Estudio clínico-molecular de pacientes chilenas con síndrome de McCune-Albright

Background: McCune-Albright Syndrome (MAS) is characterized by precocious puberty, "cafe au lait" skin lesions and polyostotic fibrous dysplasia. It is caused by 4 post-zygotic mutations of Gas protein with a mosaic distribution. Aim: To describe the clinical presentation and to investigat...

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Autores principales: Román R,Rossana, Johnson P,M Cecilia, Codner D,Ethel, Cattani O,Andreína, García B,Hernán, Mericq G,Verónica, Boric S,Angélica, Muñoz O,Mónica, Schneider S,Ruth, Cassorla G,Fernando
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2001
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001200001
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spelling oai:scielo:S0034-988720010012000012005-11-22Estudio clínico-molecular de pacientes chilenas con síndrome de McCune-AlbrightRomán R,RossanaJohnson P,M CeciliaCodner D,EthelCattani O,AndreínaGarcía B,HernánMericq G,VerónicaBoric S,AngélicaMuñoz O,MónicaSchneider S,RuthCassorla G,Fernando Aminoacid substitution Fibrous dysplasia polyostotic McCune-Albright Syndrome Mutation, misseuse Background: McCune-Albright Syndrome (MAS) is characterized by precocious puberty, "cafe au lait" skin lesions and polyostotic fibrous dysplasia. It is caused by 4 post-zygotic mutations of Gas protein with a mosaic distribution. Aim: To describe the clinical presentation and to investigate the presence of the Arg by his substitution (R201H) in 14 girls with MAS. Patients and methods: We performed a clinical analysis of the patients and specific allele PCR in DNA obtained from leukocytes. Results: Twelve of 14 patients presented with precocious puberty, one with cyclical vaginal bleeding and one with pathological bone fractures. Eight girls had polyostotic fibrous dysplasia, one had hyperthyroidism, four had pathological fractures, ten had ovarian cysts, six had breast hyperpigmentation and ten had "cafe au lait" skin lesions. We detected the R2O1H mutation in 10 of 14 patients. We found no difference in the severity of symptoms or in the age of presentation between the patients with and without the mutation. Conclusions: The R201H mutation can be detected in white blood cells, in approximately 70% of cases. Patients exhibit wide clinical variability with the same molecular defect. This suggests that tissues have different proportions of mutant cells (Rev Méd Chile 2001; 129: 1365-72)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.129 n.12 20012001-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001200001es10.4067/S0034-98872001001200001
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Aminoacid substitution
Fibrous dysplasia
polyostotic
McCune-Albright Syndrome
Mutation, misseuse
spellingShingle Aminoacid substitution
Fibrous dysplasia
polyostotic
McCune-Albright Syndrome
Mutation, misseuse
Román R,Rossana
Johnson P,M Cecilia
Codner D,Ethel
Cattani O,Andreína
García B,Hernán
Mericq G,Verónica
Boric S,Angélica
Muñoz O,Mónica
Schneider S,Ruth
Cassorla G,Fernando
Estudio clínico-molecular de pacientes chilenas con síndrome de McCune-Albright
description Background: McCune-Albright Syndrome (MAS) is characterized by precocious puberty, "cafe au lait" skin lesions and polyostotic fibrous dysplasia. It is caused by 4 post-zygotic mutations of Gas protein with a mosaic distribution. Aim: To describe the clinical presentation and to investigate the presence of the Arg by his substitution (R201H) in 14 girls with MAS. Patients and methods: We performed a clinical analysis of the patients and specific allele PCR in DNA obtained from leukocytes. Results: Twelve of 14 patients presented with precocious puberty, one with cyclical vaginal bleeding and one with pathological bone fractures. Eight girls had polyostotic fibrous dysplasia, one had hyperthyroidism, four had pathological fractures, ten had ovarian cysts, six had breast hyperpigmentation and ten had "cafe au lait" skin lesions. We detected the R2O1H mutation in 10 of 14 patients. We found no difference in the severity of symptoms or in the age of presentation between the patients with and without the mutation. Conclusions: The R201H mutation can be detected in white blood cells, in approximately 70% of cases. Patients exhibit wide clinical variability with the same molecular defect. This suggests that tissues have different proportions of mutant cells (Rev Méd Chile 2001; 129: 1365-72)
author Román R,Rossana
Johnson P,M Cecilia
Codner D,Ethel
Cattani O,Andreína
García B,Hernán
Mericq G,Verónica
Boric S,Angélica
Muñoz O,Mónica
Schneider S,Ruth
Cassorla G,Fernando
author_facet Román R,Rossana
Johnson P,M Cecilia
Codner D,Ethel
Cattani O,Andreína
García B,Hernán
Mericq G,Verónica
Boric S,Angélica
Muñoz O,Mónica
Schneider S,Ruth
Cassorla G,Fernando
author_sort Román R,Rossana
title Estudio clínico-molecular de pacientes chilenas con síndrome de McCune-Albright
title_short Estudio clínico-molecular de pacientes chilenas con síndrome de McCune-Albright
title_full Estudio clínico-molecular de pacientes chilenas con síndrome de McCune-Albright
title_fullStr Estudio clínico-molecular de pacientes chilenas con síndrome de McCune-Albright
title_full_unstemmed Estudio clínico-molecular de pacientes chilenas con síndrome de McCune-Albright
title_sort estudio clínico-molecular de pacientes chilenas con síndrome de mccune-albright
publisher Sociedad Médica de Santiago
publishDate 2001
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872001001200001
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