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贝克型肌营养不良症:病例报告、文献回顾和差异表达枢纽基因分析。

Becker muscular dystrophy: case report, review of the literature, and analysis of differentially expressed hub genes.

机构信息

Institute of Neural Regeneration and Repair, Department of Neurology, The First People's Hospital of Yichang, China Three Gorges University, Yichang, 443000, China.

Medical School of China Three Gorges University, Yichang, 443002, China.

出版信息

Neurol Sci. 2022 Jan;43(1):243-253. doi: 10.1007/s10072-021-05499-2. Epub 2021 Nov 3.

Abstract

INTRODUCTION

Becker muscular dystrophy (BMD) is a genetic and progressive neuromuscular disease caused by mutations in the dystrophin gene with no available cure. A case report and comprehensive review of BMD cases aim to provide important clues for early diagnosis and implications for clinical practice. Genes and pathways identified from microarray data of muscle samples from patients with BMD help uncover the potential mechanism and provide novel therapeutic targets for dystrophin-deficient muscular dystrophies.

METHODS

We describe a BMD family with a 10-year-old boy as the proband and reviewed BMD cases from PubMed. Datasets from the Gene Expression Omnibus database were downloaded and integrated with the online software.

RESULTS

The systematic review revealed the clinical manifestations and mutation points of the dystrophin gene. Gene ontology analysis showed that extracellular matrix organization and extracellular structure organization with enrichment of upregulated genes coexist in three datasets. We present the first report of TUBA1A involvement in the development of BMD/Duchenne muscular dystrophy (DMD).

DISCUSSION

This study provides important implications for clinical practice, uncovering the potential mechanism of the progress of BMD/DMD, and provided new therapeutic targets.

摘要

简介

贝克型肌营养不良症(BMD)是一种由抗肌萎缩蛋白基因突变引起的遗传性、进行性神经肌肉疾病,目前尚无有效的治疗方法。本病例报告和 BMD 病例的综合回顾旨在为早期诊断提供重要线索,并对临床实践产生影响。从 BMD 患者肌肉样本的基因芯片数据中鉴定出的基因和途径有助于揭示潜在的机制,并为抗肌萎缩蛋白缺乏型肌营养不良症提供新的治疗靶点。

方法

我们描述了一个 BMD 家族,以一个 10 岁男孩为先证者,并回顾了来自 PubMed 的 BMD 病例。从基因表达综合数据库下载数据集,并使用在线软件进行整合。

结果

系统回顾揭示了抗肌萎缩蛋白基因突变的临床表现和突变点。基因本体论分析显示,在三个数据集中共存着细胞外基质组织和细胞外结构组织的上调基因富集。我们首次报道 TUBA1A 参与了 BMD/杜氏肌营养不良症(DMD)的发生发展。

讨论

本研究为临床实践提供了重要启示,揭示了 BMD/DMD 进展的潜在机制,并提供了新的治疗靶点。

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