiable germline RET variants in our group of patients, yet this possibility cannot be excluded altogether given the size of the cohort.
机译:总结中枢先天性通气不足综合征(CCHS)是一种自主控制疾病,在安静的睡眠过程中会产生通气不足,高PaCO 2 和低PaO 2 。在CCHS中检测到的主要基因变异是高达97%的分离病例中PHOX2b基因的突变。但是,CCHS有时与自主神经疾病(例如,大隐身病(HSCR))有关。由于RET原癌基因和/或相关基因特别敏感区域的基因组重排可能是没有其他可检测到的RET变异的患者的CCHS / HSCR表型的原因,因此本研究的目的在于确定RET编码序列中的重排如CCHS / HSCR患者中的三个HSCR相关基因(ZEB2,EDN3和GDNF)一样,使用多重连接依赖性探针扩增(MLPA)技术。我们筛选了27位CCHS和11位CCHS / HSCR患者的RET,ZEB2,EDN3和GDNF基因组重排,但并未在所有患者中发现这4个基因的任何缺失或扩增。我们得出的结论是,在我们的患者组中,没有可识别的种系RET变异的个体,RET中的基因组重排很少,并且不负责CCHS / HSCR表型,但是鉴于这一队列的规模,不能完全排除这种可能性。

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