CDH23相关的阿舍尔综合征:临床特征,视网膜成像和自然史
Thales A C de Guimaraes1,2, Anthony G Robson1,2, Isabela M C de Guimaraes3
1UCL Institute of Ophthalmology, University College London, London, United Kingdom.
Investigative ophthalmology & visual science
|July 17, 2024
概括
与CDH23变体相关的阿舍尔综合征类型ID (USH1D) 呈现出早期出现的视力丧失,但进展缓慢. 高整眼对称性表明有针对性治疗的潜力.
科学领域:
- 遗传学 遗传学是一种遗传学.
- 眼科医生 眼科 眼科
- 临床医学 临床医学
背景情况:
- 阿舍尔综合征是一种遗传性疾病,导致听力和视力丧失.
- CDH23基因突变与阿舍尔综合征类型ID (USH1D) 有关.
- 了解USH1D的临床谱和自然史对于患者管理至关重要.
研究的目的:
- 分析CDH23相关的阿舍尔综合征类型ID (USH1D) 的临床谱和自然史.
主要方法:
- 对分子确诊USH1D患者的回顾性分析.
- 从医疗记录和数据库中提取临床数据,视网膜成像和电网膜学 (ERG).
- 关键的结果措施包括发病年龄,视力敏度,视网膜层厚度和功能测试.
主要成果:
- 确定了31名患有40种CDH23变异的患者 (10种新型).
- 症状发作的平均年龄为10.1岁,近视和外周视力丧失是常见的初始症状.
- 观察到缓慢渐进的视力敏度丧失 (0.018LogMAR/年) 和轻微的视网膜外层损失,与相对黄斑节省.
结论:
- 尽管早期出现症状,但USH1D表现出缓慢渐进的表型.
- 临床参数的高整眼对称性使USH1D成为新型治疗干预的有希望的候选人.
相关概念视频
Photoreceptors and Visual Pathways
At the molecular level, visual signals trigger transformations in photopigment molecules, resulting in changes in the photoreceptor cell's membrane potential. The photon's energy level is denoted by its wavelength, with each specific wavelength of visible light associated with a distinct color. The spectral range of visible light, classified as electromagnetic radiation, spans from 380 to 720 nm. Electromagnetic radiation wavelengths exceeding 720 nm fall under the infrared category, whereas...
Diabetic Retinopathy
DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Huntington Disease l: Introduction
Huntington disease or HD is a progressive, fatal neurodegenerative disorder inherited in an autosomal dominant pattern.PathophysiologyIt is caused by expansion of the CAG trinucleotide repeat in the HTT gene on chromosome 4 (4p16.3), producing an abnormal huntingtin protein with an expanded polyglutamine tract. This misfolded protein disrupts cellular function, leading to neuronal death. Normal alleles have ≤26 repeats, 27–35 are intermediate (risk of expansion), 36–39 show reduced penetrance,...


