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何时怀疑肾结石患者存在遗传疾病,以及原因。

When to suspect a genetic disorder in a patient with renal stones, and why.

机构信息

Division of Nephrology, Department of Internal Medicine and Medical Specialties, Columbus-Gemelli University Hospital, Catholic University, Rome, Italy.

出版信息

Nephrol Dial Transplant. 2013 Apr;28(4):811-20. doi: 10.1093/ndt/gfs545. Epub 2013 Jan 4.

DOI:10.1093/ndt/gfs545
PMID:23291371
Abstract

Nephrolithiasis is a common disorder, with a rising prevalence in the general population. Its pathogenesis is still unclear, but a role for genetics has long been recognized, especially in cases of the more common calcium nephrolithiasis. Although relatively rare, monogenic causes of hypercalciuria and nephrolithiasis do exist and their timely recognition is important from a prognostic and therapeutic viewpoint. This article reviews the clinical and laboratory findings characterizing inherited causes of nephrolithiasis with a view to helping clinicians to recognize and manage these rare conditions.

摘要

肾结石是一种常见疾病,在普通人群中的发病率呈上升趋势。其发病机制尚不清楚,但遗传因素的作用很早就得到了认可,尤其是在更为常见的钙肾结石病例中。虽然罕见,但确实存在单基因引起的高钙尿症和肾结石,从预后和治疗的角度来看,及时识别这些病因非常重要。本文回顾了肾结石的遗传性病因的临床和实验室发现,以期帮助临床医生识别和处理这些罕见疾病。

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When to suspect a genetic disorder in a patient with renal stones, and why.何时怀疑肾结石患者存在遗传疾病,以及原因。
Nephrol Dial Transplant. 2013 Apr;28(4):811-20. doi: 10.1093/ndt/gfs545. Epub 2013 Jan 4.
2
Personalized Intervention in Monogenic Stone Formers.单基因结石形成者的个体化干预。
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引用本文的文献

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Genes (Basel). 2025 Apr 27;16(5):501. doi: 10.3390/genes16050501.
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Cystinuria in children: diagnosis and treatment.儿童胱氨酸尿症:诊断与治疗
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Prevalence and characteristics of genetic disease in adult kidney stone formers.成人肾结石患者的遗传疾病患病率和特征。
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Genetic Susceptibility to Chronic Kidney Disease: Links, Risks and Management.慢性肾脏病的遗传易感性:联系、风险与管理
Int J Nephrol Renovasc Dis. 2023 Jan 5;16:1-15. doi: 10.2147/IJNRD.S363041. eCollection 2023.
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UPDATE - Canadian Urological Association guideline: Evaluation and medical management of kidney stones.更新 - 加拿大泌尿外科学会指南:肾结石的评估与药物治疗
Can Urol Assoc J. 2022 Jun;16(6):175-188. doi: 10.5489/cuaj.7872.
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The correlation between promoter hypermethylation of VDR, CLDN, and CasR genes and recurrent stone formation.维生素 D 受体、紧密连接蛋白和钙敏感受体基因启动子高甲基化与结石复发的相关性。
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Factors associated with sex differences in the risk of kidney stones.与肾结石风险的性别差异相关的因素。
Nephrol Dial Transplant. 2023 Jan 23;38(1):177-183. doi: 10.1093/ndt/gfac037.
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Secondhand smoke increases the risk of developing kidney stone disease.二手烟会增加患肾结石病的风险。
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