病例报告:家族性甲状腺功能低下症,甲状腺上腺激素升高,原因是无活化PTH突变
Noha Mukhtar1, Balgees Alghamdi2, Meshael Alswailem2
1Department of Medicine, King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
Frontiers in endocrinology
|October 22, 2024
概括
亲属隔离性甲状腺功能低下症可能是由不活跃的PTH突变引起的,而不仅仅是受体缺陷. 复合人类PTH (teriparatide) 在其他疗法失败时有效治疗了患有这种疾病的患者.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 遗传学 是一个
- 分子生物学分子生物学
背景情况:
- 家庭隔离性甲状腺功能低下症 (FIH) 是一种罕见的遗传疾病,其特征是水平低.
- 甲状腺前激素 (PTH) 基因中只有11种突变与FIH有关.
- 这项研究研究了一种新的PTH突变,导致功能不活跃的PTH.
研究的目的:
- 描述一个由新型PTH突变引起的FIH家族.
- 为了评估复合人类PTH (teriparatide) 在患有FIH的患者中由于这种突变而导致的治疗疗效.
主要方法:
- 进行全外体序列测序 (WES) 来识别遗传变异.
- 桑格测序证实了已识别的PTH变种.
- 分析了临床数据和治疗结果.
主要成果:
- 在受影响的家庭成员中,在PTH基因中发现了一种新的双等位基因变异 (c.128G>A,p.Gly43Glu).
- 这种突变导致功能不活跃的PTH,导致严重的低血症.
- 特里巴拉提德治疗使试验者的水平正常化,并改善了健康状况.
结论:
- 具有高PTH的先天性低血症可能是生物学上不活跃的突变PTH的结果.
- 特里巴拉提德是非活性PTH突变引起的FIH的潜在治疗选择.
- 这种方法可以稳定生化特征,提高生活质量.
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