遗传糖酶-异酸酶缺乏症:流行病学,临床谱和诊断挑战
Engin Demir1, Ali Tunç2, Burak Başer3
1Division of Pediatric Gastroenterology, Department of Pediatrics, Mersin City Training and Research Hospital, Mersin, Turkey.
Scandinavian journal of gastroenterology
|January 12, 2026
概括
遗传糖酶-异酶缺乏症 (GSID) 在儿科功能性肠道疾病患者中很常见. SI基因分析和饮食挑战有助于诊断GSID,将其与肠-大脑相互作用障碍区分开来.
科学领域:
- 遗传学和分子生物学
- 胃肠病学 胃肠病学
- 儿科 儿科 儿科
背景情况:
- 糖酶-异盐酸酶 (SI) 基因对于肠道中的碳水化合物消化至关重要.
- 在SI基因的突变导致遗传糖酶-异酸酶缺乏症 (GSID).
- 轻微的GSID可以模仿功能性胃肠道疾病,使诊断和治疗复杂化.
研究的目的:
- 为了确定GSID在接受非GI指示外基因组测序的个体中的患病率.
- 评估诊断为肠-大脑相互作用障碍 (DGBI) 的儿科患者GSID的发生率.
- 评估SI基因分析在儿科DGBI患者的诊断效用.
主要方法:
- 对980名接受全外体或临床外体测序 (WES/CES) 的患者进行了回顾性审查.
- 对148名接受SI基因检测的儿科DGBI患者的分析.
- 对SI基因突变患者的临床评估,包括饮食变化和圣酶反应.
主要成果:
- 在0.3%的WES/CES患者和10%的儿科DGBI患者中发现了有症状的GSID.
- 在儿童DGBI患者中经常检测到SI基因突变.
- 一种无糖和无粉的饮食与糖酶挑战相结合,在受影响的DGBI患者中有效诊断了GSID.
结论:
- 在儿童DGBI患者中经常观察到遗传糖酶-异马尔酶缺乏症.
- SI基因分析,加上饮食修改和圣酶挑战,为GSID提供了可靠的诊断方法.
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