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Reversal of atherosclerosis by restoration of vascular copper homeostasis. 通过恢复血管铜平衡逆转动脉粥样硬化
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10185
Xiao Zuo, Xueqin Ding, Yaya Zhang, Y James Kang

Atherosclerosis has traditionally been considered as a disorder characterized by the accumulation of cholesterol and thrombotic materials within the arterial wall. However, it is now understood to be a complex inflammatory disease involving multiple factors. Central to the pathogenesis of atherosclerosis are the interactions among monocytes, macrophages, and neutrophils, which play pivotal roles in the initiation, progression, and destabilization of atherosclerotic lesions. Recent advances in our understanding of atherosclerosis pathogenesis, coupled with results obtained from experimental interventions, lead us to propose the hypothesis that atherosclerosis may be reversible. This paper outlines the evolution of this hypothesis and presents corroborating evidence that supports the potential for atherosclerosis regression through the restoration of vascular copper homeostasis. We posit that these insights may pave the way for innovative therapeutic approaches aimed at the reversal of atherosclerosis.

动脉粥样硬化传统上被认为是一种以胆固醇和血栓物质在动脉壁内堆积为特征的疾病。然而,现在人们已经认识到这是一种涉及多种因素的复杂炎症性疾病。动脉粥样硬化发病机制的核心是单核细胞、巨噬细胞和中性粒细胞之间的相互作用,它们在动脉粥样硬化病变的发生、发展和不稳定中起着关键作用。最近,我们对动脉粥样硬化发病机理的认识取得了进展,再加上实验干预取得的结果,使我们提出了动脉粥样硬化可能是可逆的这一假设。本文概述了这一假说的演变过程,并提出了确凿证据,证明通过恢复血管铜平衡有可能使动脉粥样硬化消退。我们认为,这些见解可能会为旨在逆转动脉粥样硬化的创新治疗方法铺平道路。
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引用次数: 0
Attenuated mutants of Salmonella enterica Typhimurium mediate melanoma regression via an immune response. 减毒的鼠伤寒沙门氏菌突变体通过免疫反应介导黑色素瘤消退。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-21 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10081
Genesy Pérez Jorge, Marco Gontijo, Marina Flóro E Silva, Isabella Carolina Rodrigues Dos Santos Goes, Yessica Paola Jaimes-Florez, Lilian de Oliveira Coser, Francisca Janaína Soares Rocha, Selma Giorgio, Marcelo Brocchi

The lack of effective treatment options for an increasing number of cancer cases highlights the need for new anticancer therapeutic strategies. Immunotherapy mediated by Salmonella enterica Typhimurium is a promising anticancer treatment. Candidate strains for anticancer therapy must be attenuated while retaining their antitumor activity. Here, we investigated the attenuation and antitumor efficacy of two S. enterica Typhimurium mutants, ΔtolRA and ΔihfABpmi, in a murine melanoma model. Results showed high attenuation of ΔtolRA in the Galleria mellonella model, and invasion and survival in tumor cells. However, it showed weak antitumor effects in vitro and in vivo. Contrastingly, lower attenuation of the attenuated ΔihfABpmi strain resulted in regression of tumor mass in all mice, approximately 6 days after the first treatment. The therapeutic response induced by ΔihfABpmi was accompanied with macrophage accumulation of antitumor phenotype (M1) and significant increase in the mRNAs of proinflammatory mediators (TNF-α, IL-6, and iNOS) and an apoptosis inducer (Bax). Our findings indicate that the attenuated ΔihfABpmi exerts its antitumor activity by inducing macrophage infiltration or reprogramming the immunosuppressed tumor microenvironment to an activated state, suggesting that attenuated S. enterica Typhimurium strains based on nucleoid-associated protein genes deletion could be immunotherapeutic against cancer.

