病例报告:Transthyretin Glu54Leu-一种罕见的突变,主导心脏表型
Mariana Gospodinova1, Sashka Zhelyazkova2, Teodora Chamova2
1Expert Centre for ATTR Cardiac Amyloidosis, St Ivan Rilski University Hospital, Sofia, Bulgaria.
Frontiers in cardiovascular medicine
|November 29, 2023
概括
遗传性转基因氨基粉症 (ATTR) 可能是由罕见的p.Glu74Leu变种引起的. 这项研究详细介绍了两个保加利亚家庭的ATTR氨基粉症,主要表现出心脏和轻微的神经症状.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 遗传学 是一个遗传学.
背景情况:
- 遗传性转基因氨基粉症 (ATTR) 是一种进展性疾病,通常与特定的遗传变异有关.
- 这种p.Glu74Leu (Glu54Leu) 变种很少见,以前临床描述有限.
研究的目的:
- 描述两个不相关的保加利亚家庭与遗传型的 transthyretin amyloidosis.
- 描述与p.Glu74Leu变种相关的临床表现和遗传发现.
主要方法:
- 基因分析以确定p.Glu74Leu病原性变种.
- 临床评估侧重于心脏和神经系统的参与.
- 对于ATTR氨基粉症确认的非活检诊断算法.
主要成果:
- 两个家庭的七个人携带了p.Glu74Leu变种;三人有症状.
- 观察到主要的心脏参与,包括粉样性心肌病和心力衰竭的表现.
- 存在轻微的感觉神经症状,双边手掌道综合征作为最初的投诉.
结论:
- 这种p.Glu74Leu变体会导致遗传性转基因氨基粉症,主要是心脏表现,类似于之前报告的病例.
- 一种非活检的方法可以有效地诊断ATTR粉样性粉症.
- 塔法米迪斯治疗在受影响个体中显示出临床稳定性.
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