全球纵向菌株在前症状患者与突变的 transthyretin 氨基粉症
Grazia Canciello1, Stefano Tozza2, Gaetano Todde1
1Department of Advanced Biomedical Sciences, University Federico II of Naples, Naples, Italy.
Orphanet journal of rare diseases
|December 5, 2024
概括
早期检测遗传性转基因氨基粉症 (ATTRv) 是至关重要的. 这项研究发现,全球纵向应变 (GLS) 和定量感官测试 (QST) 表明,在症状前的TTR突变载体中,早期心脏和神经参与.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 遗传学 遗传学 是一个
背景情况:
- 遗传性转基因氨基粉症 (ATTRv) 是一种罕见的,致命的,自体主导性疾病.
- 早期检测对于及时干预和改善患者结果至关重要.
- 确定前症状个体心脏和神经参与的早期指标是必要的.
研究的目的:
- 为了确定前症状TTR突变载体中心脏参与的早期标志物.
- 调查早期心脏和神经指标之间的相关性.
- 在疾病发作之前评估TTR基因突变的个体的心脏和神经功能.
主要方法:
- 研究了16名TTR突变携带者 (平均年龄51±9岁),没有左心室缩.
- 使用心声学和全球纵向应变 (GLS) 评估心脏功能.
- 通过定量感官测试 (QST) 和佩鲁吉尼分数来评估神经功能.
主要成果:
- 在9名受试者中观察到异常的GLS,独立于年龄或其他心脏标志物.
- 定量感官测试 (QST) 在大多数参与者身上发现了异常.
- 在更糟糕的感冒疼痛门和更糟糕的GLS (r=0.786,p<0.001) 之间发现了显著的相关性.
结论:
- 全球纵向应变 (GLS) 和定量感官测试 (QST) 表明ATTRv.早期心脏和小神经纤维参与.
- 这些发现表明,心脏功能障碍与早期的小神经纤维损伤相匹配.
- 这些标记物的早期检测可以促进对前症状TTR突变载体的及时干预.
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