一个非综合征型聋家系的遗传学分析及产前诊断

Genetic Analysis and Prenatal Diagnosis of a Family with Nonsyndromic Deafness

王淑娟;李琼;梁鹏飞;李薇;王剑;陈俊;查定军

1:中国人民解放军空军军医大学第一附属医院耳鼻咽喉头颈外科

摘要
目的 对一个遗传性聋家系进行致病基因鉴定、遗传咨询和产前诊断。方法 运用目标区域捕获测序检测一个非综合征型聋家系遗传学病因,对检出的致病突变进行Sanger测序验证,结合STR检测技术对该家系行产前诊断。结果 一个家系两代人(Ⅰ:2、Ⅱ:2、Ⅱ:3)均为遗传性聋,但病因不同,先证者(Ⅰ:2)是SLC26A4基因C.919-2A>G纯合突变导致,两个异卵双胞胎女儿(Ⅱ:2、Ⅱ:3)耳聋病因是MYO15A基因c.5062_5063delCT/c.7396-1G>A复合杂合突变。先证者孕期胎儿产前诊断结果显示耳聋风险低,出生后复查与产前诊断一致,并顺利通过新生儿听力筛查。结论 本研究明确了该非综合征型聋家系的基因型,首次明确了MYO15A基因c.5062_5063delCT突变为致病性变异,拓展了MYO15A基因致病突变谱。

【Abstract] Objective To study the clinical genetic phenotype of a hereditary deafness family, and provide ge- netic counseling and prenatal diagnosis for this family. Methods The genetic causes of patients were detected by the next-generation sequencing targeted panel to detect the pathogenic genes. The detected pathogenic mutations were confirmed by Sanger sequencing, and the prenatal molecular diagnosis of the family was performed by STR detection technology. Results Both generations of a family hare hereditary deafness with different causes.The proband was caused by the homozygous mutation of SLC26A4 gene c.919-2A>G.The deafness of two fraternal twin daughters were caused by the compound heterozygous mutations c.5062_5063 delCT/c. 7396-1G>A in MYO15A gene.Pre- natal diagnosis results of the proband's fetus during pregnancy showed that the risk of deafness was low, and suc- cessfully passed the newborn hearing screening after birth.Conclusion This study identified the genotype of this non-syndromic deafness family. In this study, it was first confirmed that the mutation of MYO15A gene c.5062_5063delCT was pathogenic variation,which expanded the spectrum of pathogenic mutation of MYO15A gene.

关键词
SLC26A4;MYO15A;遗传性聋;产前诊断
基金项目(Foundation):
国家自然科学基金面上项目(82171161);; 陕西省一般项目(2022SF-534);; 陕西省创新团队(2023-CX-TD-70);; 陕西省重点产业链(2022ZDLSF02-10)
作者
王淑娟;李琼;梁鹏飞;李薇;王剑;陈俊;查定军
参考文献

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