Achilleos Annita, Trainor Paul A
Stowers Institute for Medical Research, Kansas City, Missouri, USA.
Stowers Institute for Medical Research, Kansas City, Missouri, USA; Department of Anatomy & Cell Biology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Curr Top Dev Biol. 2015;115:413-58. doi: 10.1016/bs.ctdb.2015.07.011.
A rare disease is defined as a condition that affects less than 1 in 2000 individuals. Currently more than 7000 rare diseases have been documented, and most are thought to be of genetic origin. Rare diseases primarily affect children, and congenital craniofacial syndromes and disorders constitute a significant proportion of rare diseases, with over 700 having been described to date. Modeling craniofacial disorders in animal models has been instrumental in uncovering the etiology and pathogenesis of numerous conditions and in some cases has even led to potential therapeutic avenues for their prevention. In this chapter, we focus primarily on two general classes of rare disorders, ribosomopathies and ciliopathies, and the surprising finding that the disruption of fundamental, global processes can result in tissue-specific craniofacial defects. In addition, we discuss recent advances in understanding the pathogenesis of an extremely rare and specific craniofacial condition known as syngnathia, based on the first mouse models for this condition. Approximately 1% of all babies are born with a minor or major developmental anomaly, and individuals suffering from rare diseases deserve the same quality of treatment and care and attention to their disease as other patients.
罕见病被定义为一种在每2000人中影响不到1人的疾病。目前已记录了7000多种罕见病,其中大多数被认为起源于遗传。罕见病主要影响儿童,先天性颅面综合征和疾病在罕见病中占很大比例,迄今为止已描述了700多种。在动物模型中模拟颅面疾病有助于揭示众多病症的病因和发病机制,在某些情况下甚至还带来了预防这些疾病的潜在治疗途径。在本章中,我们主要关注两类罕见疾病,即核糖体病和纤毛病,以及一个惊人的发现,即基本的全局过程的破坏会导致组织特异性颅面缺陷。此外,我们将基于这种病症的首个小鼠模型,讨论在理解一种极其罕见且特殊的颅面病症——并指状面裂畸形——发病机制方面的最新进展。所有婴儿中约有1%出生时患有轻度或重度发育异常,患有罕见病的个体应得到与其他患者相同质量的治疗、护理以及对其疾病的关注。