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多囊性肾髓质患者的单细胞基因表达分析及回顾性研究。

Single-Cell Gene Expression Analysis in Patients with Medullary Sponge Kidney and a Retrospective Study.

机构信息

Division of Urological Surgery, Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.

Division of Hematology, Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China.

出版信息

Biomed Res Int. 2022 Nov 11;2022:7688947. doi: 10.1155/2022/7688947. eCollection 2022.

Abstract

OBJECTIVE

To establish better diagnosis thinking and provide advanced understanding of MSK, the CT imaging features, clinical characteristics, and the expression of suspected genes in the kidney spatiotemporal immune zonation and fetal renal development were investigated.

METHODS

17 patients with MSK hospitalized in our hospital were selected as our research subjects. Human Phenotype Ontology, MalaCards: The Human Disease Database, GeneCards: The Human Gene Database, Human Protein Atlas, and Single Cell Expression Atlas were used to analyze this disease.

RESULTS

In our 17 patients, the incidence of MSK tended to be the same in male and female, and the onset age of MSK was probably 31-50 years old. The top one related disease of MSK was nephrocalcinosis and the most frequent phenotype related to MSK was nephrolithiasis. In addition, the expression of HNF1B, CLCN5, GDNF, ATP6V0A4, ATP6V1B1, LAMA2, RET, ACAN, and ABCC8 has been implicated in both human kidney immune zonation and fetal kidney development.

CONCLUSIONS

HNF1B, CLCN5, GDNF, ATP6V0A4, ATP6V1B1, LAMA2, RET, ACAN, and ABCC8 could be independent indicators for the diagnosis and preventive intervention of MSK patients, and abnormal kidney development due to mutations in key genes was the underlying cause of MSK.

摘要

目的

为了建立更好的诊断思维,并提供对 MSK 的深入了解,我们研究了 MSK 的 CT 影像学特征、临床特征,以及在肾脏时空免疫分区和胎儿肾脏发育中可疑基因的表达。

方法

选择我院收治的 17 例 MSK 患者作为研究对象。我们使用人类表型本体论(Human Phenotype Ontology)、MalaCards:人类疾病数据库(The Human Disease Database)、GeneCards:人类基因数据库(The Human Gene Database)、Human Protein Atlas 和单细胞表达图谱(Single Cell Expression Atlas)来分析这种疾病。

结果

在我们的 17 例患者中,MSK 的发病率在男性和女性中趋于相同,MSK 的发病年龄可能在 31-50 岁之间。MSK 最相关的疾病是肾钙质沉着症,与 MSK 最相关的表型是肾结石。此外,HNF1B、CLCN5、GDNF、ATP6V0A4、ATP6V1B1、LAMA2、RET、ACAN 和 ABCC8 的表达与人肾脏免疫分区和胎儿肾脏发育都有关。

结论

HNF1B、CLCN5、GDNF、ATP6V0A4、ATP6V1B1、LAMA2、RET、ACAN 和 ABCC8 可能是 MSK 患者诊断和预防性干预的独立指标,而关键基因突变导致的肾脏发育异常是 MSK 的潜在原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84ac/9674422/fc890636a2c2/BMRI2022-7688947.001.jpg

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