代谢和其他病态并发症在4型先天性泛化脂质缩症
Gulcin Akinci1, Saif Alyaarubi2, Nivedita Patni3
1Department of Pediatric Neurology, University of Health Sciences, Izmir Faculty of Medicine, Behcet Uz Children's Hospital, Izmir, Turkey.
American journal of medical genetics. Part A
|January 18, 2024
概括
4型先天性泛性脂质缩症 (CGL4) 患者出现显著的肌肉病变,代谢问题以及心脏/胃肠道问题. 早期死亡很常见,主要是由于心律失常,突出显示了这种罕见疾病的严重健康风险.
科学领域:
- 遗传学和罕见疾病.
- 内分泌学和新陈代谢
- 心脏病学和胃肠病学.
背景情况:
- 4型先天性泛性脂质缩症 (CGL4) 是一种极为罕见的遗传性疾病.
- 对CGL4患者的发病率和死亡率数据尚未得到充分确立.
研究的目的:
- 描述CGL4患者的临床表现,并发症和死亡率.
- 确定与CGL4.4相关的关键健康风险.
主要方法:
- 对来自10个国家的43名患者 (30名女性,16名男性) 的CAVIN1基因双零变异的回顾性分析.
- 数据收集包括临床表型,实验室值和结果.
主要成果:
- 所有患者 (38/38) 呈现肌肉病变和肌酸激酶水平升高.
- 过高甘油三血症 (79%),肝硬化 (82%),心律失常 (57%) 和胃肠道问题的高患病率 (皮洛克狭窄症39%,不运动性39-50%).
- 七名患者死亡,心律不整和突然死亡是最常见的原因.
结论:
- CGL4与肌肉病,代谢障碍和严重的心脏和胃肠道并发症的高负担有关.
- 患有CGL4的患者面临着相当大的过早死亡风险,主要是由于心脏原因.
相关概念视频
Overview of Lipid Metabolism
1.6K
Lipid metabolism is a crucial process in the human body that involves the synthesis and degradation of lipids. This process is essential for energy production, cell membrane formation, and hormone production, among other functions.
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
1.6K
Inborn Errors of Metabolism
160
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
160
Pathophysiology of Diabetes
940
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
940
Obesity
505
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
505
Lysosomal Hydrolases
3.8K
Lysosomes are the site for the degradation of macromolecules and biological polymers released during membrane trafficking events such as secretory, endocytic, autophagic, and phagocytic pathways. The membrane-enclosed area of the lysosome, called the lumen, contains hydrolytic enzymes active in an acidic environment. These acid hydrolases are functional at a pH between 4.5 and 5 and are involved in cellular processes such as cell signaling, energy metabolism, restoration of the plasma membrane,...
3.8K
Diabetes: Symptoms, Diagnosis, and Complications
546
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
546


