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两种突变导致早发性严重慢性胰腺炎。

Two Mutations Induce Early-Onset Severe Chronic Pancreatitis.

作者信息

Frossard Jean Louis, Morris Michael A

机构信息

aService of Gastroenterology and Hepatology, Geneva University Hospital, Geneva, Switzerland.

bSynlab Suisse, Lausanne, Switzerland.

出版信息

Case Rep Gastroenterol. 2017 Mar 3;11(1):85-88. doi: 10.1159/000456654. eCollection 2017 Jan-Apr.

DOI:10.1159/000456654
PMID:28611558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5465701/
Abstract

The SPINK1 protein is a potent antiprotease that can inactivate any intrapancreatic trypsin activity that would otherwise induce autodigestion of the pancreas. mutations have been recognized to be associated with chronic pancreatitis in patients without a family history of pancreatitis. We here describe the case of a 24-year-old woman referred to our service for recurrent abdominal pain and search for the cause of chronic calcifying pancreatitis, who was found to carry 2 mutations.

摘要

丝氨酸蛋白酶抑制剂Kazal型1(SPINK1)蛋白是一种有效的抗蛋白酶,它可以使胰腺内任何会引发胰腺自身消化的胰蛋白酶活性失活。在没有胰腺炎家族史的患者中,已确认该基因突变与慢性胰腺炎相关。我们在此描述了一名24岁女性的病例,她因反复腹痛前来就诊,以寻找慢性钙化性胰腺炎的病因,结果发现其携带两个突变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d5/5465701/a27029cc61e2/crg-0011-0085-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d5/5465701/a27029cc61e2/crg-0011-0085-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41d5/5465701/a27029cc61e2/crg-0011-0085-g01.jpg

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Dig Dis. 2010;28(6):702-8. doi: 10.1159/000324276. Epub 2011 Apr 27.
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Chronic pancreatitis.慢性胰腺炎。
Lancet. 2011 Apr 2;377(9772):1184-97. doi: 10.1016/S0140-6736(10)61852-1.
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Mutations in serine protease inhibitor Kazal type 1 are strongly associated with chronic pancreatitis.丝氨酸蛋白酶抑制剂Kazal型1的突变与慢性胰腺炎密切相关。
Gut. 2002 May;50(5):687-92. doi: 10.1136/gut.50.5.687.
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Digestion. 1997;58 Suppl 1:46-9. doi: 10.1159/000201525.
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Hum Mol Genet. 1996 Apr;5(4):549-54. doi: 10.1093/hmg/5.4.549.
10
Hereditary pancreatitis is caused by a mutation in the cationic trypsinogen gene.遗传性胰腺炎是由阳离子胰蛋白酶原基因突变引起的。
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