Journal of Clinical Pediatrics ›› 2023, Vol. 41 ›› Issue (1): 60-65.doi: 10.12372/jcp.2023.22e0461
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XU Yongli, YANG Jing, ZHOU Lanqi, ZHOU Jianhua(
)
Received:2022-04-18
Published:2023-01-15
Online:2023-02-16
Contact:
ZHOU Jianhua
E-mail:Jhzhou99@qq.com
XU Yongli, YANG Jing, ZHOU Lanqi, ZHOU Jianhua. 17q12 microdeletion syndrome: a report of three cases and literature review[J].Journal of Clinical Pediatrics, 2023, 41(1): 60-65.
"
| 项 目 | 例1 | 例2 | 例3 |
|---|---|---|---|
| 诊断年龄/岁 | 7 | 8 | 7 |
| 发病年龄/岁 | 4 | 8 | 7 |
| 性别 | 男 | 男 | 女 |
| 肾病家族史 | 无 | 无 | 无 |
| 蛋白尿 | 无 | ++ | + |
| 微量白蛋白/mg·L-1 | 2.6 | 710.5 | 189 |
| 24小时尿微量总蛋白/mg | 59.8 | 680 | 415.8 |
| 血肌酐/μmo1·L-1 | 40 | 41 | 271 |
| 尿酸/μmo1·L-1 | 646.0 | 583.0 | 493.0 |
| 丙氨酸转氨酶/U·L-1 | 21 | 164 | 17 |
| 天冬氨酸转氨酶/U·L-1 | 25 | 205 | 29 |
| 碱性磷酸酶/U·L-1 | 301 | 327 | 467 |
| 总胆固醇/mmol·L-1 | 3.30 | 8.15 | 6.5 |
| 血镁/mmol·L-1 | 0.56 | 0.46 | 1.03 |
| 糖尿病 | + | + | - |
| 肾脏大小/cm | 9.9×4.4(左) | 6.8×2.4(左) | 8.1×2.6(左) |
| 10.6×4.1(右) | 9.5×4.2(右) | 5.7×1.5(右) |
"
| 基 因 | 例1 | 例2 | 例3 | 显性遗传对应疾病 |
|---|---|---|---|---|
| CCL3、CCL4 | - | + | - | |
| CCL4L2、CCL3L1、CCL3L3 | - | + | - | |
| TBC1D3B/3C/3G/3H/3F | - | + | - | |
| ZNHIT3 | - | - | - | |
| MYO191) | - | - | - | 高钾性周期性麻痹 |
| PIGW | - | - | - | |
| GGNBP2 | - | - | - | |
| DHRS11 | - | - | - | |
| MRM1 | - | - | - | |
| LHX11) | - | - | - | Mayer-Rokitansky-Kuster-Hauser 综合征、输尿管膨出、肾囊肿和糖尿病综合征 |
| AATF | - | - | - | |
| ACACA | - | - | - | |
| C17orf78 | - | - | - | |
| TADA2A | - | - | - | |
| DUSP14 | - | - | - | |
| SYNRG | - | - | - | |
| DDX521) | - | - | - | Robinow 综合征、常染色体显性非综合征性智力障碍 |
| HNF1B1) | - | - | - | 肾囊肿和糖尿病综合征 ( RCAD )、Hnf1b 相关的ADTKD 、 MODY5 等 |
| YWHAEP7 | - | - | - | |
| TBC1D31) | - | + | - | 前列腺癌 |
"
| 肾脏 | 多囊肾发育不良、慢性肾衰竭、蛋白尿、低镁血症、高尿酸血症皮质-髓质分化不良、肾积水或输尿管扩张、产前超声双侧高回声肾、马蹄形和重复肾、集合系统异常和双侧肾积水、 | |
|---|---|---|
| 肝脏 | 肝功能异常、肝酶水平无症状升高(常见)、碱性磷酸酶(AP)升高、新生儿胆汁淤积症(罕见)、胆管稀少 | |
| 糖尿病 | 青年5型成熟型糖尿病(MODY5) | |
| 神经系统 | 神经发育或神经精神障碍(例如发育迟缓、自闭症谱系障碍、注意力缺陷/多动障碍、精神分裂症和双相情感障碍) | |
| 其他 | 胰腺结构性损伤 | 胰腺发育不全、胰体尾部发育不良伴头部轻度萎缩,可伴胰腺外分泌功能障碍 |
| 生殖系统 | MRKH综合征、双角子宫、双胎子宫、残缺子宫、双阴道、双侧或单侧隐睾 | |
| 面部畸形 | 眼睛畸形、斜视、高拱形眉毛、鼻梁塌陷 | |
| [1] | Mitchel MW, Moreno-De-Luca D, Myers SM, et al. 17q 12 recurrent deletion syndrome[M]//In:Adam MP, Ardinger HH, Pagon RA, et al. GeneReviews. Seattle (WA): University of Washington, Seattle, 1993-2022. |
| [2] |
Rasmussen M, Vestergaard EM, Graakjaer J, et al. 17q12 deletion and duplication syndrome in Denmark-a clinical cohort of 38 patients and review of the literature[J]. Am J Med Genet A, 2016, 170(11): 2934-2942.
