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淋巴管平滑肌瘤病中雷帕霉素意外引发的气道高反应性

Unexpected sirolimus-stimulated airway hyperreactivity in lymphangioleiomyomatosis.

作者信息

Steagall Wendy K, Stylianou Mario, Pacheco-Rodriguez Gustavo, Yu Zu Xi, Moss Joel

机构信息

Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.

Office of Biostatistics Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.

出版信息

ERJ Open Res. 2023 Aug 14;9(4). doi: 10.1183/23120541.00305-2023. eCollection 2023 Jul.

DOI:10.1183/23120541.00305-2023
PMID:37589458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10423980/
Abstract

Lymphangioleiomyomatosis (LAM) is a multisystem disease affecting primarily women, characterised in the lung by proliferation of LAM cells, abnormal smooth muscle-like cells with dysfunctional tuberous sclerosis complex genes. This dysfunction results in activation of mechanistic target of rapamycin (mTOR), leading to LAM cell proliferation. Sirolimus (rapamycin) is the only United States Food and Drug Administration-approved treatment for pulmonary LAM, resulting in decreased LAM cell growth/size and stabilised lung function [1].

摘要

淋巴管平滑肌瘤病(LAM)是一种主要影响女性的多系统疾病,其肺部特征为LAM细胞增殖,LAM细胞是具有功能失调的结节性硬化复合物基因的异常平滑肌样细胞。这种功能失调导致雷帕霉素靶蛋白(mTOR)激活,进而导致LAM细胞增殖。西罗莫司(雷帕霉素)是美国食品药品监督管理局批准的唯一用于治疗肺部LAM的药物,可使LAM细胞生长/大小减小并使肺功能稳定[1]。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4fb/10423980/f4030e44c07b/00305-2023.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4fb/10423980/f4030e44c07b/00305-2023.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4fb/10423980/f4030e44c07b/00305-2023.01.jpg

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Lymphangioleiomyomatosis: pathogenesis, clinical features, diagnosis, and management.淋巴管平滑肌瘤病:发病机制、临床特征、诊断和治疗。
Lancet Respir Med. 2021 Nov;9(11):1313-1327. doi: 10.1016/S2213-2600(21)00228-9. Epub 2021 Aug 27.
3
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Am J Respir Crit Care Med. 2021 Aug 15;204(4):431-444. doi: 10.1164/rccm.202007-2854OC.
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