Opitz J M
2100 Primary Children's Medical Center, University of Utah, Salt Lake City 84112-1100, USA.
Curr Opin Pediatr. 1999 Aug;11(4):353-62. doi: 10.1097/00008480-199908000-00015.
Now known as a Garrodian inborn error caused by the homozygous state of many different autosomal recessive mutations of the 7-dehydrocholesterol reductase gene leading to deficient conversion of 7-dehydrocholesterol to cholesterol, the RSH (so-called Smith-Lemli-Opitz) syndrome has become a paradigmatic metabolic malformation syndrome in a pathway that also involves cause and pathogenesis of desmosterolosis, two forms of the Conradi-Hünermann-Happle type chondodysplasia punctata and its mouse homologs, and the Greenberg "moth-eaten" skeletal dysplasia and the CHILD syndrome. Many other defects in this pathway remain to be discovered.
现在被认为是一种加罗德先天性代谢缺陷病,由7-脱氢胆固醇还原酶基因的许多不同常染色体隐性突变的纯合状态引起,导致7-脱氢胆固醇转化为胆固醇不足,RSH(即所谓的史密斯-利姆利-奥皮茨)综合征已成为一条通路中的典型代谢性畸形综合征,这条通路还涉及德斯莫胆固醇血症的病因和发病机制、两种康拉迪-许纳曼-哈普尔型点状软骨发育不良及其小鼠同源物,以及格林伯格“蚕食状”骨骼发育不良和CHILD综合征。该通路中的许多其他缺陷仍有待发现。