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单基因自身炎症性疾病相关的心脏损伤。

Monogenic autoinflammatory disease-associated cardiac damage.

机构信息

Department of Rheumatology, Children's Hospital of Fudan University, Shanghai, China.

出版信息

Inflamm Res. 2023 Aug;72(8):1689-1693. doi: 10.1007/s00011-023-01771-7. Epub 2023 Aug 10.

Abstract

INTRODUCTION

Autoinflammatory diseases (AIDs) constitute several disorders that are characterized by the presence of recurrent episodes of unprovoked inflammation due to dysregulated innate immune system in the absence of autoantibodies or infections. Most of them have a strong genetic background, with mutations in single genes involved in inflammation referred to monogenic AIDs. In this article, we will review the cardiac manifestations in various monogenic AIDs.

AREAS COVERED

Various cardiac manifestations can be seen in various monogenic AIDs, including pericarditis, valvular diseases, coronary diseases, cardiomyopathies, and pulmonary hypertension, especially in Familial Mediterranean fever (FMF).

EXPERT COMMENTARY

Monogenic AIDs can manifest a variety of cardiac lesions, the most common of which is pericardial effusion, which may be local pericardial inflammation secondary to systemic inflammatory responses. While, the pathogenesis and incidence are still unclear. More research is still needed to explore the relationship between monogenic AIDs and cardiac damage for better understanding these diseases.

摘要

简介

自身炎症性疾病(AIDs)是一组多种疾病的统称,其特征是由于先天免疫系统失调而导致反复发作的无明显诱因的炎症,不存在自身抗体或感染。这些疾病大多数具有强烈的遗传背景,与炎症相关的单基因突变导致单基因自身炎症性疾病。本文将综述各种单基因自身炎症性疾病的心脏表现。

涵盖领域

各种单基因自身炎症性疾病可出现多种心脏表现,包括心包炎、瓣膜疾病、冠状动脉疾病、心肌病和肺动脉高压,特别是家族性地中海热(FMF)。

专家评论

单基因自身炎症性疾病可表现出多种心脏病变,最常见的是心包积液,可能是全身炎症反应导致的局部心包炎症。然而,其发病机制和发生率尚不清楚。仍需要更多的研究来探索单基因自身炎症性疾病与心脏损伤之间的关系,以更好地理解这些疾病。

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