纯合子DEAF1突变伴发育迟缓、小头畸形和视神经萎缩1例报告

Aisha Shahid , Umer Shahid , Reet Ramani , Zubaid Moazzam Sheikh , Ubaid Shahid , Saba Safdar
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摘要

背景:神经发育疾病通常是由环境因素和基因突变引起的重大发育困难。DEAF1基因与严重的神经系统疾病有关,对大脑发育至关重要。本研究的目的是研究DEAF1基因纯合突变对发育迟缓的潜在影响,特别是在近亲家庭中,以一名1.5岁男孩为例。方法与结果通过遗传学研究发现了DEAF1基因(c.1051 > p.(Arg351Ter))的一个有害突变。儿童有广泛性癫痫活动,视神经萎缩,小头畸形和整体发育迟缓。即使在接受抗癫痫药物、职业治疗和物理治疗后,也没有明显的发育改善。类似的发育困难也表现在他的一位表兄身上,这表明他们有密切的遗传联系。基因测试和彻底的神经学检查都在评估之列。结论本例突出了治疗与DEAF1基因相关的神经发育异常的困难。这种特殊的突变强调了它对发育结果的重要性。这一结果突出了在近亲关系中预防性检测和遗传咨询的价值。由于突变的严重性,即使经过密集的多学科治疗,预后仍然未知。考虑到所有的事情,这个例子强调了在这个领域需要更多的研究,并提供了关于DEAF1突变如何影响神经发育疾病的有见地的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Homozygous DEAF1 mutation with developmental delay, microcephaly, and optic atrophy – A case report

Background

Significant developmental difficulties are frequently caused by neurodevelopmental diseases, which are frequently brought on by environmental causes and genetic mutations. The DEAF1 gene is associated with serious neurological disorders and is essential for brain development. The purpose of this study is to investigate the potential effects of a homozygous mutation in the DEAF1 gene on developmental delays, specifically in consanguineous families, using the example of a 1.5-year-old boy.

Methods and results

A harmful mutation in the DEAF1 gene (c.1051C>T p.(Arg351Ter)) was discovered by genetic research. The child had generalized epileptic activity, optic atrophy, microcephaly, and global developmental delay. There was no discernible developmental improvement even after getting antiepileptic medication, occupational therapy, and physical therapy. Similar developmental difficulties were also shown by a first cousin, suggesting a close genetic connection. Genetic testing and thorough neurological examinations were among the evaluations.

Conclusions

The difficulties in treating neurodevelopmental abnormalities linked to the DEAF1 gene are highlighted by this example. The particular mutation emphasizes how important it is for developmental outcomes. The results highlight the value of preventive testing and genetic counseling in consanguineous relationships. Because of the severity of the mutation, the prognosis is still unknown even after intensive multidisciplinary care. All things considered, this instance highlights the need for more research in this field and offers insightful information on how DEAF1 mutations affect neurodevelopmental diseases.
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