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[先天性肌无力综合征的诊断与治疗进展]

[Advances in the diagnosis and treatment of congenital myasthenic syndrome].

作者信息

Xiao Ting, Wu Li-Wen

机构信息

Department of Pediatrics, Xiangya Hospital, Central South University, Changsha 410008, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2020 Jun;22(6):672-676. doi: 10.7499/j.issn.1008-8830.1912095.

Abstract

Congenital myasthenic syndrome (CMS) is a group of clinical and genetic heterogeneous diseases caused by impaired neuromuscular transmission due to genetic defects. At present, it has been reported that more than 30 genes can cause CMS. All CMS subtypes have the clinical features of fatigue and muscle weakness, but age of onset, symptoms, and treatment response vary with the molecular mechanisms underlying genetic defects. Pharmacotherapy and symptomatic/supportive treatment are the main methods for the treatment of CMS, and antisense oligonucleotide technology has been proven to be beneficial for CHRNA 1-related CMS in animals. Since CMS is a group of increasingly recognized clinical and genetic heterogeneous diseases, an understanding of the latest knowledge and research advances in its clinical features, genetic research, and treatment helps to give early diagnosis and treatment as well as gain a deeper understanding of the pathogenesis of CMS, so as to make new breakthroughs in the treatment of CMS.

摘要

先天性肌无力综合征(CMS)是一组临床和遗传异质性疾病,由遗传缺陷导致神经肌肉传递受损引起。目前,已有报道称30多个基因可导致CMS。所有CMS亚型都有疲劳和肌无力的临床特征,但发病年龄、症状和治疗反应因遗传缺陷的分子机制而异。药物治疗和对症/支持治疗是CMS的主要治疗方法,反义寡核苷酸技术已被证明对动物中与CHRNA 1相关的CMS有益。由于CMS是一组越来越受到认可的临床和遗传异质性疾病,了解其临床特征、遗传研究和治疗方面的最新知识和研究进展有助于早期诊断和治疗,并更深入地了解CMS的发病机制,从而在CMS治疗方面取得新突破。

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