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病例报告:一例由……的新突变引起的Alport综合征病例报告。 (原文此处不完整)

Case report: A case report of Alport syndrome caused by a novel mutation of .

作者信息

Pan Shujun, Yu Rizhen, Liang Shikai

机构信息

Clinical School of Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, China.

Urology & Nephrology Center, Department of Nephrology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou Medical College, Hangzhou, Zhejiang, China.

出版信息

Front Genet. 2023 Jul 17;14:1216809. doi: 10.3389/fgene.2023.1216809. eCollection 2023.

DOI:10.3389/fgene.2023.1216809
PMID:37529776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10389043/
Abstract

Alport syndrome (#308940) is an X-linked genetic disease with clinical manifestations, such as hematuria, proteinuria, renal insufficiency, and end-stage renal disease. The disease is characterized by the thinning of the glomerular basement membrane in the early stages and the thickening of the glomerular basement membrane in the late stages and may be associated with ocular lesions and varying degrees of sensorineural deafness. Herein, we report a case of Alport syndrome caused by a mutation in . The patient was a young male with clinical manifestations of hematuria and massive proteinuria who was diagnosed with Alport syndrome based on renal pathology and genetic testing.

摘要

奥尔波特综合征(#308940)是一种X连锁遗传病,临床表现为血尿、蛋白尿、肾功能不全和终末期肾病。该病的特点是早期肾小球基底膜变薄,晚期肾小球基底膜增厚,可能伴有眼部病变和不同程度的感音神经性耳聋。在此,我们报告一例由[具体基因]突变引起的奥尔波特综合征病例。患者为青年男性,有血尿和大量蛋白尿的临床表现,根据肾脏病理和基因检测诊断为奥尔波特综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f89/10389043/ed61a9222274/fgene-14-1216809-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f89/10389043/8a405aac0ebc/fgene-14-1216809-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f89/10389043/4e752c9abb7e/fgene-14-1216809-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f89/10389043/ed61a9222274/fgene-14-1216809-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f89/10389043/8a405aac0ebc/fgene-14-1216809-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f89/10389043/4e752c9abb7e/fgene-14-1216809-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f89/10389043/ed61a9222274/fgene-14-1216809-g003.jpg

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本文引用的文献

1
Effectiveness of renin-angiotensin-aldosterone system blockers in patients with Alport syndrome: a systematic review and meta-analysis.肾素-血管紧张素-醛固酮系统阻滞剂对Alport综合征患者的疗效:一项系统评价和荟萃分析
Nephrol Dial Transplant. 2023 Oct 31;38(11):2485-2493. doi: 10.1093/ndt/gfad105.
2
Lifelong effect of therapy in young patients with the COL4A5 Alport missense variant p.(Gly624Asp): a prospective cohort study.年轻 Alport 综合征 COL4A5 错义变异 p.(Gly624Asp)患者长期治疗效果:一项前瞻性队列研究。
Nephrol Dial Transplant. 2022 Nov 23;37(12):2496-2504. doi: 10.1093/ndt/gfac006.
3
Last Nucleotide Substitutions of Exons Cause Aberrant Splicing.
外显子的最后核苷酸替换导致异常剪接。
Kidney Int Rep. 2021 Oct 21;7(1):108-116. doi: 10.1016/j.ekir.2021.10.012. eCollection 2022 Jan.
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Compounds targeting OSBPL7 increase ABCA1-dependent cholesterol efflux preserving kidney function in two models of kidney disease.靶向 OSBPL7 的化合物可增加 ABCA1 依赖性胆固醇流出,从而在两种肾病模型中维持肾功能。
Nat Commun. 2021 Aug 2;12(1):4662. doi: 10.1038/s41467-021-24890-3.
5
Pathogenic Variants in the Genes Affected in Alport Syndrome (COL4A3-COL4A5) and Their Association With Other Kidney Conditions: A Review.致病变异在 Alport 综合征(COL4A3-COL4A5)相关基因中的作用及其与其他肾脏疾病的关系:综述。
Am J Kidney Dis. 2021 Dec;78(6):857-864. doi: 10.1053/j.ajkd.2021.04.017. Epub 2021 Jul 8.
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Complex genetics of Alport and Goodpasture syndromes.奥尔波特综合征和古德帕斯丘综合征的复杂遗传学
Nat Rev Nephrol. 2021 Oct;17(10):635-636. doi: 10.1038/s41581-021-00451-1.
7
Uncovering Modifier Genes of X-Linked Alport Syndrome Using a Novel Multiparent Mouse Model.利用新型多亲小鼠模型揭示X连锁遗传性肾炎的修饰基因
J Am Soc Nephrol. 2021 Aug;32(8):1961-1973. doi: 10.1681/ASN.2020060777. Epub 2021 May 27.
8
Clinical and Genetic Features of Autosomal Dominant Alport Syndrome: A Cohort Study.常染色体显性遗传性阿尔波特综合征的临床及遗传特征:一项队列研究
Am J Kidney Dis. 2021 Oct;78(4):560-570.e1. doi: 10.1053/j.ajkd.2021.02.326. Epub 2021 Apr 7.
9
Metformin ameliorates the severity of experimental Alport syndrome.二甲双胍可改善实验性 Alport 综合征的严重程度。
Sci Rep. 2021 Mar 29;11(1):7053. doi: 10.1038/s41598-021-86109-1.
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Genotype-phenotype correlations and nephroprotective effects of RAAS inhibition in patients with autosomal recessive Alport syndrome.常染色体隐性遗传性 Alport 综合征患者的 RAAS 抑制的基因型-表型相关性及肾脏保护作用。
Pediatr Nephrol. 2021 Sep;36(9):2719-2730. doi: 10.1007/s00467-021-05040-9. Epub 2021 Mar 27.