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阿尔斯特伦综合征综述:一种罕见的单基因纤毛病。

A review of Alström syndrome: a rare monogenic ciliopathy.

作者信息

Choudhury Avijoy Roy, Munonye Ifeanyi, Sanu Kevin Paul, Islam Nipa, Gadaga Cecilia

机构信息

UWA Medical School, The University of Western Australia, Perth, WA, Australia.

Uniwersytet Jagielloński Collegium Medicum, Kraków, Poland.

出版信息

Intractable Rare Dis Res. 2021 Nov;10(4):257-262. doi: 10.5582/irdr.2021.01113.

Abstract

Alström syndrome is a rare monogenic ciliopathy caused by a mutation to the () gene. Alström syndrome has an autosomal recessive nature of inheritance. Approximately 1,200 cases of Alström syndrome have been identified worldwide. Complications of the disease are likely caused by dysfunctional cilia with complications arising early in life. The known complications of Alström syndrome have been reported to impact multiple major organ systems, including the endocrine system, cardiac system, renal system, sensory system, and hepatic system. The symptoms of Alström syndrome have great variability in presentation and intensity but often lead to organ damage. This has resulted in a shortened lifespan for individuals affected by Alström syndrome. Individuals with the disease rare exceed the age of 50. Currently, there are no specific treatments for Alström syndrome that can cure the disease, prevent the complications, or reverse the complications. Current management involves management of symptoms with the goal of improving quality of life and lifespan. This review aims to summarize the current knowledge on the epidemiology, diagnosis, pathophysiology, complications, management, and prognosis of Alström syndrome. In addition to that, this review also aims to raise awareness and encourage research on Alström syndrome as the condition has a huge impact on affected individuals.

摘要

阿尔斯特伦综合征是一种由()基因突变引起的罕见单基因纤毛病。阿尔斯特伦综合征具有常染色体隐性遗传特性。全球已确诊约1200例阿尔斯特伦综合征病例。该疾病的并发症可能是由功能失调的纤毛引起的,且在生命早期就会出现。据报道,阿尔斯特伦综合征已知的并发症会影响多个主要器官系统,包括内分泌系统、心血管系统、肾脏系统、感觉系统和肝脏系统。阿尔斯特伦综合征的症状在表现和严重程度上差异很大,但往往会导致器官损伤。这导致阿尔斯特伦综合征患者的寿命缩短。患有这种疾病的人很少能超过50岁。目前,尚无能够治愈阿尔斯特伦综合征、预防并发症或逆转并发症的特效治疗方法。当前的治疗措施包括对症状进行管理,目标是提高生活质量和延长寿命。本综述旨在总结目前关于阿尔斯特伦综合征的流行病学、诊断、病理生理学、并发症、治疗及预后的相关知识。除此之外,本综述还旨在提高人们的认识,并鼓励对阿尔斯特伦综合征展开研究,因为这种疾病对患者有巨大影响。

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