对外科手术期神经认知障碍的遗传和表观遗传见解:叙述性综述
Mariana Thedim1, Haobo Li1, Arthur Formanek1
1Department of Anesthesiology, Mass General Brigham, Harvard Medical School, Boston, MA, USA.
British journal of anaesthesia
|January 31, 2026
概括
遗传和表观遗传因素显著影响外科手术期间神经认知障碍 (PND). 了解这些特征为预防和治疗PND提供了新的精准医学策略,改善了患者的大脑健康.
科学领域:
- 神经科学是一个神经科学.
- 遗传学 遗传学 是一个
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
背景情况:
- 经手术的神经认知障碍 (PND) 是一个重大的临床挑战.
- 目前的策略受到未确定的患者特征的限制,特别是在高危人群中.
研究的目的:
- 审查将遗传和表观遗传因素与PND联系在一起的证据.
- 概述在外科手术期间大脑健康中的多omics方法的未来方向.
主要方法:
- 对PND的遗传和表观遗传决定因素的现有文献的审查.
- 探索来自生物库和全基因组关联研究的见解.
主要成果:
- 遗传因素影响神经退行,昼夜节律和与PND相关的炎症路径.
- 表观遗传机制 (DNA甲基化,基因组修饰,非编码RNA) 将遗传敏感性与环境和外科外科外科的压力因素联系起来.
- 表观遗传改变是动态的,为生物标志物和干预提供了潜在的可能性.
结论:
- 遗传和表观遗传的见解对于开发精确的方法来治疗外科手术期间的大脑健康至关重要.
- 整合多omics数据可以提高PND预测,预防和管理.
- 进展正在为PND准确医学框架奠定基础.
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