Somaschini M, Breda-Klobus A, Pacati I
Neonatologia e Terapia Intensiva Neonatale, Ospedale Bolognini di Seriate.
Minerva Pediatr. 2012 Feb;64(1):33-40.
Necrotizing enterocolitis (NEC) is a main cause of morbidity and mortality in neonatal intensive care units. Etiology is likely to be multifactorial and prematurity and low birth weight (<1500 g) are risk factors already recognized. The studies conducted on the role of genetic factors in the pathogenesis of the disease led to contradictory outcomes, even if interesting hints emerged to encourage future research. The aim of the present review was to update on genetic research in NEC, focusing on the evidences arisen from the studies on the main risk factors (prematurity and ischaemia) and inflammatory mediators.
坏死性小肠结肠炎(NEC)是新生儿重症监护病房发病和死亡的主要原因。病因可能是多因素的,早产和低出生体重(<1500克)是已公认的危险因素。关于遗传因素在该疾病发病机制中作用的研究得出了相互矛盾的结果,尽管出现了一些有趣的线索鼓励未来的研究。本综述的目的是更新关于NEC的遗传研究,重点关注来自对主要危险因素(早产和缺血)及炎症介质研究的证据。