状细胞疾病
Russell E Ware1, Mariane de Montalembert2, Léon Tshilolo3
1Division of Hematology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Lancet (London, England)
|February 5, 2017
概括
状细胞病导致严重的疼痛和器官损伤,因为异常的红细胞阻断了血液流动. 新的基因疗法为治愈提供了希望,
科学领域:
- 血液学
- 遗传学
- 血管生物学
背景情况:
- 状细胞疾病 (SCD) 是一种普遍的,危及生命的血液疾病,影响全球数百万人.
- 不正常的红细胞导致血管封闭,导致组织缺血,炎症和急性疼痛危机.
- 慢性器官损伤和早期死亡是由重复的形和血液溶解性贫血引起的.
研究的目的:
- 审查目前和新兴的状细胞疾病治疗策略.
- 突出诊断和疾病管理的最新进展.
- 解决SCD病理生理学和治疗中的持续争议.
主要方法:
- 对状细胞病的当前治疗方法和正在进行的研究进行文献审查.
- 对查,诊断和管理方面的最新进展进行分析.
- 在SCD中讨论有争议的方面.
主要成果:
- 目前的治疗方法包括输血和糖胺; 干细胞移植提供了潜在的治疗方法.
- 新兴疗法包括基因疗法和基因编辑.
- 最近的进展包括普遍的中风风险查,改善的铁过载管理和临床诊断.
结论:
- 在治疗状细胞疾病方面取得了显著进展,
- 解决病理生理学和管理方面的争议对于改善患者的结果至关重要.
- 未来的SCD治疗包括先进的疗法,诊断和综合治疗.
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