在儿科患者中发生的输血依赖性血病 (TDT) 的遗传突变
N N Mohd Nor1, H N Kamal2, M Abdul Razak3
1Universiti Teknologi MARA (UiTM), Faculty of Medicine, Department of Pathology, 47000 Selangor, Malaysia.
The Malaysian journal of pathology
|December 23, 2025
概括
遗传突变显著影响马来西亚儿童的输血依赖性沙拉西米亚 (TDT) 现型. 了解这些遗传联系对于有效的DTT管理和预测患者结果至关重要.
科学领域:
- 血液学 血液学 血液学
- 遗传学 是一个遗传学.
- 儿科 儿科 儿科
背景情况:
- 血症包括遗传性血液疾病,由于全球蛋白链合成受损而导致贫血.
- 输血依赖性血症 (TDT) 影响相当一部分患者,需要定期输血.
- 关于马来西亚TDT遗传突变与临床/实验室特征之间的相关性,当地数据有限.
研究的目的:
- 在Tuanku Azizah医院 (HTA) 调查儿科TDT患者的基因突变谱.
- 在TDT中,将鉴定的基因突变与临床表现和实验室发现相关联.
- 提供必要的本地数据,以指导马来西亚的DTT管理和预后.
主要方法:
- 在HTA进行了一项单中心,横截面的研究.
- 从2022年1月至12月期间的儿科TDT患者收集了数据.
- 通过对α和β环球蛋白基因的基因突变进行鉴定和分析.
主要成果:
- 该研究包括95名TDT患者,主要是马来人.
- 发现了27种不同的基因突变,其中HbEβ血症是最常见的组合 (45.3%).
- 诊断时的年龄,定期输血的年龄和不同遗传特征的血红蛋白水平存在显著差异 (p<0.05).
结论:
- 遗传突变是儿童患者TDT表型的关键决定因素.
- 这些遗传发现对于优化临床管理策略至关重要.
- 了解基因型-表型相关性有助于预测TDT患者的预后.
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