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囊性纤维化发病机制分子机制的研究进展:从技术改进到临床应用(综述)。

Research advances in molecular mechanisms underlying the pathogenesis of cystic fibrosis: From technical improvement to clinical applications (Review).

机构信息

Department of Histology and Embryology, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai'an, Shandong 271000, P.R. China.

Reproductive Medical Center, Nanning Second People's Hospital, Nanning, Guangxi Zhuang Autonomous Region 530031, P.R. China.

出版信息

Mol Med Rep. 2020 Dec;22(6):4992-5002. doi: 10.3892/mmr.2020.11607. Epub 2020 Oct 16.

Abstract

Cystic fibrosis (CF) is a chronic disease causing severe impairment to the respiratory system and digestive tracts. Currently, CF is incurable. As an autosomal recessive disorder, the morbidity of CF is significantly higher among Caucasians of European descent, whereas it is less pervasive among African and Asian populations. The disease is caused by identical mutations (homozygosity) or different mutations (heterozygosity) of an autosomal recessive mutation at position 7q31.2‑q31.1 of chromosome 7. Diagnostic criteria and guidelines work concurrently with laboratory detection to facilitate precise CF detection. With technological advances, the understanding of CF pathogenesis has reached an unprecedented level, allowing for increasingly precise carrier screening, more effective early stage CF intervention and improved prognostic outcomes. These advances significantly increase the life quality and expectancy of patients with CF. Given the numerous improvements in the field of CF, the current review summarized the technical advances in the study of the molecular mechanisms underlying CF, as well as how these improvements facilitate the clinical outcomes of CF. Furthermore, challenges and obstacles to overcome are discussed.

摘要

囊性纤维化(CF)是一种慢性疾病,可导致呼吸系统和消化系统严重受损。目前,CF 是无法治愈的。作为一种常染色体隐性遗传病,CF 在欧洲血统的白种人中发病率明显较高,而在非洲和亚洲人群中则较为罕见。该病由位于 7 号染色体 7q31.2-q31.1 位置的常染色体隐性突变的相同突变(纯合性)或不同突变(杂合性)引起。诊断标准和指南与实验室检测同时进行,以促进 CF 的精确检测。随着技术的进步,对 CF 发病机制的理解已达到前所未有的水平,这使得携带者筛查更加精确、早期 CF 干预更加有效、预后结果更好。这些进步显著提高了 CF 患者的生活质量和预期寿命。鉴于 CF 领域的众多改进,本综述总结了 CF 分子机制研究中的技术进步,以及这些改进如何促进 CF 的临床结果。此外,还讨论了需要克服的挑战和障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c2b/7646950/64f7aa5306e2/MMR-22-06-4992-g00.jpg

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