doi: 10.1002/ajmg.a.37848 pmid: 27409573 |
| [3] | 刘丽琴, 廖建湘. 伴癫痫发作的17q12染色体微缺失综合征1例报告[J]. 癫痫与神经电生理学杂志, 2020, 29(2): 126-128. |
| [4] | 张雪莲, 孔晓牧, 金仙, 等. 17q12微缺失导致中国青少年的成年起病型糖尿病5型二例并文献复习[J]. 中华糖尿病杂志, 2021, 13(11): 1084-1089. |
| [5] | 杨玉, 黄慧, 周斌, 等. 新生突变17q12微缺失综合征的临床及遗传学分析[J]. 中华实用儿科临床杂志, 2018, 33(20): 1584-1586. |
| [6] | 余洁, 姚新明, 季文, 等. 合并中枢神经系统受累的17q12微缺失综合征:1个早发糖尿病家系报道[J]. 中华糖尿病杂志, 2022, 14(3): 266-269. |
| [7] | Andersen BB, Schaffalitzky de Muckadell OB. 17q12 deletion as a possible cause of agenesis of the dorsal pancreas and polycystic kidney disease[J]. Ugeskr Laeger, 2019, 181(47): V08190452. |
| [8] |
Nagano C, Morisada N, Nozu K, et al. Clinical characteristics of HNF1B-related disorders in a Japanese population[J]. Clin Exp Nephrol, 2019, 23(9): 1119-1129.
doi: 10.1007/s10157-019-01747-0 pmid: 31131422 |
| [9] |
Nagamani SC, Erez A, Shen J, et al. Clinical spectrum associated with recurrent genomic rearrangements in chromosome 17q12[J]. Eur J Hum Genet, 2010, 18(3):278-284.
doi: 10.1038/ejhg.2009.174 pmid: 19844256 |
| [10] |
Goumy C, Laffargue F, Eymard-Pierre E, et al. Congenital diaphragmatic hernia may be associated with 17q12 microdeletion syndrome[J]. Am J Med Genet A, 2015, 167A(1): 250-253.
doi: 10.1002/ajmg.a.36840 pmid: 25425496 |
| [11] |
Haeri S, Devers PL, Kaiser-Rogers KA, et al. Deletion of hepatocyte nuclear factor-1-beta in an infant with prune belly syndrome[J]. Am J Perinatol, 2010, 27(7): 559-563.
doi: 10.1055/s-0030-1248943 |
| [12] |
Vasileiou G, Hoyer J, Thiel CT, et al. Prenatal diagnosis of HNF1B-associated renal cysts: Is there a need to differentiate intragenic variants from 17q12 microdeletion syndrome?[J]. Prenat Diagn, 2019, 39(12): 1136-1147.
doi: 10.1002/pd.5556 |
| [13] |
Bernardini L, Gimelli S, Gervasini C, et al. Recurrent microdeletion at 17q12 as a cause of Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome: two case reports[J]. Orphanet J Rare Dis, 2009, 4: 25.
doi: 10.1186/1750-1172-4-25 pmid: 19889212 |
| [14] |
Jones GE, Mousa HA, Rowley H, et al. Should we offer prenatal testing for 17q12 microdeletion syndrome to all cases with prenatally diagnosed echogenic kidneys? Prenatal findings in two families with 17q12 microdeletion syndrome and review of the literature[J]. Prenat Diagn, 2015, 35(13): 1336-1341.
doi: 10.1002/pd.4701 |
| [15] |
Mefford HC, Clauin S, Sharp AJ, et al. Recurrent reciprocal genomic rearrangements of 17q12 are associated with renal disease, diabetes, and epilepsy[J]. Am J Hum Genet, 2007, 81(5): 1057-1069.
doi: 10.1086/522591 pmid: 17924346 |
| [16] |
Moreno-De-Luca D, SGENE Consortium, Mulle JG, et al. Deletion 17q12 is a recurrent copy number variant that confers high risk of autism and schizophrenia[J]. Am J Hum Genet, 2010, 87(5): 618-630.
doi: 10.1016/j.ajhg.2010.10.004 pmid: 21055719 |
| [17] |
Palumbo P, Antona V, Palumbo O, et al. Variable phenotype in 17q12 microdeletions: clinical and molecular characterization of a new case[J]. Gene, 2014, 538(2): 373-378.
