与NDUFV1相关的线粒体复合体-1疾病:回顾案例系列和文献综述
Aakash Mahesan1, Puneet Kumar Choudhary1, Gautam Kamila1
1Child Neurology Division, Department of Pediatrics, Centre of Excellence & Advanced Research for Childhood Neurodevelopmental Disorders, All India Institute of Medical Sciences, New Delhi, India.
Pediatric neurology
|April 16, 2024
概括
NDUFV1基因变异导致神经回归. 像Leigh或混合表型这样的MRI模式与特定的症状和死亡率相关,突出了及时进行线粒体尾酒治疗的重要性,以获得更好的结果.
科学领域:
- 遗传学和神经学 遗传学和神经学
- 线粒体生物学 线粒体生物学
- 神经成像是一种神经成像.
背景情况:
- 在NDUFV1基因中的致病变体会损害线粒体复合体I的功能.
- 这导致神经回归,白脑病变和基底腺异常.
- 与NDUFV1相关的疾病在儿科神经病学中是一个重大挑战.
研究的目的:
- 审查NDUFV1相关疾病.
- 为了呈现NDUFV1致病变体最大的单中心队列.
- 为了将神经成像发现与临床结果相关联.
主要方法:
- 对基因确认的NDUFV1变种病例的回顾性分析.
- 报道的NDUFV1病例的文献综述.
- 将MRI模式分为李氏,线粒体白血病 (ML) 和混合类型.
主要成果:
- 分析包括44名儿童;7人来自单一中心.
- 李型MRI图案与呼吸困难相关;混合的表型与 dystonia.
- c.1156C>T变体 (亚裔) 与易怒和 dystonia 相关,较少发作或 Leigh 模式;在 Leigh 模式和没有线粒体尾酒的情况下死亡率更高.
结论:
- 核磁共振成型可以预测患者的结果.
- 用线粒体尾酒及时治疗可能会改善存活率和长期预后.
- 无论基因变异或发病年龄如何,都观察到治疗的好处.
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