[Congenital insensitivity to pain caused by a novel SCN9A-genotype].

IF 0.4 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Thorsteinn Bjornsson, Elias Olafsson, Hildigunnur Katrinardottir, Asgeir Sigurdsson, Guðny A Arnadottir, Brynjar Jensson, Asmundur Oddsson, Arnor Vikingsson, Gyda Bjornsdottir, Thorgeir E Thorgeirsson, Patrick Sulem, Olafur Arni Sveinsson
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引用次数: 0

Abstract

Congenital insensitivity to pain (CIP) refers to a group of extremely rare genetic disorders characterized by a lifelong inability to sense pain. Interestingly, in most cases, other neurological functions remain essentially intact. Here, we present the long-term follow-up of a 73 year old Icelandic male who, along with his two brothers, were diagnosed with CIP in childhood. This report details his clinical history, neurological findings, and whole genome sequencing results, which confirm and elucidate the genetic basis of his condition, explained by compound heterozygosity of two rare mutations in SCN9A. One has previously been described in CIP (p.Lys1659Ter). The other is a novel CIP variant consisting of a rare deletion (c.417-15_4174-14delAT) that causes exon 23 to be spliced out, and loss of 18 amino acids from the protein.

[一种新的scn9a基因型引起的先天性疼痛不敏感]。
先天性疼痛不敏感(CIP)是指一组极其罕见的遗传性疾病,其特征是终生无法感知疼痛。有趣的是,在大多数情况下,其他神经功能基本完好无损。在这里,我们提出了长期随访的一个73岁的冰岛男性,以及他的两个兄弟,在儿童时期被诊断为CIP。本报告详细介绍了他的临床病史、神经学表现和全基因组测序结果,这些结果证实并阐明了他的病情的遗传基础,解释了SCN9A中两个罕见突变的复合杂合性。一种以前在CIP (p.Lys1659Ter)中被描述过。另一种是一种新的CIP变体,它包含一个罕见的缺失(c.417-15_4174-14delAT),导致外显子23被剪接出,并从蛋白质中丢失18个氨基酸。
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来源期刊
Laeknabladid
Laeknabladid MEDICINE, GENERAL & INTERNAL-
CiteScore
0.50
自引率
25.00%
发文量
63
审稿时长
>12 weeks
期刊介绍: Læknablaðið er fræðirit sem birtir vísinda og yfirlitsgreinar og annað efni sem byggir á rannsóknum innan læknisfræði eða skyldra greina. Læknablaðið er gefið út af Læknafélagi Íslands. Blaðið er sent til allra félagsmanna. Það var fyrst gefið út árið 1904 en hefur komið samfellt út frá árinu 1915. Blaðið kemur út 11 sinnum á ári og er prentað í 2000 eintökum. Allt efni Læknablaðsins frá árinu 2000 er aðgengilegt á heimasíðu blaðsins á laeknabladid.is og er aðgangur endurgjaldslaus og öllum opinn.
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