患有唐氏综合征的儿童的心肺表现型和蛋白质特征
Emily M DeBoer1,2,3, Kristine Wolter-Warmerdam2, Robin R Deterding1,2
1Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Clinical pediatrics
|June 12, 2023
概括
肺部诊断在患有唐氏综合征 (DS) 的儿童中很常见,在10岁时影响一半. 这些肺部疾病似乎独立于心脏病和肺高血压 (PH).
科学领域:
- 儿科肺病学 儿科肺病学
- 遗传学 是一个遗传学.
- 心脏病学 心脏病学
背景情况:
- 肺部疾病,下呼吸道感染和肺炎是唐氏综合征 (DS) 患者的主要死亡原因.
- 患有DS的儿童肺部诊断的患病率和独立性,特别是关于心脏病和肺高血压 (PH) 的诊断,仍然不清楚.
研究的目的:
- 调查唐氏综合征儿童肺部诊断的频率.
- 确定这些肺部诊断是否独立于心脏病和肺高血压 (PH) 发生.
主要方法:
- 在1248名患有DS的儿童队列中检查了心肺表型.
- 在120名儿童的子组中进行了基于aptamer的血液蛋白质组分析.
主要成果:
- 到10岁时,50.8% (634/1248) 的DS儿童同时出现肺部诊断.
- 蛋白质组分析显示,肺部诊断的儿童和心脏病和/或PH的儿童之间存在明显的蛋白质通路.
- 肝素硫酸盐-葡萄糖氨基甘氨酸降解,尼古丁酸代谢和弹性纤维形成途径在患有肺部诊断的儿童中最为突出.
结论:
- 肺部诊断在患有唐氏综合征的儿童中非常普遍.
- 有证据表明,在这个人群中,肺部诊断可能独立于心脏病和PH.
- 特定的蛋白质通路与DS儿童的肺部疾病有关.
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