长期新生儿的家族性超微小血症综合征
Sudesh Kumar1, Avinash Priyadarshi2, Soumya Sanjay1
1Department of Pediatrics, MGM Medical College and LSK Hospital, Kishanganj, Bihar, India.
Annals of African medicine
|March 4, 2026
概括
家庭性高甲基米克隆血症综合征是一种罕见的遗传性疾病,会导致严重的高甘油三血症,这是由于三甘油的水解受损. 遗传确认确定了一个新生儿的同卵性脂蛋白脂酶基因突变.
科学领域:
- 遗传学 是一个遗传学.
- 代谢障碍 代谢障碍 代谢障碍
- 脂蛋白代谢 脂蛋白的代谢
背景情况:
- 家庭性超基隆血症综合征 (第一型超脂蛋白血症) 是一种罕见的自体逆性疾病,影响脂蛋白代谢.
- 严重的高甘油三血症 (甘油三水平>880毫克/升) 由于基洛米克朗积累和缺陷的甘油三水解.
- 影响大约100万分之一的人.
研究的目的:
- 在新生儿中报告一个家族性高胆米龙血病病例与晚发性败血症.
- 突出诊断过程和疾病的遗传确认.
主要方法:
- 一个24天大的男性的临床表现,症状包括过度哭泣和拒绝食.
- 在采样期间观察粘性,乳白血,表明严重的高甘油三血症.
- 使用整个外体序列测序进行遗传确认.
主要成果:
- 诊断出家族性高胆米克隆血症与晚发性败血症.
- 高血甘油三水平和早期心脏病家族病史.
- 鉴定一个同胞性脂蛋白脂酶基因突变.
结论:
- 亲属性高胆米克隆血症可能伴有严重的高甘油三血症,并且可能与新生儿的败血症有关.
- 基因检测,特别是整个外基因组测序,对于确认诊断至关重要.
- 对于患有这种罕见遗传疾病的患者来说,早期识别和治疗是必不可少的.
相关概念视频
Inborn Errors of Metabolism
966
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
966
Cholesterol: Significance and Regulation
1.8K
Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Considering cholesterol and...
1.8K
Lipid Catabolism
1.2K
Triglycerides serve as crucial long-term energy storage molecules in microorganisms, providing a dense source of metabolic energy. Their breakdown is mediated by lipases, which hydrolyze triglycerides into glycerol and free fatty acids. Each of these components follows distinct metabolic pathways, ultimately contributing to ATP synthesis and cellular energy homeostasis.Glycerol MetabolismGlycerol, released from triglyceride hydrolysis, is phosphorylated by glycerol kinase to form...
1.2K
Lipid-derived Compounds in the Human Body
7.2K
Fats and lipids are crucial components in the human body. Some lipid-derived compounds, such as fat-soluble vitamins, eicosanoids, lipoproteins, and glycolipids, also play unique roles to support various biological processes .
Fat-soluble Vitamins
Fat-soluble vitamins, including vitamins A, D, E, and K, are required in minimal quantities, but their deficiencies can lead to severely abnormal physiological conditions. For example, vitamin A deficiency can cause night blindness, dry skin,...
Fat-soluble Vitamins
Fat-soluble vitamins, including vitamins A, D, E, and K, are required in minimal quantities, but their deficiencies can lead to severely abnormal physiological conditions. For example, vitamin A deficiency can cause night blindness, dry skin,...
7.2K
Transcytosis of IgG
4.4K
Transcytosis is the process in which molecules are internalized by endocytosis, transported across the cell, and released through exocytosis from the opposite end of the cell. Molecules such as insulin, immunoglobulins, and certain nutrients are transferred through the recycling endosomes by recycling and transcytosis.
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
4.4K
Teratogenicity
4.4K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
4.4K


