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1个北方汉族家族性免疫球蛋白A肾病的家系分析和致病基因诊断
Pedigree analysis and pathogenic genetic diagnosis of familial immunoglobulin A nephropathy in a Han family from northern China

内科 202318卷06期 页码:567-570

作者机构:内蒙古科技大学包头医学院第一附属医院肾内科,包头市014000

DOI:10.16121/j.cnki.cn45-1347/r.2023.06.12

  • 中文简介
  • 英文简介
  • 参考文献

目的研究1个家族性免疫球蛋白A(IgA)肾病的家系,并分析其致病基因。方法调查1个家族性IgA肾病的家系,收集该家系成员的外周血提取基因组DNA,通过全外显子组测序寻找致病基因。结果该家系共有5代26名成员,其中有12名成员临床表现为肾脏受累,6名成员临床表现为蛋白尿,3名成员临床表现为镜下血尿,3名成员肾脏病理活检诊断为系膜增生性IgA肾病。家系先证者基因组DNA行全外显子组测序发现INF2基因c.653G>A(p.R218Q)突变。结论此家系存在家族性IgA肾病,全外显子组测序发现INF2基因c.653G>A(p.R218Q)突变,该突变为致病突变。

ObjectiveTo study a pedigree with familial immunoglobulin A (IgA) nephropathy and analyze its pathogenic genes. MethodsA pedigree with familial IgA nephropathy was investigated, genomic DNA was collected from the peripheral blood of the family members, and the pathogenic genes were searched for by whole exome sequencing. ResultsThere were 26 members in 5 generations in the pedigree, of which 12 members showed the clinical manifestation of renal involvement, 6 members showed proteinuria, 3 members showed microscopic hematuria, and 3 members were diagnosed with mesangial proliferative IgA nephropathy by renal pathological biopsy. The INF2 gene mutation of c.653G>A (p.R218Q) was found in the proband by whole exome sequencing of genomic DNA. ConclusionsFamilial IgA nephropathy was found in this pedigree, and whole exome sequencing revealed the INF2 gene mutation of c.653G>A (p.R218Q), which was pathogenic.

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