马来西亚的溶酶体储存疾病 (LSD) 的流行
A Omar1, S Abdul Rahman1, R Mohamed1
1Inborn Errors of Metabolism & Genetics Unit, NMCRC, Institute for Medical Research, National Institutes of Health (NIH), Ministry of Health Malaysia, Selangor, Malaysia.
The Malaysian journal of pathology
|August 29, 2025
概括
这项研究计算了马来西亚 lysosomal储存障碍 (LSD) 的出生率和携带者频率. 结果显示每10万活产婴儿中LSD患病率为0.43,其中MPSII和Fabry病是值得注意的.
科学领域:
- 遗传学
- 生物化学
- 流行病学
背景情况:
- 溶解体储存障碍 (LSD) 是由于溶解体降解酶的功能障碍造成的.
- 了解LSD的流行和携带者频率对于公共卫生举措至关重要.
- 马来西亚LSD的流行病学数据有限,需要对特定人群进行研究.
研究的目的:
- 确定马来西亚人口中LSD的出生率和携带者频率.
- 将马来西亚的LSD数据与全球流行病学发现进行比较.
- 描述马来西亚LSD的突变谱.
主要方法:
- 分析2008年至2017年间被诊断患有LSD的患者数据.
- 总体LSD和特定亚型的出生流行率和携带者频率的计算.
- 与现有的国际流行病学数据进行比较.
主要成果:
- 在马来西亚,LSD的总出生率为每10万个活产儿0.43,携带者频率为241分之一.
- 粘多糖症 (MPS) 的患病率为每10万例0. 34例 (携带者患病率为271例中的1例),MPS II在男性中最常见.
- 每10万活产婴儿中有0. 13例 (携带者发病率为439例中的1例),其中法布里病和甲色白血病 (MLD) 是最常见的. 在伊班族中,MLD的患病率更高.
结论:
- 该研究提供了马来西亚LSD的基本流行病学数据,突出显示了与其他亚洲国家一致的MPS患病率.
- 在马来西亚,法布里病和MLD是显著的脂病,MLD在伊班人群中具有显著的流行率.
- 虽然这些发现可能被低估,但强调了马来西亚持续监测和遗传咨询的重要性.
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