Li Yongchao, Li Yang
Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2020 Apr 28;45(4):435-439. doi: 10.11817/j.issn.1672-7347.2020.190575.
Urinary calculi are characterized by high incidence and recurrence rate, which is a challenge in urology. The theory of Randall plaque is widely recognized by scholars. The mechanism of Randall plaque formation includes vascular calcification, osteogenic transformation and so on. However, it still lacks a unified theory for the Randall plaque formation. As an important type of non-coding RNA, long non-coding RNA (lncRNA) is closely related to the occurrence and progress of many diseases. The difference in lncRNA expression between the renal papillary tissues of non-calculous patients and the renal papillary tissues of Randall plaque in renal calculous patients suggests that lncRNA may be involved in the formation of Randall plaque. Pseudoxanthoma elasticum is a rare autosomal recessive hereditary disease, caused by a mutation in the ABCC6 gene. Patients with pseudoxanthoma elasticum have a high prevalence of calculi, and plaque formation is observed in the patient's kidney, which may suggest that mutation in the ABCC6 gene might be involved in the formation of Randall plaque.
尿路结石具有高发病率和复发率的特点,这是泌尿外科面临的一项挑战。兰德尔斑理论被学者们广泛认可。兰德尔斑形成的机制包括血管钙化、成骨转化等。然而,对于兰德尔斑的形成仍缺乏统一的理论。作为一种重要的非编码RNA类型,长链非编码RNA(lncRNA)与许多疾病的发生和进展密切相关。非结石患者肾乳头组织与肾结石患者兰德尔斑肾乳头组织中lncRNA表达的差异表明,lncRNA可能参与了兰德尔斑的形成。弹性假黄瘤是一种罕见的常染色体隐性遗传病,由ABCC6基因突变引起。弹性假黄瘤患者结石患病率高,且在患者肾脏中观察到斑块形成,这可能表明ABCC6基因突变可能参与了兰德尔斑的形成。