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拉佛拉病:流行病学、病理生理学和治疗。

Lafora disease: epidemiology, pathophysiology and management.

机构信息

Department of Neurology and Neuroscience, Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin 9, Ireland.

出版信息

CNS Drugs. 2010 Jul;24(7):549-61. doi: 10.2165/11319250-000000000-00000.

DOI:10.2165/11319250-000000000-00000
PMID:20527995
Abstract

Lafora disease is a rare, fatal, autosomal recessive, progressive myoclonic epilepsy. It may also be considered as a disorder of carbohydrate metabolism because of the formation of polyglucosan inclusion bodies in neural and other tissues due to abnormalities of the proteins laforin or malin. The condition is characterized by epilepsy, myoclonus and dementia. Diagnostic findings on MRI and neurophysiological testing are not definitive and biopsy or genetic studies may be required. Therapy in Lafora disease is currently limited to symptomatic management of the epilepsy, myoclonus and intercurrent complications. With a greater understanding of the pathophysiological processes involved, there is justified hope for future therapies.

摘要

拉佛拉病是一种罕见的致命性常染色体隐性进行性肌阵挛性癫痫。由于 laforin 或 malin 蛋白异常导致神经和其他组织中形成聚葡聚糖包涵体,也可以将其视为碳水化合物代谢紊乱。该病的特征是癫痫、肌阵挛和痴呆。MRI 和神经生理学检查的诊断结果并不明确,可能需要进行活检或基因研究。拉佛拉病的治疗目前仅限于癫痫、肌阵挛和并发并发症的对症治疗。随着对相关病理生理过程认识的加深,未来有望有更多的治疗方法。

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1
Lafora disease: epidemiology, pathophysiology and management.拉佛拉病:流行病学、病理生理学和治疗。
CNS Drugs. 2010 Jul;24(7):549-61. doi: 10.2165/11319250-000000000-00000.
2
Advances in lafora progressive myoclonus epilepsy.拉福拉进行性肌阵挛癫痫的研究进展
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3
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Recent Pat Endocr Metab Immune Drug Discov. 2012 May;6(2):99-107. doi: 10.2174/187221412800604617.
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Genetic depletion of the malin E3 ubiquitin ligase in mice leads to lafora bodies and the accumulation of insoluble laforin.在小鼠中遗传耗竭 malin E3 泛素连接酶导致拉福拉氏体和不溶性 laforin 的积累。
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Lafora disease offers a unique window into neuronal glycogen metabolism.拉佛拉病为神经元糖原代谢提供了一个独特的窗口。
J Biol Chem. 2018 May 11;293(19):7117-7125. doi: 10.1074/jbc.R117.803064. Epub 2018 Feb 26.
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Zh Nevrol Psikhiatr Im S S Korsakova. 2010;110(3 Suppl 2):11-6.
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引用本文的文献

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Lack of p62 Impairs Glycogen Aggregation and Exacerbates Pathology in a Mouse Model of Myoclonic Epilepsy of Lafora.缺乏 p62 会损害糖原聚集并加剧 Lafora 肌阵挛性癫痫小鼠模型的病理学
Mol Neurobiol. 2022 Feb;59(2):1214-1229. doi: 10.1007/s12035-021-02682-6. Epub 2021 Dec 28.
2
TRIM32 and Malin in Neurological and Neuromuscular Rare Diseases.TRIM32 和 Malin 在神经和神经肌肉罕见病中的作用。
Cells. 2021 Apr 6;10(4):820. doi: 10.3390/cells10040820.
3
Lafora body disease: a case of progressive myoclonic epilepsy.拉福拉体病:进行性肌阵挛性癫痫病例报告。

