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Prader-Willi-like phenotypes: a systematic review of their chromosomal abnormalities

机译:Prader-Willi样表型:染色体异常的系统评价

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Prader-Willi syndrome (PWS) is caused by the lack of expression of genes located on paternal chromosome 15q11-q13. This lack of gene expression may be due to a deletion in this chromosomal segment, to maternal uniparental disomy of chromosome 15, or to a defect in the imprinting center on 15q11-q13. PWS is characterized by hypotonia during the neonatal stage and in childhood, accompanied by a delay in neuropsychomotor development. Overeating, obesity, and mental deficiency arise later on. The syndrome has a clinical overlap with other diseases, which makes it difficult to accurately diagnose. The purpose of this article is to review the Prader-Willi-like phenotype in the scientific literature from 2000 to 2013, i.e., to review the cases of PWS caused by chromosomal abnormalities different from those found on chromosome 15. A search was carried out using the “National Center for Biotechnology Information” (www.pubmed.com) and “Scientific Electronic Library Online (www.scielo.br) databases and combinations of key words such as “Prader-Willi-like phenotype” and “Prader-Willi syndrome phenotype”. Editorials, letters, reviews, and guidelines were excluded. Articles chosen contained descriptions of patients diagnosed with the PWS phenotype but who were negative for alterations on 15q11-q13. Our search found 643 articles about PWS, but only 14 of these matched with the Prader-Willi-like phenotype and with the selected years of publication (2000-2013). If two or more articles reported the same chromosomal alterations for Prader-Willi-like phenotype, the most recent was chosen. Twelve articles of 14 were case reports and 2 reported series of cases.
机译:Prader-Willi综合征(PWS)是由位于父本染色体15q11-q13上的基因表达不足引起的。基因表达的缺乏可能是由于该染色体片段的缺失,15号染色体的母亲单亲二体性或15q11-q13印迹中心的缺陷所致。 PWS的特征在于新生儿期和儿童期的肌张力低下,并伴有神经精神运动发育的延迟。暴饮暴食,肥胖和精神缺乏症随后出现。该综合征与其他疾病在临床上有重叠之处,因此难以准确诊断。本文的目的是回顾2000年至2013年科学文献中的Prader-Willi样表型,即回顾由不同于15号染色体的染色体异常引起的PWS病例。 “国家生物技术信息中心”(www.pubmed.com)和“在线科学电子图书馆”(www.scielo.br)数据库以及诸如“普拉德-威利类表型”和“普拉德-威利综合症”等关键词的组合表型”。社论,信件,评论和指南不包括在内。所选文章包含对诊断为PWS表型但对15q11-q13的改变呈阴性的患者的描述。我们的搜索发现了643篇有关PWS的文章,但其中只有14篇与Prader-Willi类表型和选定的出版年限(2000-2013)相匹配。如果有两篇或以上的文章报道了Prader-Willi样表型的相同染色体改变,则选择最新的。 12篇文章(共14篇)是病例报告,2篇报道了系列病例。

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