线粒体功能障碍在矮身的临床表现和病变发生
Yue Jiang1, Zhi-Qiang Wan2, Xin-Yue Zhang2
1Department of Endocrinology, Key Laboratory of Endocrinology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
World journal of pediatrics : WJP
|February 26, 2025
概括
线粒体功能障碍导致儿童通过生长板损伤和内分泌问题而变矮. 早期遗传检测和多学科护理对于管理这些主要线粒体疾病至关重要.
科学领域:
- 遗传学 遗传学 是一个
- 细胞生物学 细胞生物学
- 内分泌学 在内分泌学.
背景情况:
- 线粒体对细胞能量至关重要;功能障碍导致各种疾病.
- 矮身是线粒体疾病的一个常见但不太了解的症状.
研究的目的:
- 综合审查初级线粒体疾病 (PMD) 中矮身的临床特征和分子机制.
- 提供关于与线粒体功能障碍相关的矮身病因,发病,诊断和治疗的具体见解.
主要方法:
- 进行了PubMed,Medline和EMBASE数据库的文献搜索,截至2024年11月.
- 从134个基因确诊病例中提取了患者人口统计,遗传确认,矮身的临床特征和治疗结果的数据.
主要成果:
- 确定了134例初级线粒体疾病 (PMD) 的矮身病例,涉及mtDNA和nDNA突变.
- 平均年龄在8岁时发现了矮身;15%的人患有生长激素缺乏症 (GHD).
- 病变发生涉及线粒体功能障碍,生长板损伤和内分泌疾病;遗传检测是诊断的关键.
结论:
- 本综述提供了对PMD中矮身的专注分析,与更广泛的内分泌综述不同.
- 管理需要量身定制的策略,包括饮食,补充剂和谨慎的生长激素治疗.
- 新兴的基因疗法和多学科护理对于优化复杂病例的结果至关重要.
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