Department of Pediatrics, Rutgers New Jersey Medical School, Newark, NJ, USA.
Hackensack Meridian School of Medicine, Nutley, NJ 07110, USA.
Pediatr Clin North Am. 2021 Feb;68(1):1-24. doi: 10.1016/j.pcl.2020.09.010.
Congenital bronchopulmonary malformations are relatively common and arise during various periods of morphogenesis. Although some are isolated or sporadic occurrences, others may result from single gene mutations or cytogenetic imbalances. Single gene mutations have been identified, which are etiologically related to primary pulmonary hypoplasia, lung segmentation defects as well as pulmonary vascular and lymphatic lesions. Functional defects in cystic fibrosis, primary ciliary dyskinesias, alpha-1-antitrypsin deficiency, and surfactant proteins caused by gene mutations may result in progressive pulmonary disease. This article provides an overview of pediatric pulmonary disease from a genetic perspective.
先天性支气管肺畸形较为常见,发生于形态发生的各个时期。虽然有些是孤立或散发的,但也可能是由单一基因突变或细胞遗传学失衡引起的。已鉴定出一些与原发性肺发育不全、肺分段缺陷以及肺血管和淋巴管病变有关的单一基因突变。囊性纤维化、原发性纤毛运动障碍、α-1-抗胰蛋白酶缺乏症以及由基因突变引起的表面活性剂蛋白的功能缺陷可导致进行性肺部疾病。本文从遗传学角度对小儿肺部疾病进行概述。