doi: 10.1016/j.gene.2014.01.050 pmid: 24487052 |
| [18] | Roberts JL, Gandomi SK, Parra M, et al. Clinical report of a 17q12 microdeletion with additionally unreported clinical features[J]. Case Rep Genet, 2014, 2014: 264947. |
| [19] |
Quintero-Rivera F, Woo JS, Bomberg EM, et al. Duodenal atresia in 17q12 microdeletion including HNF1B: a new associated malformation in this syndrome[J]. Am J Med Genet A, 2014, 164A(12): 3076-3082.
doi: 10.1002/ajmg.a.36767 pmid: 25256560 |
| [20] |
Hinkes B, Hilgers KF, Bolz HJ, et al. A complex microdeletion 17q12 phenotype in a patient with recurrent de novo membranous nephropathy[J]. BMC Nephrol, 2012, 13: 27.
doi: 10.1186/1471-2369-13-27 pmid: 22583611 |
| [21] |
George AM, Love DR, Hayes I, et al. Recurrent transmission of a 17q12 microdeletion and a variable clinical spectrum[J]. Mol Syndromol, 2012, 2(2): 72-75.
doi: 10.1159/000335344 pmid: 22511894 |
| [22] |
Loirat C, Bellanné-Chantelot C, Husson I, et al. Autism in three patients with cystic or hyperechogenic kidneys and chromosome 17q12 deletion[J]. Nephrol Dial Transplant, 2010, 25(10): 3430-3433.
doi: 10.1093/ndt/gfq380 |
| [23] |
Dixit A, Patel C, Harrison R, et al. 17q12 microdeletion syndrome: three patients illustrating the phenotypic spectrum[J]. Am J Med Genet A, 2012, 158A(9): 2317-2321.
doi: 10.1002/ajmg.a.35520 pmid: 22887843 |
| [24] |
Roehlen N, Hilger H, Stock F, et al. 17q12 deletion syndrome as a rare cause for diabetes mellitus type MODY5[J]. J Clin Endocrinol Metab, 2018, 103(10):3601-3610.
doi: 10.1210/jc.2018-00955 pmid: 30032214 |
| [25] |
Shao A, Chan SC, Igarashi P. Role of transcription factor hepatocyte nuclear factor-1β in polycystic kidney disease[J]. Cell Signal, 2020, 71: 109568.
doi: 10.1016/j.cellsig.2020.109568 |
| [26] | Piedrafita A, Balayssac S, Casemayou A, et al. Hepatocyte nuclear factor-1β shapes the energetic homeostasis of kidney tubule cells[J]. FASEB J, 2021, 35(11): e21931. |
| [27] |
Espiritu EB, Crunk AE, Bais A, et al. The Lhx1-Ldb1 complex interacts with Furry to regulate microRNA expression during pronephric kidney development[J]. Sci Rep, 2018, 8(1): 16029.
doi: 10.1038/s41598-018-34038-x pmid: 30375416 |
| [28] |
Kotalova R, Dusatkova P, Cinek O, et al. Hepatic phenotypes of HNF1B gene mutations: a case of neonatal cholestasis requiring portoenterostomy and literature review[J]. World J Gastroenterol, 2015, 21(8): 2550-2557.
doi: 10.3748/wjg.v21.i8.2550 |
| [29] |
Clissold RL, Hamilton AJ, Hattersley AT, et al. HNF1B-associated renal and extra-renal disease-an expanding clinical spectrum[J]. Nat Rev Nephrol, 2015, 11(2):102-112.
doi: 10.1038/nrneph.2014.232 pmid: 25536396 |
| [30] |
Laffargue F, Bourthoumieu S, Llanas B, et al. Towards a new point of view on the phenotype of patients with a 17q12 microdeletion syndrome[J]. Arch Dis Child, 2015, 100(3): 259-264.
doi: 10.1136/archdischild-2014-306810 pmid: 25324567 |
| [31] |
El-Khairi R, Vallier L. The role of hepatocyte nuclear factor 1β in disease and development[J]. Diabetes Obes Metab, 2016, 18 (Suppl 1): 23-32.
doi: 10.1111/dom.12715 |
| [32] |
Wu HX, Li L, Zhang H, et al. Accurate diagnosis and heterogeneity analysis of a 17q12 deletion syndrome family with adulthood diabetes onset and complex clinical phenotypes[J]. Endocrine, 2021, 73(1): 37-46.
doi: 10.1007/s12020-021-02682-5 |
| [33] |
Symmank J, Gölling V, Gerstmann K, et al. The transcription factor LHX1 regulates the survival and directed migration of POA-derived cortical interneurons[J]. Cereb Cortex, 2019, 29(4): 1644-1658.
doi: 10.1093/cercor/bhy063 pmid: 29912395 |
| [34] | Zhang L, Fang Y, Cheng X, et al. The potential protective effect of curcumin on amyloid-β-42 induced cytotoxicity in HT-22 cells[J]. Biomed Res Int, 2018, 2018: 8134902. |
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