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A Clinical Qualification Protocol Highlights Overlapping Genomic Influences and Neuro-Autonomic Mechanisms in Ehlers-Danlos and Long COVID-19 Syndromes.

作者信息

Wilson Golder N

机构信息

Department of Pediatrics, Texas Tech University Health Sciences Center, Lubbock, and KinderGenome Genetics Private Practice, 5347 W Mockingbird, Dallas, TX 75209, USA.

出版信息

Curr Issues Mol Biol. 2023 Jul 17;45(7):6003-6023. doi: 10.3390/cimb45070379.


DOI:10.3390/cimb45070379
PMID:37504295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10378515/
Abstract

A substantial fraction of the 15% with double-jointedness or hypermobility have the traditionally ascertained joint-skeletal, cutaneous, and cardiovascular symptoms of connective tissue dysplasia and its particular manifestation as Ehlers-Danlos syndrome (EDS). The holistic ascertainment of 120 findings in 1261 EDS patients added neuro-autonomic symptoms like headaches, muscle weakness, brain fog, chronic fatigue, dyspnea, and bowel irregularity to those of arthralgia and skin laxity, 15 of these symptoms shared with those of post-infectious SARS-CoV-2 (long COVID-19). Underlying articulo-autonomic mechanisms guided a clinical qualification protocol that qualified DNA variants in 317 genes as having diagnostic utility for EDS, six of them identical and eighteen similar to those modifying COVID-19 severity/EDS, including ADAMTS13/ADAMTS2-C3/C1R-IKBKG/IKBKAP-PIK3C3/PIK3R1-POLD4/POLG-TMPRSS2/TMPRSS6-WNT3/WNT10A. Also, contributing to EDS and COVID-19 severity were forty and three genes, respectively, impacting mitochondrial functions as well as parts of an overlapping gene network, or entome, that are hypothesized to mediate the cognitive-behavioral, neuro-autonomic, and immune-inflammatory alterations of connective tissue in these conditions. The further characterization of long COVID-19 natural history and genetic predisposition will be necessary before these parallels to EDS can be carefully delineated and translated into therapies.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/10378515/7bed3c28dcee/cimb-45-00379-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/10378515/6cac4c9a709e/cimb-45-00379-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/10378515/61c1d6a93094/cimb-45-00379-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/10378515/7bed3c28dcee/cimb-45-00379-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/10378515/6cac4c9a709e/cimb-45-00379-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/10378515/61c1d6a93094/cimb-45-00379-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42f5/10378515/7bed3c28dcee/cimb-45-00379-g003.jpg

相似文献

[1]
A Clinical Qualification Protocol Highlights Overlapping Genomic Influences and Neuro-Autonomic Mechanisms in Ehlers-Danlos and Long COVID-19 Syndromes.

Curr Issues Mol Biol. 2023-7-17

[2]
Clinical-Genomic Analysis of 1261 Patients with Ehlers-Danlos Syndrome Outlines an Articulo-Autonomic Gene Network (Entome).

Curr Issues Mol Biol. 2024-3-19

[3]
Autonomic symptom burden in the hypermobility type of Ehlers-Danlos syndrome: a comparative study with two other EDS types, fibromyalgia, and healthy controls.

Semin Arthritis Rheum. 2014-5-14

[4]
Dysautonomia and its underlying mechanisms in the hypermobility type of Ehlers-Danlos syndrome.

Semin Arthritis Rheum. 2014-8

[5]
Ehlers-Danlos syndrome, hypermobility type: A characterization of the patients' lived experience.

Am J Med Genet A. 2013-11-6

[6]
Differential diagnosis and diagnostic flow chart of joint hypermobility syndrome/ehlers-danlos syndrome hypermobility type compared to other heritable connective tissue disorders.

Am J Med Genet C Semin Med Genet. 2015-3

[7]
Hypermobile Ehlers-Danlos syndrome (a.k.a. Ehlers-Danlos syndrome Type III and Ehlers-Danlos syndrome hypermobility type): Clinical description and natural history.

Am J Med Genet C Semin Med Genet. 2017-3

[8]
Diagnostic outcomes for molecular genetic testing in children with suspected Ehlers-Danlos syndrome.

Am J Med Genet A. 2022-5

[9]
Postural tachycardia syndrome and other forms of orthostatic intolerance in Ehlers-Danlos syndrome.

Auton Neurosci. 2018-3-5

[10]
Entrapment neuropathies and polyneuropathies in joint hypermobility syndrome/Ehlers-Danlos syndrome.

Clin Neurophysiol. 2013-6-4

引用本文的文献

[1]
Introduction to Special Issue: Genomic Analysis of Common Disease.

Curr Issues Mol Biol. 2025-2-10

[2]
Equivocating and Deliberating on the Probability of COVID-19 Infection Serving as a Risk Factor for Lung Cancer and Common Molecular Pathways Serving as a Link.

Pathogens. 2024-12-6

[3]
Clinical-Genomic Analysis of 1261 Patients with Ehlers-Danlos Syndrome Outlines an Articulo-Autonomic Gene Network (Entome).

Curr Issues Mol Biol. 2024-3-19

[4]
Advances in researches on long coronavirus disease in children: a narrative review.

Transl Pediatr. 2024-2-29

本文引用的文献

[1]
Development of a Definition of Postacute Sequelae of SARS-CoV-2 Infection.

JAMA. 2023-6-13

[2]
The Role of Mast Cells in the Induction and Maintenance of Inflammation in Selected Skin Diseases.

Int J Mol Sci. 2023-4-10

[3]
Pathophysiological Investigation of Skeletal Deformities of Musculocontractural Ehlers-Danlos Syndrome Using Induced Pluripotent Stem Cells.

Genes (Basel). 2023-3-16

[4]
Presentation and physical therapy management of upper cervical instability in patients with symptomatic generalized joint hypermobility: International expert consensus recommendations.

Front Med (Lausanne). 2023-1-18

[5]
Estimated Global Proportions of Individuals With Persistent Fatigue, Cognitive, and Respiratory Symptom Clusters Following Symptomatic COVID-19 in 2020 and 2021.

JAMA. 2022-10-25

[6]
Pathophysiology of Post-COVID syndromes: a new perspective.

Virol J. 2022-10-9

[7]
Neurological Complications of COVID-19: A Review of the Literature.

Cureus. 2022-8-3

[8]
Preeclampsia and severe acute respiratory syndrome coronavirus 2 infection: a systematic review.

J Hypertens. 2022-9-1

[9]
DOCK2 is involved in the host genetics and biology of severe COVID-19.

Nature. 2022-9

[10]
Genome-wide bidirectional CRISPR screens identify mucins as host factors modulating SARS-CoV-2 infection.

Nat Genet. 2022-8

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