GNE-миопатия (миопатия Нонаки)
- Авторы: Руденская Г.Е.1, Чухрова А.Л.1, Рыжкова О.П.1
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Учреждения:
- ФГБНУ «Медико-генетический научный центр имени Н.П. Бочкова»
- Выпуск: Том 13, № 4 (2019)
- Страницы: 85-90
- Раздел: Клинический разбор
- Дата подачи: 26.12.2019
- Дата публикации: 26.12.2019
- URL: https://annaly-nevrologii.com/journal/pathID/article/view/623
- DOI: https://doi.org/10.25692/ACEN.2019.4.11
- ID: 623
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Полный текст
Аннотация
GNE-миопатия (миопатия Нонаки) — редкая рецессивная мышечная дистрофия, связанная с участвующим в синтезе сиаловой кислоты геном GNE. Типичны начало на 3-м десятилетии c дистальной слабости ног и рук, постепенное распространение на проксимальные мышцы, развитие тяжелой генерализованной миопатии с утратой ходьбы через 10–20 лет после начала. Методы экзомного секвенирования принципиально расширили возможности диагностики этой и других редких наследственных болезней. Описан случай GNE-миопатии с началом в 26 лет, длительным диагностическим поиском и диагнозом, установленным через 12 лет. Полноэкзомное секвенирование c последующей верификацией секвенированием по Сэнгеру выявило компаунд-гетерозиготность по ранее не описанным мутациям GNE: с.787delA (p.Met263CysfsTer4) и c.2005G>T (p.Ala669Ser). Обсуждается дифференциальная диагностика, представлен обзор литературы.
Ключевые слова
Об авторах
Галина Евгеньевна Руденская
ФГБНУ «Медико-генетический научный центр имени Н.П. Бочкова»
Автор, ответственный за переписку.
Email: rudenskaya@med-gen.ru
Россия, Москва
Алена Львовна Чухрова
ФГБНУ «Медико-генетический научный центр имени Н.П. Бочкова»
Email: rudenskaya@med-gen.ru
Россия, Москва
Оксана Петровна Рыжкова
ФГБНУ «Медико-генетический научный центр имени Н.П. Бочкова»
Email: rudenskaya@med-gen.ru
Россия, Москва
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