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在耐火性慢性咳中RFC1基因的重复扩张
Barnaby Hirons1,2, Peter S P Cho1,2, Katie Rhatigan1,2
1Centre for Human and Applied Physiological Sciences, School of Basic and Medical Biosciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
8%的耐火性慢性咳 (RCC) 患者患有RFC1重复扩张,这是一个遗传性疾病. 这些患者表现出咳反射过敏,针刺针是更常见的症状.
科学领域:
- 神经学 神经学
- 遗传学 是一个遗传学.
- 肺部病理学 肺部病理学
背景情况:
- 耐火性慢性咳 (RCC) 经常与神经性咳过敏有关.
- RFC1障碍是一种遗传性神经退行性疾病,其特点是双RFC1重复扩张,经常出现咳和随后的神经症状,如CANVAS.
研究的目的:
- 为了确定RFC1重复扩张障碍在RCC患者中的患病率.
- 在RCC患者中确定与RFC1重复扩张疾病相关的临床特征.
主要方法:
- 招募了51名RCC患者进行RFC1基因定型.
- 评估咳严重程度 (VAS) 和健康状况 (LCQ).
- 阳性RFC1患者接受了神经传导研究,脑部MRI和咳反射敏感性测试.
主要成果:
- 四名 (8%) 患者有双的RFC1重复扩张 (RFC1++).
- RFC1++患者表现出更高的咳反射敏感性和更频繁的针刺症状 (100%vs33%).
- 在RFC1++个体中发现了感官动作潜力受损和小脑缩.
结论:
- 双性RFC1重复扩张存在于8%的RCC患者中.
- RFC1++患者表现出咳反射过敏.
- 很少有明显的特征可以识别RFC1++慢性咳,尽管针刺针比较普遍.
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