越来越多的癌症病例缺乏有效的治疗方案,这凸显了对新型抗癌治疗策略的需求。由伤寒沙门氏菌介导的免疫疗法是一种很有前景的抗癌疗法。用于抗癌治疗的候选菌株必须在保持其抗肿瘤活性的同时进行减毒。在这里,我们研究了两种鼠伤寒杆菌突变株ΔtolRA和ΔihfABpmi在小鼠黑色素瘤模型中的衰减和抗肿瘤效果。结果表明,ΔtolRA 在Galleria mellonella 模型中的衰减程度很高,肿瘤细胞的侵袭和存活率也很高。然而,它在体外和体内的抗肿瘤作用较弱。与此相反,减毒的ΔihfABpmi株在第一次治疗后约6天,所有小鼠的肿瘤肿块都有所消退。ΔihfABpmi诱导的治疗反应伴随着巨噬细胞抗肿瘤表型(M1)的积累,以及促炎介质(TNF-α、IL-6和iNOS)和凋亡诱导因子(Bax)mRNA的显著增加。我们的研究结果表明,减毒的ΔihfABpmi通过诱导巨噬细胞浸润或将免疫抑制的肿瘤微环境重编程为活化状态来发挥其抗肿瘤活性,这表明基于核糖体相关蛋白基因缺失的减毒鼠伤寒杆菌菌株可作为抗癌免疫治疗菌株。
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引用次数: 0
The whole transcriptome analysis using FFPE and fresh tissue samples identifies the molecular fingerprint of osteosarcoma. 使用 FFPE 和新鲜组织样本进行的全转录组分析确定了骨肉瘤的分子指纹。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-20 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10161
Bal Hari Poudel, Sulev Koks

Osteosarcoma is a form of bone cancer that predominantly impacts osteoblasts, the cells responsible for creating fresh bone tissue. Typical indications include bone pain, inflammation, sensitivity, mobility constraints, and fractures. Utilising imaging techniques such as X-rays, MRI scans, and CT scans can provide insights into the size and location of the tumour. Additionally, a biopsy is employed to confirm the diagnosis. Analysing genes with distinct expression patterns unique to osteosarcoma can be valuable for early detection and the development of effective treatment approaches. In this research, we comprehensively examined the entire transcriptome and pinpointed genes with altered expression profiles specific to osteosarcoma. The study mainly aimed to identify the molecular fingerprint of osteosarcoma. In this study, we processed 90 FFPE samples from PathWest with an almost equal number of osteosarcoma and healthy tissues. RNA was extracted from Paraffin-embedded tissue; RNA was sequenced, the sequencing data was analysed, and gene expression was compared to the healthy samples of the same patients. Differentially expressed genes in osteosarcoma-derived samples were identified, and the functions of those genes were explored. This result was combined with our previous studies based on FFPE and fresh samples to perform a meta-analysis. We identified 1,500 identical differentially expressed genes in PathWest osteosarcoma samples compared to normal tissue samples of the same patients. Meta-analysis with combined fresh tissue samples identified 530 differentially expressed genes. IFITM5, MMP13, PANX3, and MAGEA6 were some of the most overexpressed genes in osteosarcoma samples, while SLC4A1, HBA1, HBB, AQP7 genes were some of the top downregulated genes. Through the meta-analysis, 530 differentially expressed genes were identified to be identical among FFPE (105 FFPE samples) and 36 fresh bone samples. Deconvolution analysis with single-cell RNAseq data confirmed the presence of specific cell clusters in FFPE samples. We propose these 530 DEGs as a molecular fingerprint of osteosarcoma.

骨肉瘤是一种骨癌,主要影响成骨细胞,即负责制造新鲜骨组织的细胞。典型症状包括骨痛、发炎、敏感、活动受限和骨折。利用 X 射线、核磁共振成像扫描和 CT 扫描等成像技术可以了解肿瘤的大小和位置。此外,活组织检查也可用于确诊。分析骨肉瘤特有的独特表达模式基因对早期检测和开发有效的治疗方法很有价值。在这项研究中,我们全面检测了整个转录组,并精确定位了骨肉瘤特有的表达谱改变基因。这项研究的主要目的是确定骨肉瘤的分子指纹。在这项研究中,我们处理了来自 PathWest 的 90 份 FFPE 样本,其中骨肉瘤和健康组织的数量几乎相等。从石蜡包埋组织中提取 RNA,对 RNA 进行测序,分析测序数据,并将基因表达与相同患者的健康样本进行比较。结果发现了骨肉瘤样本中的差异表达基因,并探讨了这些基因的功能。我们将这一结果与之前基于 FFPE 和新鲜样本的研究结果相结合,进行了一项荟萃分析。与同一患者的正常组织样本相比,我们在PathWest骨肉瘤样本中发现了1500个相同的差异表达基因。结合新鲜组织样本进行的荟萃分析发现了 530 个差异表达基因。IFITM5、MMP13、PANX3和MAGEA6是骨肉瘤样本中表达量最高的基因,而SLC4A1、HBA1、HBB和AQP7基因则是表达量最低的基因。通过荟萃分析,发现有530个差异表达基因在FFPE样本(105个FFPE样本)和36个新鲜骨样本中相同。利用单细胞 RNAseq 数据进行的去卷积分析证实了 FFPE 样本中存在特定的细胞群。我们建议将这 530 个 DEGs 作为骨肉瘤的分子指纹。
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引用次数: 0
Retraction: TRIM29 promotes the progression of colorectal cancer by suppressing EZH2 degradation. 撤回:TRIM29通过抑制EZH2的降解促进结直肠癌的进展。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-06-10 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10243

