Background
Terminal deletion of chromosome 10p is a rare chromosomal abnormality. We report a neonatal case with a large deletion of 10p15.3p13 diagnosed early because of severe clinical manifestations.
Case presentation
Our patient presented with specific facial features, hypoparathyroidism, sen sorineural deafness, renal abnormalities, and developmental retardation, and carried a 12.6 Mb deletion in the 10p15.3 p13 region. The terminal 10p deletion involved in our patient is the second largest reported terminal deletion reported to date, and includes the ZMYND11 and GATA3 genes and a partial critical region of the DiGeorge syndrome 2 gene (DGS2).
Conclusion
On the basis of a literature review, this terminal 10p deletion in the present case is responsible for a specific contiguous gene syndrome. This rare case may help the understanding of the genotype–phenotype spectrum of terminal deletion of chromosome 10p.
Purpose
Intestinal microbiota was considered to be one of the main factors leading to changes in the immune response and had a significant correlation with Crohn disease (CD).This study aimed to reveal the intestinal microbiota profiles of Crohn's disease patients.
Methods
We analyzed the alterations of the gut mucosal microbiota using a 16S rRNA sequencing approach in CD patients in active stage (CD), CD patients in the remission stage (CDR) and the control group (Col).
Results
The results showed that there was a higher abundance of the genus Enterococcus, Lachnoclostridium and Prevotella in CD group than that in CDR and Col. Also, we found a lower abundance of the genus Ruminococcus gnavus group in CD and CDR patients, but higher in Col, indicating that Ruminococcus gnavus group was closely related to CD.
Conclusions
The decreased abundance of Ruminococcus gnavus may result in the reduction of mucin and subsequently lead to the degradation of the host’s ability to maintain a bacteria-free zone within the mucin layer. The increasing of Prevotella may be one of the inducing factors of Crohn's disease. Also, high level Enterococcus faecalis colonization had a significant, positive relationship with Pediatric Crohn disease activity index (PCDAI).
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