Cleveland Clinic, Taussig Cancer Institute, Celveland, Ohio 44195, USA.
Adv Exp Med Biol. 2010;685:228-49. doi: 10.1007/978-1-4419-6448-9_22.
Von Hippel-Lindau syndrome (VHLS) is an autosomal dominant familial cancer syndrome arising from germ-line inactivation of the VHL gene on the short arm of chromosome 3. VHLS manifests in a myriad of hyper-vascular tumors of both benign and malignant nature. Incidence of VHLS is roughly 1 in 36,000 live births and has over 90% penetrance by the age of 65. Improved understanding of the natural history and biology of VHLS has led to the introduction of screening protocols, early interventions and improved treatments, all of which resulted in a substantially improved prognosis for this disease. Further details regardingvariegated molecular pathways and mechanisms ofVHLS are emerging with the subsequent advent of novel treatment protocols that are currently in clinical trials.
希佩尔-林道综合征(von Hippel-Lindau syndrome,VHLS)是一种常染色体显性遗传家族性癌症综合征,由 3 号染色体短臂上 VHL 基因的种系失活引起。VHLS 表现为多种良性和恶性的高血管肿瘤。VHLS 的发病率约为每 36000 例活产儿中 1 例,65 岁时的外显率超过 90%。对 VHLS 的自然史和生物学的认识不断提高,导致了筛查方案、早期干预和改进治疗的引入,所有这些都显著改善了这种疾病的预后。随着新型治疗方案在临床试验中的应用,VHLS 的各种分子途径和机制的更多细节正在出现。