中华皮肤科杂志 ›› 2017, Vol. 50 ›› Issue (11): 841-843.doi: 10.3760/cma.j.issn.0412-4030.2017.11.016

• 研究报道 • 上一篇    下一篇

Costello综合征合并皮肤松弛症一例基因突变检测

阳芳    胡锦涛    郑利雄    姚勇丰    宋彪    孙兆军    石翠萍    房思宁   

  1. 518020 深圳,暨南大学第二临床医学院  深圳市人民医院皮肤病与性病科(阳芳、郑利雄、姚勇丰、宋彪、孙兆军、石翠萍、房思宁),病理科(胡锦涛)
  • 收稿日期:2016-10-11 修回日期:2017-06-10 发布日期:2017-11-02
  • 通讯作者: 房思宁 E-mail:catherine2005@163.com

Mutation detection in a case of Costello syndrome complicated by cutis laxa

Yang Fang, Hu Jintao, Zheng Lixiong, Yao Yongfeng, Song Biao, Sun Zhaojun, Shi Cuiping, Fang Sining   

  1. Department of Dermatology and Venereology, Shenzhen People′s Hospital, The Second Clinical Medical College of Jinan University, Shenzhen 518020, China (Yang F, Zheng LX, Yao YF, Song B, Sun ZJ, Shi CP, Fang SN); Department of Pathology, Shenzhen People′s Hospital, The Second Clinical Medical College of Jinan University, Shenzhen 518020, China (Hu JT)
  • Received:2016-10-11 Revised:2017-06-10 Published:2017-11-02

摘要: 目的 报告1例并发皮肤松弛症的Costello综合征患者,并进行分子遗传学诊断。方法 收集1例合并有皮肤松弛症的Costello综合征患者临床资料,提取该患者皮肤组织和其父母及150例无关健康对照的外周血基因组DNA,对HRAS基因所有外显子和侧翼序列测序。结果 患儿女,13月龄,生长发育迟缓,重度营养不良,面容粗糙,四肢皮肤严重松弛,皮下脂肪减少甚至消失。患儿HRAS基因第2外显子出现突变c.34G > T(p.Gly12Cys),但其父母及健康对照均未检测到该位点突变。结论 HRAS基因第2外显子c. 34G > T(p.Gly12Cys)突变可能为该例Costello综合征的致病原因。

关键词: 基因, HRAS

Abstract: Yang Fang, Hu Jintao, Zheng Lixiong, Yao Yongfeng, Song Biao, Sun Zhaojun, Shi Cuiping, Fang Sining Department of Dermatology and Venereology, Shenzhen People′s Hospital, The Second Clinical Medical College of Jinan University, Shenzhen 518020, China (Yang F, Zheng LX, Yao YF, Song B, Sun ZJ, Shi CP, Fang SN); Department of Pathology, Shenzhen People′s Hospital, The Second Clinical Medical College of Jinan University, Shenzhen 518020, China (Hu JT) Corresponding author: Fang Sining, Email: 452290276@qq.com 【Abstract】 Objective To report a case of Costello syndrome complicated by cutis laxa, and to make a molecular genetic diagnosis. Methods Clinical data were collected from a case of Costello syndrome complicated by cutis laxa. Skin tissues were resected from the patient, and peripheral blood samples were obtained from the patient′s parents and 150 unrelated healthy controls. Genomic DNA was extracted from these samples, and all the exons and their flanking sequences of the HRAS gene were analyzed by DNA sequencing. Results The 13-month-old female patient presented with growth retardation, severe malnutrition, coarse facial appearance, severely loose skin over the limbs, and decrease or disappearance of subcutaneous fat. A heterozygous mutation c.34G > T (p.Gly12Cys) was detected in exon 2 of the HRAS gene in the patient, but not in her parents or 150 unrelated healthy controls. Conclusion The c. 34G > T (p.Gly12Cys) mutation in exon 2 of the HRAS gene may be responsible for Costello syndrome in the patient.

引用本文

阳芳 胡锦涛 郑利雄 姚勇丰 宋彪 孙兆军 石翠萍 房思宁. Costello综合征合并皮肤松弛症一例基因突变检测[J]. 中华皮肤科杂志, 2017,50(11):841-843. doi:10.3760/cma.j.issn.0412-4030.2017.11.016

Yang Fang, Hu Jintao, Zheng Lixiong, Yao Yongfeng, Song Biao, Sun Zhaojun, Shi Cuiping, Fang Sining. Mutation detection in a case of Costello syndrome complicated by cutis laxa[J]. Chinese Journal of Dermatology, 2017, 50(11): 841-843.doi:10.3760/cma.j.issn.0412-4030.2017.11.016