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[卡尔曼综合征:历史回顾、临床及分子学综述] (已修正)

[Kallmann syndrome: a historical [corrected] clinical and molecular review].

作者信息

Ribeiro Rogério Silicani, Abucham Julio

机构信息

Unidade de Neuroendocrinologia, Departamento de Medicina, Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brazil.

出版信息

Arq Bras Endocrinol Metabol. 2008 Feb;52(1):8-17. doi: 10.1590/s0004-27302008000100004.

Abstract

Kallmann syndrome (KS), the association of hypogonadotropic hypogonadism and anosmia, was described by Maestre de San Juan in 1856 and characterized as a hereditary condition by Franz Josef Kallmann in 1944. Many aspects such as pathogeny, phenotype and genotype in KS were described in the last fifteen years. The knowledge of this condition has grown fast, making it difficult to update. Here we review historical aspects of this condition and its discoverers and describe new findings regarding the embryogenesis of the olfactory bulb and GnRH secreting neuronal tracts that are important for understanding the association of hypogonadism and anosmia. Additionally, we describe the phenotypic and genotypic heterogeneity of KS, including five related genes (KAL-1, FGFR1, PROKR2, PROK2 e NELF), and discuss the function of each codified protein in migration and maturation of the olfactory and GnRH neurons, with data from in vitro and in vivo studies. Finally we describe the clinical phenotype of patients carrying these mutations.

摘要

卡尔曼综合征(KS),即低促性腺激素性性腺功能减退与嗅觉缺失的关联,于1856年由梅斯特雷·德·圣胡安首次描述,并于1944年由弗朗茨·约瑟夫·卡尔曼确定为一种遗传性疾病。在过去的十五年里,KS的发病机制、表型和基因型等诸多方面都有了相关描述。对这种疾病的认识增长迅速,以至于难以进行更新。在此,我们回顾这种疾病及其发现者的历史背景,并描述关于嗅球和促性腺激素释放激素(GnRH)分泌神经元通路胚胎发生的新发现,这些对于理解性腺功能减退与嗅觉缺失的关联至关重要。此外,我们描述了KS的表型和基因型异质性,包括五个相关基因(KAL - 1、FGFR1、PROKR2、PROK2和NELF),并结合体外和体内研究的数据,讨论每个编码蛋白在嗅觉和GnRH神经元迁移及成熟过程中的功能。最后,我们描述了携带这些突变的患者的临床表型。

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