[This retracts the article DOI: 10.1177/15353702231199070.].

[本文撤回了文章 DOI:10.1177/15353702231199070]。
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引用次数: 0
TLR3 signaling-induced interferon-stimulated gene 56 plays a role in the pathogenesis of rheumatoid arthritis. TLR3 信号诱导的干扰素刺激基因 56 在类风湿性关节炎的发病机制中发挥作用。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10122
Hikaru Kristi Ishibashi, Yuzuru Nakamura, Tatsuro Saruga, Tadaatsu Imaizumi, Akira Kurose, Shogo Kawaguchi, Kazuhiko Seya, Eiji Sasaki, Yasuyuki Ishibashi

Rheumatoid fibroblast-like synoviocytes (RFLS) have an important role in the inflammatory pathogenesis of rheumatoid arthritis (RA). Toll-like receptor 3 (TLR3) is upregulated in RFLS; its activation leads to the production of interferon-β (IFN-β), a type I IFN. IFN-stimulated gene 56 (ISG56) is induced by IFN and is involved in innate immune responses; however, its role in RA remains unknown. Therefore, the purpose of this study was to investigate the role of TLR3-induced ISG56 in human RFLS. RFLS were treated with polyinosinic-polycytidylic acid (poly I:C), which served as a TLR3 ligand. ISG56, melanoma differentiation-associated gene 5 (MDA5), and C-X-C motif chemokine ligand 10 (CXCL10) expression were measured using quantitative reverse transcription-polymerase chain reaction, western blotting, and enzyme-linked immunosorbent assay. Using immunohistochemistry, we found that ISG56 was expressed in synovial tissues of patients with RA and osteoarthritis. Under poly I:C treatment, ISG56 was upregulated in RFLS. In addition, we found that the type I IFN-neutralizing antibody mixture suppressed ISG56 expression. ISG56 knockdown decreased CXCL10 expression and MDA5 knockdown decreased ISG56 expression. In addition, we found that ISG56 was strongly expressed in the synovial cells of patients with RA. TLR3 signaling induced ISG56 expression in RFLS and type I IFN was involved in ISG56 expression. ISG56 was also found to be associated with CXCL10 expression, suggesting that ISG56 may be involved in TLR3/type I IFN/CXCL10 axis, and play a role in RA synovial inflammation.

类风湿成纤维细胞样滑膜细胞(RFLS)在类风湿性关节炎(RA)的炎症性发病机制中起着重要作用。Toll样受体3(Toll-like receptor 3,TLR3)在RFLS中上调,它的激活导致产生干扰素-β(IFN-β),这是一种IFN。IFN刺激基因56(ISG56)由IFN诱导,参与先天性免疫反应;但它在RA中的作用仍不清楚。因此,本研究旨在探讨 TLR3 诱导的 ISG56 在人类 RFLS 中的作用。用作为 TLR3 配体的聚肌苷酸-聚胞苷酸(poly I:C)处理 RFLS。采用定量反转录聚合酶链反应、Western 印迹和酶联免疫吸附测定法检测了 ISG56、黑色素瘤分化相关基因 5(MDA5)和 C-X-C motif 趋化因子配体 10(CXCL10)的表达。通过免疫组化,我们发现ISG56在RA和骨关节炎患者的滑膜组织中表达。在 poly I:C 处理下,ISG56 在 RFLS 中上调。此外,我们还发现 I 型 IFN 中和抗体混合物抑制了 ISG56 的表达。ISG56 敲除会降低 CXCL10 的表达,而 MDA5 敲除会降低 ISG56 的表达。此外,我们还发现,ISG56 在 RA 患者的滑膜细胞中强表达。TLR3 信号诱导 RFLS 中 ISG56 的表达,I 型 IFN 参与了 ISG56 的表达。研究还发现,ISG56与CXCL10的表达有关,这表明ISG56可能参与了TLR3/IFN/CXCL10轴,并在RA滑膜炎症中发挥作用。
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引用次数: 0
Triptolide decreases podocytes permeability by regulating TET2-mediated hydroxymethylation of ZO-1. 雷公藤内酯通过调节 TET2 介导的 ZO-1 羟甲基化降低荚膜细胞的通透性。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10051
Yue-Wen Tang, Meng-Ya Jiang, Jia-Wei Cao, Feng Wan

