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视网膜病变:临床特征、分子遗传学及未来治疗方向。

retinopathy: clinical features, molecular genetics and directions for future therapy.

机构信息

UCL Institute of Ophthalmology, University College London , London, UK.

Moorfields Eye Hospital , London, UK.

出版信息

Ophthalmic Genet. 2020 Jun;41(3):208-215. doi: 10.1080/13816810.2020.1766087. Epub 2020 May 22.

Abstract

-associated retinopathy or "cone dystrophy with supernormal rod responses" is an autosomal recessive cone-rod dystrophy with pathognomonic ERG findings. This gene encodes Kv8.2, a voltage-gated potassium channel subunit that acts as a modulator by shifting the activation range of the K channels in photoreceptor inner segments. Currently, no treatment is available for the condition. However, there is a lack of prospective long-term data in large molecularly confirmed cohorts, which is a prerequisite for accurate patient counselling/prognostication, to identify an optimal window for intervention and outcome measures, and ultimately to design future therapy trials. Herein we provide a detailed review of the clinical features, retinal imaging, electrophysiology and psychophysical studies, molecular genetics, and briefly discuss future prospects for therapy trials.

摘要

-associated 视网膜病变或“超敏杆反应性 Cone 变性”是一种常染色体隐性遗传的 Cone-rod 变性,具有特征性的 ERG 发现。该基因编码 Kv8.2,一种电压门控钾通道亚基,作为调节剂通过改变光感受器内段 K 通道的激活范围起作用。目前,该疾病尚无治疗方法。然而,在大型分子确认队列中缺乏前瞻性长期数据,这是进行准确的患者咨询/预后、确定干预和结果测量的最佳窗口、最终设计未来治疗试验的前提。在此,我们详细回顾了临床特征、视网膜成像、电生理学和心理物理学研究、分子遗传学,并简要讨论了治疗试验的未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bfa/7446039/4ca0e83bb4ef/IOPG_A_1766087_F0001_B.jpg

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