Mimassi Nagi, Youinou Pierre, Pennec Yvon-Louis
Service de Rhumatologie, Centre Hospitalier Universitaire, 29609 Brest Cedex, France.
Ann Med Interne (Paris). 2002 Oct;153(6):383-8.
Amyloidosis is a heterogeneous group of extracellular protein deposition diseases. Age-related amyloidosis may be systemic or localized. The systemic forms include associated-myeloma AL amyloidosis and senile systemic amyloidosis which is the only clear-cut systemic form related to age and derived from normal transthyretin. In localized amyloidosis, the fibril protein precursors are synthesized in the tissue involved by the amyloid. In most cases, localized age-related amyloidosis does not appear to cause clinical disease with the exception of amyloid associated with Alzeihmer's disease and type 2 diabetes mellitus. The significance of aortic amyloidosis, amyloidosis of seminal vesicles, amyloid of the endocrine glands, and articular amyloidosis remains unknown.
淀粉样变性是一组异质性的细胞外蛋白质沉积疾病。年龄相关性淀粉样变性可为全身性或局限性。全身性形式包括与骨髓瘤相关的AL淀粉样变性和老年全身性淀粉样变性,后者是唯一明确与年龄相关且源自正常转甲状腺素蛋白的全身性形式。在局限性淀粉样变性中,纤维蛋白前体在淀粉样变性累及的组织中合成。在大多数情况下,局限性年龄相关性淀粉样变性似乎不会引起临床疾病,但与阿尔茨海默病和2型糖尿病相关的淀粉样变性除外。主动脉淀粉样变性、精囊淀粉样变性、内分泌腺淀粉样变性和关节淀粉样变性的意义尚不清楚。