Podocyte injury or dysfunction can lead to proteinuria and glomerulosclerosis. Zonula occludens 1 (ZO-1) is a tight junction protein which connects slit diaphragm (SD) proteins to the actin cytoskeleton. Previous studies have shown that the expression of ZO-1 is decreased in chronic kidney disease (CKD). Thus, elucidation of the regulation mechanism of ZO-1 has considerable clinical importance. Triptolide (TP) has been reported to exert a strong antiproteinuric effect by inhibiting podocyte epithelial mesenchymal transition (EMT) and inflammatory response. However, the underlying mechanisms are still unclear. We found that TP upregulates ZO-1 expression and increases the fluorescence intensity of ZO-1 in a puromycin aminonucleoside (PAN)-induced podocyte injury model. Permeablity assay showed TP decreases podocyte permeability in PAN-treated podocyte. TP also upregulates the DNA demethylase TET2. Our results showed that treatment with the DNA methyltransferase inhibitors 5-azacytidine (5-AzaC) and RG108 significantly increased ZO-1 expression in PAN-treated podocytes. Methylated DNA immunoprecipitation (MeDIP) and hydroxymethylated DNA immunoprecipitation (hMeDIP) results showed that TP regulates the methylation status of the ZO-1 promoter. Knockdown of TET2 decreased ZO-1 expression and increased methylation of its promoter, resulting in the increase of podocyte permeability. Altogether, these results indicate that TP upregulates the expression of ZO-1 and decreases podocyte permeability through TET2-mediated 5 mC demethylation. These findings suggest that TP may alleviate podocyte permeability through TET2-mediated hydroxymethylation of ZO-1.

荚膜损伤或功能障碍可导致蛋白尿和肾小球硬化。Zonula occludens 1(ZO-1)是一种紧密连接蛋白,它将裂隙隔膜(SD)蛋白与肌动蛋白细胞骨架连接起来。先前的研究表明,慢性肾脏病(CKD)患者体内 ZO-1 的表达量减少。因此,阐明 ZO-1 的调控机制具有相当重要的临床意义。据报道,雷公藤内酯(Triptolide,TP)通过抑制荚膜细胞上皮间质转化(EMT)和炎症反应,具有很强的抗蛋白尿作用。然而,其潜在机制仍不清楚。我们发现,在嘌呤霉素氨基核苷(PAN)诱导的荚膜损伤模型中,TP 可上调 ZO-1 的表达并增加 ZO-1 的荧光强度。通透性测定显示,TP 可降低 PAN 处理的荚膜细胞的通透性。TP 还能上调 DNA 去甲基化酶 TET2。我们的研究结果表明,用 DNA 甲基转移酶抑制剂 5-氮杂胞苷(5-AzaC)和 RG108 处理 PAN 处理的荚膜细胞,可显著增加 ZO-1 的表达。甲基化 DNA 免疫沉淀(MeDIP)和羟甲基化 DNA 免疫沉淀(hMeDIP)结果表明,TP 可调节 ZO-1 启动子的甲基化状态。敲除 TET2 会降低 ZO-1 的表达并增加其启动子的甲基化,从而导致荚膜渗透性增加。总之,这些结果表明 TP 可通过 TET2 介导的 5 mC 去甲基化上调 ZO-1 的表达并降低荚膜细胞的通透性。这些研究结果表明,TP 可通过 TET2 介导的 ZO-1 羟甲基化减轻荚膜细胞的通透性。
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引用次数: 0
Corrigendum: Quercetin suppresses ovariectomy-induced osteoporosis in rat mandibles by regulating autophagy and the NLRP3 pathway. 更正:槲皮素通过调节自噬和NLRP3通路抑制卵巢切除术诱发的大鼠下颌骨骨质疏松症
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-17 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10149
Yue Xiong, Cheng-Wei Huang, Chao Shi, Liang Peng, Yu-Ting Cheng, Wei Hong, Jian Liao

[This corrects the article DOI: 10.1177/15353702231211977.].

