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哈钦森-吉尔福德早衰综合征:一种早老性疾病。

Hutchinson-Gilford Progeria Syndrome: A Premature Aging Disease.

机构信息

Department of Bioinformatics and Biotechnology, Faculty of Basic and Applied Sciences, International Islamic University, Islamabad, Pakistan.

Department of Biological Engineering/Institute of Biotransformation and Synthetic Biosystem, School of Life Sciences, Beijing Institute of Technology, Beijing, 100081, People's Republic of China.

出版信息

Mol Neurobiol. 2018 May;55(5):4417-4427. doi: 10.1007/s12035-017-0610-7. Epub 2017 Jun 28.

Abstract

Progeria is sporadic, very rare, autosomal dominant, deadly childhood disorder. It is one of the progeroid syndromes also known as Hutchinson-Gilford progeria syndrome (HGPS). Aging is a developmental process that begins with fertilization and ends up with death involving a lot of environmental and genetic factors. The disease firstly involves premature aging and then death from complications of atherosclerosis such as myocardial infarction, stroke, atherosclerosis, or heart failure. The lifespan of the patient is normally up to teen age or early twenties. It is usually not inherited because a patient normally dies before the age of reproduction. The most important genetic linkage between progeria and aging is shortening of telomere ends with each replication cycle. The patients are normally observed to have extremely short telomeres. Currently, 90% of the patients are said to have de novo point mutations in the LMNA gene that substitute cytosine with thymine and have been found in individuals with HGPS. Lmna encodes lamins A and C, and the A-type lamins have important structural function in the nuclear envelope. The most common type of HGPS mutation is located at codon 608 (G608G). It could not be diagnosed at birth, but after the age of 2 years, visible, prominent symptoms can be observed. Still, lot of research is needed to solve this mystery; hopefully, future research on HGPS would provide important clues for progeria and other fatal age-related disorders.

摘要

早衰症是一种散发性、非常罕见的常染色体显性致命性儿童疾病。它是一种早老综合征,也称为哈钦森-吉尔福德早老综合征(HGPS)。衰老是一个从受精开始到死亡结束的发育过程,涉及到许多环境和遗传因素。该疾病首先涉及过早衰老,然后死于动脉粥样硬化等并发症,如心肌梗死、中风、动脉粥样硬化或心力衰竭。患者的寿命通常在青少年或二十出头。由于患者通常在生育年龄之前死亡,因此通常不会遗传。早衰症和衰老之间最重要的遗传联系是端粒随着每个复制周期的缩短。患者通常被观察到具有极短的端粒。目前,据说 90%的患者在 LMNA 基因中有从头发生的点突变,该突变将胞嘧啶替换为胸腺嘧啶,并在 HGPS 个体中发现。Lmna 编码 lamin A 和 C,A型 lamin 在核膜中具有重要的结构功能。最常见的 HGPS 突变位于密码子 608(G608G)。它不能在出生时诊断,但在 2 岁后,可以观察到明显的突出症状。尽管如此,仍需要大量研究来解决这个谜团;希望未来对 HGPS 的研究能为早衰症和其他致命的与年龄相关的疾病提供重要线索。

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