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缅甸钦邦葡萄糖-6-磷酸脱氢酶缺乏症的流行情况和分子分析。

Prevalence and molecular analysis of glucose-6-phosphate dehydrogenase deficiency in Chin State, Myanmar.

机构信息

Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Korea.

Division of Healthcare and Artificial Intelligence, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Cheongju 28159, Korea.

出版信息

Parasites Hosts Dis. 2023 May;61(2):154-162. doi: 10.3347/PHD.23004. Epub 2023 May 23.

Abstract

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is caused by X-linked recessive disorderliness. It induces severe anemia when a patient with G6PD deficiency is exposed to oxidative stress that occurs with administration of an antimalarial drug, primaquine. The distribution of G6PD deficiency remains unknown while primaquine has been used for malaria treatment in Myanmar. This study aimed to investigate the prevalence of G6PD deficiency and its variants in Chin State, Myanmar. Among 322 participants, 18 (11 males and 7 females) demonstrated a G6PD deficiency. Orissa variant was dominant in the molecular analysis. This would be related to neighboring Indian and Bangladeshi population, in which Orissa variant was also reported as the main mutation type. The screening test for G6PD deficiency before primaquine treatment appears to be important in Myanmar.

摘要

葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症是由 X 连锁隐性紊乱引起的。当 G6PD 缺乏症患者暴露于抗疟药物伯氨喹引起的氧化应激时,会导致严重贫血。在缅甸使用伯氨喹治疗疟疾的情况下,G6PD 缺乏症的分布情况尚不清楚。本研究旨在调查缅甸钦邦 G6PD 缺乏症及其变异体的流行情况。在 322 名参与者中,有 18 人(11 名男性和 7 名女性)表现出 G6PD 缺乏症。分子分析中占主导地位的是奥里萨变体。这与邻近的印度和孟加拉国人口有关,其中奥里萨变体也被报道为主要突变类型。在缅甸,在使用伯氨喹之前进行 G6PD 缺乏症的筛查试验似乎很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48ea/10234822/225c32167421/phd-23004f1.jpg

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