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[脂蛋白脂肪酶——该基因变异体在克罗地亚人群中的生理和病理生理作用]

[Lipoprotein lipase--physiological and pathophysiological roles of this gene variant in Croatian population].

作者信息

Pasalić Daria, Stavljenić-Rukavina Ana

机构信息

Zavod za kemiju i biokemiju, Medicinski fakultet Sveucilista u Zagrebu, Salata 3, 10 000 Zagreb.

出版信息

Lijec Vjesn. 2007 Jan-Feb;129(1-2):32-8.

Abstract

Lipoprotein lipase is a key enzyme in hydrolysis of triglyceride and exchange of lipids between lipoproteins in circulation. It has also been found for lipoprotein lipase to play key roles in number of pathophysiological conditions. Over hundred different lipoprotein lipase gene variants have been described in the literature. Lipoprotein lipase gene has been observed as a key factor involved in the pathogenesis of hypertriglyceridemia, coronary heart disease and pancreatitis. In Croatian population the following gene variants have been described: -93T/G, D9N, V108V, N291S, S447X, Pvu II i Hind III. The most important finding was the first mutation W86R which caused familial hypertriglyceridemia. The investigation of mutations and polymorphisms may open the new directions for molecular diagnostics of hypertriglyceridemia and help us recognize the new mutations. Differential diagnosis of hypertriglyceridemia and medical practice involved in their prevention and treatment may be improved by knowing the frequency of lipoprotein lipase gene variants as well as their influence on lipid profile.

摘要

脂蛋白脂肪酶是循环中甘油三酯水解及脂蛋白间脂质交换的关键酶。人们还发现脂蛋白脂肪酶在多种病理生理状况中发挥关键作用。文献中已描述了一百多种不同的脂蛋白脂肪酶基因变异体。脂蛋白脂肪酶基因已被视为参与高甘油三酯血症、冠心病和胰腺炎发病机制的关键因素。在克罗地亚人群中已描述了以下基因变异体:-93T/G、D9N、V108V、N291S、S447X、Pvu II和Hind III。最重要的发现是首个导致家族性高甘油三酯血症的突变W86R。对突变和多态性的研究可能为高甘油三酯血症的分子诊断开辟新方向,并帮助我们识别新的突变。了解脂蛋白脂肪酶基因变异体的频率及其对血脂谱的影响,可能会改善高甘油三酯血症的鉴别诊断以及涉及预防和治疗的医疗实践。

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