[此处更正了文章 DOI:10.1177/15353702231211977]。
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引用次数: 0
Topical naltrexone increases aquaporin 5 production in the lacrimal gland and restores tear production in diabetic rats. 局部使用纳曲酮可增加糖尿病大鼠泪腺中的水蒸发蛋白 5 的分泌,并恢复泪液分泌。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10175
David Diaz, Joseph P Sassani, Ian S Zagon, Patricia J McLaughlin

Diabetes mellitus is a prevalent disease that is often accompanied by ocular surface abnormalities including delayed epithelial wound healing and decreased corneal sensitivity. The impact of diabetes on the lacrimal functional unit (LFU) and the structures responsible for maintaining tear homeostasis, is not completely known. It has been shown that the Opioid Growth Factor Receptor (OGFr), and its ligand, Opioid Growth Factor (OGF), is dysregulated in the ocular surface of diabetic rats leading to overproduction of the inhibitory growth peptide OGF. The opioid antagonist naltrexone hydrochloride (NTX) blocks the OGF-OGFr pathway, and complete blockade following systemic or topical treatment with NTX restores the rate of re-epithelialization of corneal epithelial wounds, normalizes corneal sensitivity, and reverses dry eye in diabetic animal models. These effects occur rapidly and within days of initiating treatment. The present study was designed to understand mechanisms related to the fast reversal (<5 days) of dry eye by NTX in type 1 diabetes (T1D) by investigating dysregulation of the LFU. The approach involved examination of the morphology of the LFU before and after NTX treatment. Male and female adult Sprague-Dawley rats were rendered hyperglycemic with streptozotocin, and after 6 weeks rats were considered to be a T1D model. Rats received topical NTX twice daily to one eye for 10 days. During the period of treatment, tear production and corneal sensitivity were recorded. On day 11, animals were euthanized and orbital tissues including conjunctiva, eyelids, and lacrimal glands, were removed and processed for histologic examination including immunohistochemistry. Male and female T1D rats had significantly decreased tear production and corneal insensitivity, significantly decreased number and size of lacrimal gland acini, decreased expression of aquaporin-5 (AQP5) protein and decreased goblet cell size. Thus, 10 days of NTX treatment restored tear production and corneal sensitivity to normal values, increased AQP5 expression, and restored the surface area of goblet cells to normal. NTX had no effect on the number of lacrimal gland acini or the number of conjunctival goblet cells. In summary, blockade of the OGF-OGFr pathway with NTX reversed corneal and lacrimal gland complications and restored some components of tear homeostasis confirming the efficacy of topical NTX as a treatment for ocular defects in diabetes.

糖尿病是一种常见疾病,通常伴有眼表异常,包括上皮伤口愈合延迟和角膜敏感性降低。糖尿病对泪腺功能单元(LFU)和负责维持泪液平衡的结构的影响尚不完全清楚。研究表明,阿片类生长因子受体(OGFr)及其配体阿片类生长因子(OGF)在糖尿病大鼠的眼表面失调,导致抑制性生长肽 OGF 过度分泌。阿片类拮抗剂盐酸纳曲酮(NTX)可阻断 OGF-OGFr 通路,使用 NTX 进行全身或局部治疗后,完全阻断 OGF-OGFr 通路可恢复角膜上皮伤口的再上皮化率,使角膜敏感性恢复正常,并逆转糖尿病动物模型的干眼症。这些效果在开始治疗后数天内迅速显现。本研究旨在了解与快速逆转(
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引用次数: 0
Corrigendum: Epigallocatechin gallate decreases plasma triglyceride, blood pressure, and serum kisspeptin in obese human subjects. 更正:表没食子儿茶素没食子酸酯可降低肥胖人体的血浆甘油三酯、血压和血清吻肽。
IF 3.2 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-25 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10179
Saimai Chatree, Chantacha Sitticharoon, Pailin Maikaew, Kitchaya Pongwattanapakin, Issarawan Keadkraichaiwat, Malika Churintaraphan, Chanakarn Sripong, Rungnapa Sririwichitchai, Sompol Tapechum

[This corrects the article DOI: 10.1177/1535370220962708.].

