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肝硬化的罕见病因——一例伴有新型WRN突变的沃纳综合征病例

Uncommon cause of cirrhosis-A case of Werner syndrome with a novel WRN mutation.

作者信息

Amalnath S Deepak, Sargolzaeiaval Forough, Oshima Junko, Baskar Dipti

机构信息

Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantri Nagar, Gorimedu, Puducherry, 605 006, India.

Department of Pathology, University of Washington, Seattle, WA, 98195, USA.

出版信息

Indian J Gastroenterol. 2017 Jul;36(4):323-325. doi: 10.1007/s12664-017-0781-1. Epub 2017 Aug 9.

DOI:10.1007/s12664-017-0781-1
PMID:28795391
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5648602/
Abstract

Werner syndrome is a rare progeroid syndrome caused by the WRN gene mutation. It is characterized by a general appearance of premature aging, diabetes mellitus, and atherosclerosis, and an increased risk of malignancies. We report a patient who presented with hematemesis due to cirrhosis of liver and was subsequently diagnosed with Werner syndrome. Further genetic analysis showed a novel mutation in the WRN gene which has not previously been reported. Werner syndrome should be considered for the cases of liver cirrhosis when accompanied by the features of accelerated aging.

摘要

沃纳综合征是一种由WRN基因突变引起的罕见早衰综合征。其特征为普遍出现早衰、糖尿病和动脉粥样硬化,以及患恶性肿瘤的风险增加。我们报告了一名因肝硬化出现呕血症状的患者,随后被诊断为沃纳综合征。进一步的基因分析显示WRN基因存在一种此前未被报道的新突变。对于伴有加速衰老特征的肝硬化病例,应考虑沃纳综合征。

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引用本文的文献

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A case of rapid-progressing liver cirrhosis complicated by Werner syndrome.一例进展迅速的肝硬化合并韦尔纳综合征病例。
Clin J Gastroenterol. 2025 Aug 4. doi: 10.1007/s12328-025-02192-1.

本文引用的文献

1
WRN Mutation Update: Mutation Spectrum, Patient Registries, and Translational Prospects.WRN突变更新:突变谱、患者登记及转化前景
Hum Mutat. 2017 Jan;38(1):7-15. doi: 10.1002/humu.23128. Epub 2016 Oct 7.
2
Astaxanthin Improves Nonalcoholic Fatty Liver Disease in Werner Syndrome with Diabetes Mellitus.虾青素改善伴有糖尿病的沃纳综合征患者的非酒精性脂肪性肝病。
J Am Geriatr Soc. 2015 Jun;63(6):1271-3. doi: 10.1111/jgs.13505.
3
Liver aging and pseudocapillarization in a Werner syndrome mouse model.沃纳综合征小鼠模型中的肝脏衰老和假毛细血管化。
J Gerontol A Biol Sci Med Sci. 2014 Sep;69(9):1076-86. doi: 10.1093/gerona/glt169. Epub 2013 Oct 22.
4
Ethnic-Specific WRN Mutations in South Asian Werner Syndrome Patients: Potential Founder Effect in Patients with Indian or Pakistani Ancestry.南亚沃纳综合征患者中特定种族的WRN突变:印度或巴基斯坦血统患者中可能存在的奠基者效应。
Mol Genet Genomic Med. 2013 May 1;1(1):7-14. doi: 10.1002/mgg3.1.
5
Werner syndrome as a possible cause of non-alcoholic steatohepatitis.沃纳综合征可能是导致非酒精性脂肪性肝炎的原因之一。
J Clin Pathol. 2009 Nov;62(11):1043-5. doi: 10.1136/jcp.2009.070680. Epub 2009 Aug 30.
6
Cirrhosis in Werner's syndrome: an unusual presentation of premature aging.沃纳综合征中的肝硬化:早衰的一种不寻常表现。
Med Sci Monit. 2007 May;13(5):CS61-6.
7
The spectrum of WRN mutations in Werner syndrome patients.沃纳综合征患者中WRN基因突变谱。
Hum Mutat. 2006 Jun;27(6):558-67. doi: 10.1002/humu.20337.
8
Aortic valve replacement for aortic stenosis with a small aortic annulus in a patient having Werner's syndrome and liver cirrhosis.在一名患有沃纳综合征和肝硬化且主动脉瓣环较小的患者中,因主动脉瓣狭窄而行主动脉瓣置换术。
Ann Thorac Cardiovasc Surg. 2001 Dec;7(6):378-80.
9
The Werner syndrome protein is a DNA helicase.维尔纳综合征蛋白是一种DNA解旋酶。
Nat Genet. 1997 Sep;17(1):100-3. doi: 10.1038/ng0997-100.