囊性纤维化相关的病新出现的发病率和疾病修饰剂
Merrill Hart1, Manish Kumar2, Himanshu Ballav Goswami3
1University of Virginia, Charlottesville, VA, 22903, USA.
Pediatric nephrology (Berlin, Germany)
|March 17, 2025
概括
囊性纤维化 (CF) 越来越多地被认为会影响脏健康,特别是在老年人中. 新的治疗方法可能会改变脏并发症,需要专注于"CF相关的脏疾病".
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 肺部病理学 肺部病理学
- 遗传学 遗传学 是一个
背景情况:
- 囊性纤维化 (CF) 是一种遗传性疾病,影响多个器官,主要是肺和胰腺.
- 在CF治疗方面取得的进展,包括高效调节器疗法 (HEMT),改善了寿命和生活质量.
- 长寿的增加揭示了肺外表现,包括脏并发症.
研究的目的:
- 审查在患有CF (PwCF) 的人中演变的脏并发症.
- 提出术语"CF相关的病"来描述这些新出现的问题.
- 提高人们对CF变化的表型的认识,并预防与脏有关的发病率.
主要方法:
- 在PwCF中对脏并发症的文献综述.
- 对老化CF人口中慢性病 (CKD) 新兴数据的分析.
- 讨论CFTR基因突变和HEMT对脏健康的影响.
主要成果:
- 之前报告的脏问题包括伪巴特综合症,急性脏损伤,粉样化症和结石病.
- 新的数据表明,CKD影响了55岁以上的PwCF的19%,增加了心血管风险.
- CFTR功能障碍可能本质上使脏易受损伤.
结论:
- 慢性瘤是老化CF人口中一个新兴的发病率.
- HEMT可能会影响脏的反应,但长期的非目标效应是未知的.
- 提高对"CF相关病"的认识和研究对于患者护理至关重要.
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