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[Congenital central hypoventilation syndrome: analysis of PHOX2B gene mutation in a case].
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2015 Oct; 32(5):665-9.ZY

Abstract

OBJECTIVE To report on the phenotype of an infant with central hypoventilation syndrome (CCHS) and result of PHOX2B gene mutation analysis for the purpose of genetic counseling and prenatal diagnosis. METHODS Clinical data of an infant with CCHS was collected and analyzed. Potential mutation of PHOX2B gene was analyzed by amplified fragment length polymorphism (amp-FLP) and DNA sequencing. RESULTS The patient had typical clinical features of CCHS including frequent hypoventilation during sleeping, hypoxemia and hypercapnia which could be corrected by continuous ventilatory support. She also had repeated bruising and was difficult-to-wean, but without any cardiac, pulmonary, neuromuscular or brainstem lesions. DNA sequencing and amp-FLP of the PHOX2B gene showed that the patient has carried a polyalanine expansion repeat mutation (PARM) in exon 3. A 27 bp duplication was confirmed in the repeat sequence of 20 alanines by cloned and sequenced. This has led to an expansion of the repeat tract to 29 alanines. The genotype was therefore 20/29. CONCLUSION A patient with CCHS has been described. Mutation screening of PHOX2B gene can be used as an important support for diagnosis and genetic counseling for such patients.

Authors+Show Affiliations

Gansu Provincial Maternal and Child Health Care Hospital, Gansu Provincial Medical Genetics Center, Gansu Provincial Neonatal Intensive Care Unit, Lanzhou, Gansu 730050, P.R. China. Email: haosj165@126.com.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

26418987

Citation

Yan, Yousheng, et al. "[Congenital Central Hypoventilation Syndrome: Analysis of PHOX2B Gene Mutation in a Case]." Zhonghua Yi Xue Yi Chuan Xue Za Zhi = Zhonghua Yixue Yichuanxue Zazhi = Chinese Journal of Medical Genetics, vol. 32, no. 5, 2015, pp. 665-9.
Yan Y, Yi B, Liu D, et al. [Congenital central hypoventilation syndrome: analysis of PHOX2B gene mutation in a case]. Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2015;32(5):665-9.
Yan, Y., Yi, B., Liu, D., Zhao, F., Zhang, C., Chen, X., & Hao, S. (2015). [Congenital central hypoventilation syndrome: analysis of PHOX2B gene mutation in a case]. Zhonghua Yi Xue Yi Chuan Xue Za Zhi = Zhonghua Yixue Yichuanxue Zazhi = Chinese Journal of Medical Genetics, 32(5), 665-9. https://doi.org/10.3760/cma.j.issn.1003-9406.2015.05.012
Yan Y, et al. [Congenital Central Hypoventilation Syndrome: Analysis of PHOX2B Gene Mutation in a Case]. Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2015;32(5):665-9. PubMed PMID: 26418987.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Congenital central hypoventilation syndrome: analysis of PHOX2B gene mutation in a case]. AU - Yan,Yousheng, AU - Yi,Bin, AU - Liu,Donghai, AU - Zhao,Fangping, AU - Zhang,Chuan, AU - Chen,Xue, AU - Hao,Shengju, PY - 2015/9/30/entrez PY - 2015/9/30/pubmed PY - 2015/12/23/medline SP - 665 EP - 9 JF - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi VL - 32 IS - 5 N2 - OBJECTIVE To report on the phenotype of an infant with central hypoventilation syndrome (CCHS) and result of PHOX2B gene mutation analysis for the purpose of genetic counseling and prenatal diagnosis. METHODS Clinical data of an infant with CCHS was collected and analyzed. Potential mutation of PHOX2B gene was analyzed by amplified fragment length polymorphism (amp-FLP) and DNA sequencing. RESULTS The patient had typical clinical features of CCHS including frequent hypoventilation during sleeping, hypoxemia and hypercapnia which could be corrected by continuous ventilatory support. She also had repeated bruising and was difficult-to-wean, but without any cardiac, pulmonary, neuromuscular or brainstem lesions. DNA sequencing and amp-FLP of the PHOX2B gene showed that the patient has carried a polyalanine expansion repeat mutation (PARM) in exon 3. A 27 bp duplication was confirmed in the repeat sequence of 20 alanines by cloned and sequenced. This has led to an expansion of the repeat tract to 29 alanines. The genotype was therefore 20/29. CONCLUSION A patient with CCHS has been described. Mutation screening of PHOX2B gene can be used as an important support for diagnosis and genetic counseling for such patients. SN - 1003-9406 UR - https://www.unboundmedicine.com/medline/citation/26418987/[Congenital_central_hypoventilation_syndrome:_analysis_of_PHOX2B_gene_mutation_in_a_case]_ DB - PRIME DP - Unbound Medicine ER -