Pliego-Arreaga Raquel, Cervantes-Montelongo Juan Antonio, Silva-Martínez Guillermo Antonio, Tristán-Flores Fabiola Estefanía, Pantoja-Hernández Miguel Angel, Maldonado-Coronado Juan Raúl
Escuela de Medicina, Universidad de Celaya, Celaya 38080, Guanajuato, Mexico.
Departamento de Ingeniería Bioquímica, Tecnológico Nacional de México en Celaya, Celaya 38010, Guanajuato, Mexico.
Biomolecules. 2024 Apr 12;14(4):472. doi: 10.3390/biom14040472.
Ehlers-Danlos syndromes (EDSs) constitute a heterogeneous group of connective tissue disorders characterized by joint hypermobility, skin hyperextensibility, and tissue fragility. Asymptomatic EDSs, joint hypermobility without associated syndromes, EDSs, and hypermobility spectrum disorders are the commonest phenotypes associated with joint hypermobility. Joint hypermobility syndrome (JHS) is a connective tissue disorder characterized by extreme flexibility of the joints, along with pain and other symptoms. JHS can be a sign of a more serious underlying genetic condition, such as EDS, which affects the cartilage, bone, fat, and blood. The exact cause of JHS could be related to genetic changes in the proteins that add flexibility and strength to the joints, ligaments, and tendons, such as collagen. Membrane proteins are a class of proteins embedded in the cell membrane and play a crucial role in cell signaling, transport, and adhesion. Dysregulated membrane proteins have been implicated in a variety of diseases, including cancer, cardiovascular disease, and neurological disorders; recent studies have suggested that membrane proteins may also play a role in the pathogenesis of JHS. This article presents an exploration of the causative factors contributing to musculoskeletal pain in individuals with hypermobility, based on research findings. It aims to provide an understanding of JHS and its association with membrane proteins, addressing the clinical manifestations, pathogenesis, diagnosis, and management of JHS.
埃勒斯-当洛综合征(EDSs)是一组异质性的结缔组织疾病,其特征为关节活动过度、皮肤过度伸展和组织脆弱。无症状的EDSs、无相关综合征的关节活动过度、EDSs以及活动过度谱系障碍是与关节活动过度相关的最常见表型。关节活动过度综合征(JHS)是一种结缔组织疾病,其特征为关节极度灵活,同时伴有疼痛和其他症状。JHS可能是一种更严重的潜在遗传疾病的迹象,如影响软骨、骨骼、脂肪和血液的EDS。JHS的确切病因可能与为关节、韧带和肌腱增加灵活性和强度的蛋白质(如胶原蛋白)的基因变化有关。膜蛋白是一类嵌入细胞膜的蛋白质,在细胞信号传导、运输和黏附中起关键作用。膜蛋白失调与多种疾病有关,包括癌症、心血管疾病和神经系统疾病;最近的研究表明,膜蛋白也可能在JHS的发病机制中起作用。本文基于研究结果,对活动过度个体肌肉骨骼疼痛的致病因素进行了探讨。其目的是增进对JHS及其与膜蛋白关系的理解,阐述JHS的临床表现、发病机制、诊断和管理。
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