Molecular analysis of non-syndromic preaxial polydactyly: preaxial polydactyly type-IV and preaxial polydactyly type-I

Molecular analysis of non-syndromic preaxial polydactyly: preaxial polydactyly type-IV and preaxial polydactyly type-I
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DOI:
10.1111/j.1399-0004.2005.00431.x
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发表时间:
2005-05-01
期刊:
影响因子:
3.5
通讯作者:
Sakiyama, Y
Sakiyama, Y
中科院分区:
医学2区
文献类型:
--
作者:
Fujioka, H;Ariga, T;Sakiyama, Y

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人类GLI 3基因突变已在几种手指异常表型中被鉴定,如Greig头多指并指综合征、Pallister-Hall综合征、轴前多指IV型(proaxial polydactyly type-IV,PPD-IV)和轴后多指(postaxial polydactyly)。然而,GLI 3突变导致的不同表型尚未得到适当的定义。我们经历了两种类型的数字异常,没有其他复杂的发育缺陷,一个家庭与足部PPD-IV的第三和第四手指并指,和四个散发病例双指拇指多指(PPD-I)。负责第三和第四指并指畸形(并指畸形I型)和PPD-I的基因尚未确定;因此,我们研究了GLI 3基因参与这些亚型的数字异常。我们发现,在GLI 3基因的无义突变的家庭与足PPD-IV伴随手并指的第三和第四手指,但没有突变的GLI 3基因中检测到的其他4例PPD-I单独。因此,足部PPD-IV的表型伴随手的第三和第四指并指可能是由GLI 3突变引起的,而PPD-I表型单独不是由GLI 3基因缺陷引起的。这些结果将有助于定义最近提出的GLI 3形态病的表型谱。
Human GLI3 gene mutations have been identified in several phenotypes of digital abnormality such as Greig cephalopolysyndactyly syndrome Pallister-Hall syndrome, preaxial polydactyly type-IV (PPD-IV) and postaxial polydactyly. However, the different phenotypes resulting from GLI3 mutations have not yet been properly defined. We have experienced two types of digital abnormality without other complicating developmental defects; a family with foot PPD-IV with syndactyly of the third and fourth fingers, and four sporadic cases with biphalangeal thumb polydactyly (PPD-I). The genes responsible for syndactyly of the third and fourth fingers (syndactyly type-I) and PPD-I have not yet been identified; we therefore examined the involvement of the GLI3 gene in these subtypes of digital abnormality. We found a non-sense mutation in the GLI3 gene in the family with foot PPD-IV accompanied with hand syndactyly of the third and fourth fingers, but no mutations were detected in the GLI3 gene in the four other cases with PPD-I alone. Thus, the phenotype of foot PPD-IV accompanied with hand syndactyly of the third and fourth fingers may result from a GLI3 mutation, whereas the PPD-I phenotype alone is not caused by GLI3 gene defect. These results will help to define the phenotypic spectrum of GLI3 morphopathies, which have been recently proposed.