[此处更正了文章 DOI:10.1177/1535370220962708]。
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引用次数: 0
Clinical and genetic characteristics of Chinese patients with Shwachman Diamond syndrome: a literature review of Chinese publication. 中国舒瓦赫曼钻石综合征患者的临床和遗传特征:中文出版物文献综述。
IF 2.8 4区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-04-08 eCollection Date: 2024-01-01 DOI: 10.3389/ebm.2024.10035
Lijun Wang, Youpeng Jin, Yuan Chen, Ping Zhao, Xiaohong Shang, Haiyan Liu, Lifeng Sun

Shwachman Diamond syndrome (SDS) is a rare autosomal recessive genetic disorder and due to its complex and varied clinical manifestations, diagnosis is often delayed. The purpose of this study was to investigate the clinical manifestations and genetic characteristics of SDS in Chinese patients, in order to increase pediatricians' awareness of SDS and to allow early diagnosis. We conducted a search to identify patients presenting SBDS gene pathogenic variant in two Chinese academic databases. We analyzed and summarized the epidemiology, clinical features, gene pathogenic variants, and key points in the diagnosis and treatment of SDS. We reviewed the clinical data of 39 children with SDS from previously published articles. The interval from the onset of the first symptoms to diagnosis was very long for most of our patients. The age of presentation ranged from 1 day to 10 years (median: 3 months). However, the age of diagnosis was significantly delayed, ranging from 1 month to 14 years (median: 14 months). Hematological abnormalities were the most common presentation, 89.7% (35/39) at the beginning and 94.9% (37/39) at diagnosis of SDS. Diarrhea was the second most common clinical abnormality at the time of diagnosis. 59% (23/39) of patients had a typical history of persistent chronic diarrhea. Furthermore, hepatic enlargement or elevation of transaminase occurred in 15 cases (38.5%). 56.4% patients (22/39) had a short stature, and 17.9% (7/39) patients showed developmental delay. Additionally, twenty patients had compound heterozygous pathogenic variants of c.258 + 2T > C and c.183_ 184TA > CT. Children with SDS in China had high incidence rates of chronic diarrhea, cytopenia, short stature, and liver damage. Furthermore, SBDS c.258 + 2T > C and c.183_ 184TA > CT were the most common pathogenic variants in patients with SDS. The diagnosis of SDS can be delayed if the clinical phenotype is not recognized by the health care provider.

舒瓦赫曼-戴蒙德综合征(SDS)是一种罕见的常染色体隐性遗传疾病,由于其临床表现复杂多样,往往被延误诊断。本研究旨在调查中国患者 SDS 的临床表现和遗传特征,以提高儿科医生对 SDS 的认识,并尽早做出诊断。我们在两个中国学术数据库中检索了出现 SBDS 基因致病变异的患者。我们对 SDS 的流行病学、临床特征、基因致病变异以及诊断和治疗要点进行了分析和总结。我们回顾了以前发表的文章中 39 名 SDS 患儿的临床数据。大多数患者从首次出现症状到确诊的时间间隔很长。发病年龄从 1 天到 10 岁不等(中位数:3 个月)。然而,确诊年龄却明显推迟,从 1 个月到 14 岁不等(中位数:14 个月)。血液学异常是最常见的表现,89.7%(35/39)在发病初期出现,94.9%(37/39)在确诊为 SDS 时出现。腹泻是诊断时第二常见的临床异常。59%(23/39)的患者有典型的持续慢性腹泻病史。此外,有 15 例(38.5%)患者出现肝脏肿大或转氨酶升高。56.4%的患者(22/39)身材矮小,17.9%的患者(7/39)发育迟缓。此外,20 名患者存在 c.258 + 2T > C 和 c.183_ 184TA > CT 的复合杂合致病变异。中国的 SDS 儿童慢性腹泻、全血细胞减少、身材矮小和肝损伤的发病率很高。此外,SBDS c.258 + 2T > C 和 c.183_ 184TA > CT 是 SDS 患者中最常见的致病变异。如果医护人员不能识别临床表型,SDS 的诊断可能会被延误。
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引用次数: 0
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