Xie Yingjun, Huang Xueqiong, Liang Yujian, Xu Lingling, Pei Yuxin, Cheng Yucai, Zhang Lidan, Tang Wen
Department of Prenatal Diagnosis, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Department of Pediatrics, Pediatric Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, China.
Clin Respir J. 2017 Nov;11(6):696-702. doi: 10.1111/crj.12401. Epub 2015 Nov 3.
Cystic fibrosis (CF) is the most common autosomal recessive disease among Caucasians but is rarer in the Chinese population, because mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene.
To elucidate the causative role of a novel compound heterozygous mutation of CF.
In this study, clinical samples were obtained from two siblings with recurrent airway infections, clubbed fingers, salt-sweat and failure to gain weight in a non-consanguineous Chinese family. Next-generation sequencing was performed on the 27 coding exons of CFTR in both children, with confirmation by Sanger sequencing.
Next-generation sequencing showed the same compound heterozygous CFTR mutation (c.865A>T p.Arg289X and c.3651_3652insAAAT p.Tyr1219X) in both children.
As this mutation is consistent with the clinical manifestations of CF and no other mutations were detected after scanning the gene sequence, we suggest that the CF phenotype is caused by compound heterozygosity for c.865A>T and c.3651_3652insAAAT. As c865A>T is not currently listed in the "Cystic Fibrosis Mutation Database", this information about CF in a Chinese population is of interest.
囊性纤维化(CF)是白种人中最常见的常染色体隐性疾病,但在中国人群中较为罕见,这是由于囊性纤维化跨膜传导调节因子(CFTR)基因突变所致。
阐明一种新型CF复合杂合突变的致病作用。
在本研究中,临床样本取自一个非近亲结婚的中国家庭中两名患有反复呼吸道感染、杵状指、多汗和体重不增的同胞兄妹。对两名儿童的CFTR基因的27个编码外显子进行了二代测序,并通过桑格测序进行确认。
二代测序显示两名儿童均存在相同的CFTR复合杂合突变(c.865A>T p.Arg289X和c.3651_3652insAAAT p.Tyr1219X)。
由于该突变与CF的临床表现一致,且在扫描基因序列后未检测到其他突变,我们认为CF表型是由c.865A>T和c.3651_3652insAAAT的复合杂合性引起的。由于c865A>T目前未列入“囊性纤维化突变数据库”,这一关于中国人群CF的信息具有重要意义。