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第45卷第6期
               ·820 ·                            南 京    医 科 大 学 学         报                        2025年6月


                                     表2 1 096例ID/GDD患儿中前25位常见的变异基因及关联表型
                          Table 2 Top 25 monogenic variations and associated phenotypes in 1096 children with ID/GDD
                        Number                                                                        Inheritance
                 Gene                                    Related diseases                       OMIM
                        of cases                                                                        pattern
               MECP2      12   Rett syndrome;RTT                                                312750   XD
                               Encephalopathy,neonatal severe,due to mecp2 mutations            300673   XR
                               Intellectual developmental disorder,X⁃linked,syndromic 13;MRXS13  300055  XR
                               Intellectual developmental disorder,X⁃linked,syndromic,Lubs type;MRXSL  300260  XR
                               Autism,susceptibility to,X⁃linked 3;AUTSX3                       300496 X⁃linked
               SYNGAP1     6   Intellectual developmental disorder,autosomal dominant 5;MRD5    612621   AD
               DDX3X       5   Intellectual developmental disorder,X⁃linked,syndromic,Snijders Blok type;MRXSSB  300958  XD,XR
               TCF4        5   Pitt⁃Hopkins syndrome;PTHS                                       610954   AD
                               Corneal dystrophy,Fuchs endothelial,3;FECD3                      613267   AD
               CREBBP      4   Rubinstein⁃Taybi syndrome 1;RSTS1                                180849   AD
                               Menke⁃Hennekam syndrome 1;MKHK1                                  618332   AD
               CTNNB1      4   Neurodevelopmental disorder with spastic diplegia and visual defects;NEDSDV  615075  AD
                               Exudative vitreoretinopathy 7;EVR7                               617572   AD
               GRIN2B      4   Intellectual developmental disorder,autosomal dominant 6,with or without seizures; 613970  AD
                               MRD6
                               Developmental and epileptic encephalopathy 27;DEE27              616139   AD
               KAT6A       4   Arboleda⁃Tham syndrome;ARTHS                                     616268   AD
               KDM5C       4   Intellectual developmental disorder,X⁃linked,syndromic,Claes⁃Jensen type;MRXSCJ  300534  XR
               NF1         4   Neurofibromatosis,type Ⅰ;NF1                                     162200   AD
                               Neurofibromatosis,familial spinal                                162210   AD
                               Watson syndrome;WTSN                                             193520   AD
                               Neurofibromatosis⁃Noonan syndrome;NFNS                           601321   AD
                               Juvenile myelomonocytic leukemia;JMML                            607785  AD,SMu
               NSD1        4   Sotos syndrome;SOTOS                                             117550   AD
               ZEB2        4   Mowat⁃Wilson syndrome;MOWS                                       235730   AD
               CASK        3   FG syndrome 4;FGS4                                               300422   XR
                               Intellectual developmental disorder with microcephaly and pontine and cerebellar hypo⁃ 300749  X⁃linked
                               plasia;MICPCH
               CDK13       3   Congenital heart defects,dysmorphic facial features,and intellectual developmental dis⁃ 617360  AD
                               order;CHDFIDD
               DYNC1H1     3   Spinal muscular atrophy,lower extremity ⁃ predominant,1,autosomal dominant; 158600  AD
                               SMALED1
                               Charcot⁃Marie⁃Tooth disease,axonal,type 2O;CMT2O                 614228   AD
                               Cortical dysplasia,complex,with other brain malformations 13;CDCBM13  614563  AD
               FOXP1       3   Intellectual developmental disorder with language impairment and with or without autis⁃ 613670  AD
                               tic features;IDDLA
               HNRNPU      3   Developmental and epileptic encephalopathy 54;DEE54              617391   AD
               IQSEC2      3   Intellectual developmental disorder,X⁃linked 1;XLID1             309530   XD
               KMT2D       3   Kabuki syndrome 1;KABUK1                                         147920   AD
                               Branchial arch abnormalities,choanal atresia,athelia,hearing loss,and hypothyroidism 620186  AD
                               syndrome;BCAHH
               MED13L      3   Impaired intellectual development and distinctive facial features with or without cardiac 616789  AD
                               defects;MRFACD
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