Zhou Qin, Zheng Jia-Wei
Department of Oral and Maxillofacial Surgery, College of Stomatology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.
Shanghai Kou Qiang Yi Xue. 2009 Apr;18(2):218-22.
The carotid body (CB) is a highly specialized small organ located at the bifurcation of the common carotid artery in the neck and plays an important role in acute adaptation to hypoxia, which is the most common tumor site in head and neck paragangliomas. Although carotid body tumors (CBTs) are mostly slow-growing and benign, they can cause significant morbidity because of their proximity to major arteries and nerves in the head and neck. CBTs can be caused by a genetic predisposition and by chronic hypoxic stimulation. Currently, inactivating germline mutations in the mitochondrial complex II subunits SDHB, SDHC, and SDHD have been identified as genetic risk factors for CB tumors (CBTs). Another locus at chromosome 11q13, identified by linkage analysis in a single family, may harbor a fourth susceptibility gene. This paper highlights the recent research advances in etiologic mechanism of molecular biological aspect of CBT.
颈动脉体(CB)是一个高度特化的小器官,位于颈部颈总动脉分叉处,在急性低氧适应中起重要作用,而颈部副神经节瘤最常见的肿瘤部位正是此处。尽管颈动脉体瘤(CBTs)大多生长缓慢且为良性,但因其靠近头颈部的主要动脉和神经,可导致严重的发病情况。CBTs可由遗传易感性和慢性低氧刺激引起。目前,已确定线粒体复合物II亚基SDHB、SDHC和SDHD中的种系失活突变是CB肿瘤(CBTs)的遗传危险因素。在一个家族中通过连锁分析确定的位于11号染色体q13的另一个位点可能含有第四个易感基因。本文重点介绍了CBT分子生物学病因机制方面的最新研究进展。