文章摘要
王海侠,刘晓鸣,岳璇,陈娇.86例癫痫性脑病患儿的遗传特征研究[J].神经损伤功能重建,2021,16(12):702-705
86例癫痫性脑病患儿的遗传特征研究
Genetic Characteristics of 86 Children with Epileptic Encephalopathy
  
DOI:
中文关键词: 基因突变  癫痫性脑病  儿童  临床
英文关键词: gene mutation  epileptic encephalopathy  children  clinic
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作者单位
王海侠,刘晓鸣,岳璇,陈娇 徐州医科大学附属 徐州市儿童医院神 经内科 
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中文摘要:
      目的:探讨癫痫性脑病(EE)患儿的遗传特征,明确分子水平病因。方法:以86例不明原因EE患儿为 研究对象,对其进行家系全外显子组测序(WES)及基因组拷贝数变异(CNV)分析。结果:86例EE患儿中, 具有明确致病意义的遗传变异51例(59.30%),包括基因突变46例(53.49%),CNV 5例(5.81%);其中新生 突变44例,占总致病变异的86.27%。86例EE患儿中,新生儿期发病11例,婴儿期发病52例,幼儿期发病 18例,学龄前期发病5例。结论:儿童EE基因突变率高,以新生突变为主,发病年龄以婴幼儿期为主。
英文摘要:
      To explore the genetic characteristics of children with epilepsy encephalopathy (EE), and to determine the molecular level etiology. Methods: A total of 86 children with unexplained EE were recruited. Whole exon sequencing (WES) and genomic copy number variant (CNV) analysis were performed. Re⁃ sults: Among the 86 children with EE, there were 51 cases (59.30%) of genetic variation with definite pathogenicity, including 46 (53.49%) with gene mutation and 5 (5.81%) with CNV mutation; among these 51 cases, 44 (86.27%) had de novo variants. Of the 86 children with EE, 11 experienced disease onset during the neonatal period, 52 during infancy, 18 during early childhood, and 5 during preschool age. Conclusion: The gene mutation rate in childhood EE is high. Mutation is mainly de novo, and onset occurs primarily during infancy and early childhood.
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