Gerth-Kahlert Christina, Koller Samuel
Augenklinik, UniversitätsSpital Zürich, Zürich, Schweiz.
Institut für Medizinische Molekulargenetik, Universität Zürich, Schlieren, Schweiz.
Klin Monbl Augenheilkd. 2018 Mar;235(3):264-272. doi: 10.1055/a-0573-9199. Epub 2018 Mar 13.
Ciliopathies are disorders caused by ciliary dysfunction and can affect an organ system or tissues. Isolated or syndromic retinal dystrophies are the most common ocular manifestation of ciliopathies. The photoreceptor connecting cilium plays a leading role in these ciliopathy-related retinal dystrophies. Dysfunctional photoreceptor cilia cause the most severe type of retinal dystrophy: Leber's congenital amaurosis (LCA). The most common syndromic ciliopathies with an ocular manifestation are Bardet-Biedl syndrome (BBS) and Usher syndrome. Molecular-genetic analysis revealed a large number of cilia genes with a high phenotype heterogeneity. Diagnosis of ciliopathies require a multi-disciplinary approach. Causative treatment of ciliopathies is not yet available; therefore, rehabilitative and supportive treatment is mandatory.
纤毛病是由纤毛功能障碍引起的疾病,可影响一个器官系统或组织。孤立性或综合征性视网膜营养不良是纤毛病最常见的眼部表现。光感受器连接纤毛在这些与纤毛病相关的视网膜营养不良中起主要作用。功能失调的光感受器纤毛会导致最严重的视网膜营养不良类型:莱伯先天性黑蒙(LCA)。最常见的有眼部表现的综合征性纤毛病是巴德-比德尔综合征(BBS)和Usher综合征。分子遗传学分析揭示了大量具有高度表型异质性的纤毛基因。纤毛病的诊断需要多学科方法。目前尚无针对纤毛病的病因治疗;因此,康复和支持治疗是必不可少的。