Gerstmann-Straussler-Scheinker病综述

Pratham D Shetty
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引用次数: 1

摘要

Gerstmann-Straussler-Scheinker病(GSS)是一种极其罕见的,通常是家族性的,致命的朊病毒疾病。这种疾病影响我们身体最重要的部分之一,即神经系统,它负责我们的思想和感觉信息的协调。PNRP基因的一些特殊变异导致朊蛋白的非典型形状,从而引起这种疾病。PRNP编码一种叫做朊病毒蛋白(Prp)的蛋白质。我们不知道它的功能,但我们知道Prp在人类大脑和人类神经系统其他部分的功能中起着非常重要的作用。异常蛋白的结块导致神经细胞的破坏是本病的特征之一。我们大脑中负责人体运动控制的部分小脑的持续恶化和不同程度的痴呆是GSS的主要特征。腿部无力、反射能力减弱、认知能力下降、共济失调(包括言语不清、协调性下降)和痉挛是GSS患者的一些主要症状。GSS患者从发病到死亡的中位生存时间为诊断后2至10年。本文的目的是收集有关这种罕见疾病的所有可用数据和信息,以便未来对该领域感兴趣的研究人员可以参考这篇论文,而不必自行整理,从而节省时间并提高他们解决这一谜团的效率。我们对这种疾病背后的病理生理过程的理解非常落后。通过本文,我们分析和回顾了所有关于这一主题的文献,总结了我们目前对这种疾病的认识以及可能的治疗方法来治愈或缓解其症状。通过全面的文献回顾,我们可以得出结论,这一主题的研究是有潜力的。本病病例多见,治疗和缓解症状的研究尚不深入。
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Gerstmann-Straussler-Scheinker Disease - A Review
Gerstmann-Straussler-Scheinker Disease (GSS) is an extremely rare, usually familial, fatal prion disease. Such disease affects our one of the most important part of our body that is responsible for our thoughts and coordination of our sensory information, the Nervous System. Some particular variations in the PNRP gene leading to the atypical shape of the prion protein give rise to this disease. PRNP encodes a protein called prion protein (Prp). We are unaware of its functions but we do know that Prp plays a very significant role in the functioning of the human brain and other parts of the human nervous system. The destruction of neural cells due to the clumping of abnormal proteins is one of the characteristic features of this disease. The continuous deterioration of the section of our brain responsible for the motor control in a human body, the cerebellum, and different degrees of dementia are the main characteristics of GSS. Weakness in the legs, diminished reflexes, cognitive decline, ataxia including slurred speech and reduced coordination, and spasticity are some of the main symptoms seen in a person suffering from GSS. The median survival time from onset to death of GSS patients ranges from two to ten years after its diagnosis. The objective of this paper to gather all the data and information available about this rare disease so that future researchers who are interested in this field can refer to this paper without having to curate it all by themselves saving time and increasing their efficiency towards solving this mystery. We are very behind in the understanding of the pathophysiological processes that underlie this disease. Through this paper, we have analyzed and reviewed all the literature on this topic to summarize what is our current understanding of this disease and the possible treatments to cure it or alleviate its symptoms. Through a thorough literature review, we can conclude that research on this topic has potential. With mostly case reports on this disease, the research for its cure and treatments for alleviating its symptoms are not yet advanced.
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