Department of Stem Cell and Regenerative Biotechnology, KU Institute of Technology, Konkuk University, Seoul 05029, Republic of Korea.
Cells. 2023 May 11;12(10):1365. doi: 10.3390/cells12101365.
Turner syndrome (TS), a genetic disorder due to incomplete dosage compensation of X-linked genes, affects multiple organ systems, leading to hypogonadotropic hypogonadism, short stature, cardiovascular and vascular abnormalities, liver disease, renal abnormalities, brain abnormalities, and skeletal problems. Patients with TS experience premature ovarian failure with a rapid decline in ovarian function caused by germ cell depletion, and pregnancies carry a high risk of adverse maternal and fetal outcomes. Aortic abnormalities, heart defects, obesity, hypertension, and liver abnormalities, such as steatosis, steatohepatitis, biliary involvement, liver cirrhosis, and nodular regenerative hyperplasia, are commonly observed in patients with TS. The gene plays a crucial role in short stature and abnormal skeletal phenotype in patients with TS. Abnormal structure formation of the ureter and kidney is also common in patients with TS, and a non-mosaic 45,X karyotype is significantly associated with horseshoe kidneys. TS also affects brain structure and function. In this review, we explore various phenotypic and disease manifestations of TS in different organs, including the reproductive system, cardiovascular system, liver, kidneys, brain, and skeletal system.
特纳综合征(TS)是一种由于 X 连锁基因不完全剂量补偿引起的遗传疾病,影响多个器官系统,导致促性腺激素性性腺功能减退、身材矮小、心血管和血管异常、肝脏疾病、肾脏异常、脑异常和骨骼问题。TS 患者经历卵巢早衰,由于生殖细胞耗竭导致卵巢功能迅速下降,妊娠存在不良母婴结局的高风险。主动脉异常、心脏缺陷、肥胖、高血压和肝脏异常,如脂肪变性、脂肪性肝炎、胆管受累、肝硬化和结节性再生性增生,在 TS 患者中很常见。 基因在 TS 患者的身材矮小和骨骼异常表型中发挥关键作用。输尿管和肾脏的异常结构形成在 TS 患者中也很常见,非嵌合性 45,X 核型与马蹄肾显著相关。TS 还影响大脑结构和功能。在这篇综述中,我们探讨了 TS 在不同器官中的各种表型和疾病表现,包括生殖系统、心血管系统、肝脏、肾脏、大脑和骨骼系统。