本文引用的文献

1
Posterior glucose hypometabolism in Lafora disease: early and late FDG-PET assessment.拉福拉病的葡萄糖代谢低下:FDG-PET 的早、晚期评估。
Epilepsia. 2010 Apr;51(4):708-11. doi: 10.1111/j.1528-1167.2009.02498.x. Epub 2010 Feb 12.
2
Escherichia coli expression, refolding and characterization of human laforin.人拉福蛋白的大肠杆菌表达、重折叠及特性分析
Protein Expr Purif. 2010 Jun;71(2):195-9. doi: 10.1016/j.pep.2010.02.004. Epub 2010 Feb 10.
3
Short and long interval cortical inhibition in patients with Unverricht-Lundborg and Lafora body disease.
BMJ Case Rep. 2020 Dec 22;13(12):e236971. doi: 10.1136/bcr-2020-236971.
4
Links between autophagy and disorders of glycogen metabolism - Perspectives on pathogenesis and possible treatments.自噬与糖原代谢紊乱的关系——发病机制和可能治疗方法的新视角。
Mol Genet Metab. 2020 Jan;129(1):3-12. doi: 10.1016/j.ymgme.2019.11.005. Epub 2019 Nov 21.
5
Lafora Disease: A Ubiquitination-Related Pathology.拉福拉病:一种与泛素化相关的病理学疾病。
Cells. 2018 Jul 26;7(8):87. doi: 10.3390/cells7080087.
6
Progressive Myoclonic Epilepsy Due to Lafora Body Disease with a Novel Mutation.由拉福拉体病导致的进行性肌阵挛癫痫伴新突变
J Pediatr Neurosci. 2018 Jan-Mar;13(1):123-125. doi: 10.4103/JPN.JPN_13_17.
7
Inflammation in Lafora Disease: Evolution with Disease Progression in Laforin and Malin Knock-out Mouse Models.拉福拉病中的炎症:拉福林和马啉基因敲除小鼠模型中炎症随疾病进展的演变
Mol Neurobiol. 2017 Jul;54(5):3119-3130. doi: 10.1007/s12035-016-9884-4. Epub 2016 Apr 4.
8
Homeostasis of the astrocytic glutamate transporter GLT-1 is altered in mouse models of Lafora disease.在拉福拉病的小鼠模型中,星形胶质细胞谷氨酸转运体GLT-1的稳态发生改变。
Biochim Biophys Acta. 2016 Jun;1862(6):1074-83. doi: 10.1016/j.bbadis.2016.03.008. Epub 2016 Mar 11.
9
Getting a handle on glycogen synthase - Its interaction with glycogenin.了解糖原合酶——其与糖原素的相互作用。
Mol Aspects Med. 2015 Dec;46:63-9. doi: 10.1016/j.mam.2015.08.004. Epub 2015 Aug 13.
10
Pharmacological Interventions to Ameliorate Neuropathological Symptoms in a Mouse Model of Lafora Disease.用于改善拉福拉病小鼠模型神经病理症状的药理学干预措施。
Mol Neurobiol. 2016 Mar;53(2):1296-1309. doi: 10.1007/s12035-015-9091-8. Epub 2015 Jan 28.
Unverricht-Lundborg 病和 Lafora 体病患者的短程和长程皮质抑制。
Epilepsy Res. 2010 May;89(2-3):232-7. doi: 10.1016/j.eplepsyres.2010.01.006. Epub 2010 Feb 1.
4
Lafora disease and congenital generalized lipodystrophy: a case report.拉佛拉病合并先天性全身性脂肪营养不良 1 例报告。
Kaohsiung J Med Sci. 2009 Dec;25(12):663-8. doi: 10.1016/S1607-551X(09)70572-8.
5
Lafora disease as a cause of visually exacerbated myoclonic attacks in a dog.拉福拉病作为犬视觉性加重性肌阵挛发作的一个病因。
Can Vet J. 2009 Sep;50(9):963-7.
6
Lafora disease: insights into neurodegeneration from plant metabolism.拉佛拉病:从植物代谢看神经退行性变。
Trends Biochem Sci. 2009 Dec;34(12):628-39. doi: 10.1016/j.tibs.2009.08.002. Epub 2009 Oct 7.
7
22-year-old girl with status epilepticus and progressive neurological symptoms.一名患有癫痫持续状态和进行性神经症状的22岁女孩。
Brain Pathol. 2009 Oct;19(4):727-30. doi: 10.1111/j.1750-3639.2009.00308.x.
8
Hyperphosphorylation and aggregation of Tau in laforin-deficient mice, an animal model for Lafora disease.在拉福拉病的动物模型——缺乏拉福林的小鼠中,Tau蛋白的过度磷酸化和聚集。
J Biol Chem. 2009 Aug 21;284(34):22657-63. doi: 10.1074/jbc.M109.009688. Epub 2009 Jun 19.
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Increased endoplasmic reticulum stress and decreased proteasomal function in lafora disease models lacking the phosphatase laforin.在缺乏磷酸酶拉佛素的拉福拉病模型中,内质网应激增加且蛋白酶体功能降低。
PLoS One. 2009 Jun 16;4(6):e5907. doi: 10.1371/journal.pone.0005907.
10
The autosomal recessively inherited progressive myoclonus epilepsies and their genes.常染色体隐性遗传进行性肌阵挛癫痫及其相关基因。
Epilepsia. 2009 May;50 Suppl 5:29-36. doi: 10.1111/j.1528-1167.2009.02117.x.