由西班牙的Val142Ile变体引起的遗传性跨甲基氨基粉症
Fernando de Frutos1, Lorena Herrador1, Belén Peiró-Aventín2
1Unidad de Insuficiencia Cardiaca y Enfermedades Cardiacas Hereditarias, Departamento de Cardiología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; Grupo Bioheart, Programa de Enfermedades Cardiovasculares, Respiratorias, Sistémicas y de Envejecimiento Celular Cardiovascular, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
由于p.Val142Ile变异的遗传性转氨基粉症 (ATTRv) 在西班牙很普遍,影响没有非洲血统的个人. 这种情况通常在生命晚期出现,男性主要有心脏症状.
科学领域:
- 遗传学和基因组学 遗传学和基因组学
- 心血管疾病 心血管疾病
- 神经学 神经学
背景情况:
- 遗传性转基因氨基粉症 (ATTRv) 在不同的人群中越来越多地被认可.
- 以前与非洲血统相关的p.Val142Ile变种现在在非非洲人群中被报告.
- 了解这种变种在西班牙的影响对于诊断和管理至关重要.
研究的目的:
- 分析西班牙的p.Val142Ile变种引起的ATTRv的流行率和表型特征.
- 为了确定这种特定遗传变异的种群频率.
- 调查受影响个体的临床表现和疾病进展.
主要方法:
- 西班牙的一项多中心研究招募了由于p.Val142Ile和载体的ATTRv患者.
- 从16个中心收集了表型数据和后续事件.
- 用国家DNA和健康数据库来评估人口的频率.
主要成果:
- 该队列包括164名参与者,大多数试验者 (89.3%) 报告欧洲血统.
- 心脏症状是首要诊断原因 (85.3%).
- 观察到高透率,在85.2岁时达到94.2%. 人口频率估计在0.0%和0.12%之间.
结论:
- 由p.Val142Ile引起的ATTRv在西班牙人口中明显流行.
- 这种变种呈现出晚期发病,男性占主导地位和心脏表现.
- 这凸显了在西班牙患者具有相关症状时考虑这种变异的重要性.
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