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特纳综合征:我们现在在哪里?

Turner Syndrome where are we?

机构信息

Centre for Interdisciplinary Research in Basic Sciences, Jamia Millia Islamia University, New Delhi, 110025, India.

Biomedical Informatics Centre, Indian Council of Medical Research-National Institute for Research in Reproductive and Child Health, Mumbai, Maharashtra, 400012, India.

出版信息

Orphanet J Rare Dis. 2024 Aug 28;19(1):314. doi: 10.1186/s13023-024-03337-0.

DOI:10.1186/s13023-024-03337-0
PMID:39198906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11351000/
Abstract

Turner syndrome (TS) results from the loss of one X chromosome in phenotypic females, leading to a range of complications such as short stature, cardiovascular issues, autoimmune disorders, metabolic imbalances, osteoporosis, neurocognitive deficits, hearing loss, abnormalities in endocrine functions, infertility, disruptions in bone metabolism, and neurocognitive deficits. These diverse clinical manifestations necessitate a comprehensive and multidisciplinary approach to diagnosis and management. Growth hormone therapy stands out as a fundamental treatment for addressing the challenges associated with TS. Ongoing clinical and genomic advancements contribute to an evolving understanding of TS, shedding light on its complexities and potential therapeutic interventions. Despite progress, further research is crucial to identify candidate pathways and critical biomarkers that can alleviate the syndrome's burden. By uncovering these insights, we aim to empower individuals with TS, enhancing their overall functioning and quality of life. In this review, we have explored the prevalent co-morbidities associated with TS, drawing insights from the current literature.

摘要

特纳综合征(TS)是表型女性中一条 X 染色体缺失所致,导致一系列并发症,如身材矮小、心血管问题、自身免疫性疾病、代谢失衡、骨质疏松、神经认知缺陷、听力损失、内分泌功能异常、不孕、骨代谢紊乱和神经认知缺陷。这些不同的临床表现需要采用全面和多学科的方法进行诊断和管理。生长激素治疗是解决 TS 相关挑战的基本治疗方法。不断发展的临床和基因组研究推动了对 TS 的认识不断演进,揭示了其复杂性和潜在的治疗干预措施。尽管取得了进展,但仍需要进一步研究来确定候选途径和关键生物标志物,以减轻该综合征的负担。通过揭示这些见解,我们旨在增强 TS 患者的能力,提高他们的整体功能和生活质量。在这篇综述中,我们探讨了与 TS 相关的常见合并症,并从当前文献中汲取了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440c/11351000/82d1e5dc04ca/13023_2024_3337_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440c/11351000/b357c193a29c/13023_2024_3337_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440c/11351000/82d1e5dc04ca/13023_2024_3337_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440c/11351000/b357c193a29c/13023_2024_3337_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440c/11351000/82d1e5dc04ca/13023_2024_3337_Fig2_HTML.jpg

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1
Turner Syndrome where are we?特纳综合征:我们现在在哪里?
Orphanet J Rare Dis. 2024 Aug 28;19(1):314. doi: 10.1186/s13023-024-03337-0.
2
The Changing Face of Turner Syndrome.特纳综合征不断变化的面貌。
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Cognition and the sex chromosomes: studies in Turner syndrome.认知与性染色体:特纳综合征研究
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Osteoporosis and fractures in Turner syndrome-importance of growth promoting and oestrogen therapy.特纳综合征中的骨质疏松症和骨折——生长促进和雌激素治疗的重要性
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Turner Syndrome: Care of the Patient: Birth to Late Adolescence.特纳综合征:患者护理:从出生到青春晚期
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Association of coarctation of aorta with Turner syndrome: a case report.主动脉缩窄与特纳综合征的关联:一例病例报告。
Front Pediatr. 2025 Aug 14;13:1607621. doi: 10.3389/fped.2025.1607621. eCollection 2025.
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The Ovary-Liver Axis: Molecular Science and Epidemiology.卵巢-肝脏轴:分子科学与流行病学
Int J Mol Sci. 2025 Jul 2;26(13):6382. doi: 10.3390/ijms26136382.
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Cardiovascular Diseases in Public Health: Chromosomal Abnormalities in Congenital Heart Disease Causing Sudden Cardiac Death in Children.公共卫生领域的心血管疾病:先天性心脏病中的染色体异常导致儿童心源性猝死

本文引用的文献

1
Organ Abnormalities Caused by Turner Syndrome.特纳综合征导致的器官异常。
Cells. 2023 May 11;12(10):1365. doi: 10.3390/cells12101365.
2
Ovarian dysfunction in women with Turner syndrome.特纳综合征女性的卵巢功能障碍。
Front Endocrinol (Lausanne). 2023 Mar 23;14:1160258. doi: 10.3389/fendo.2023.1160258. eCollection 2023.
3
Incidence and risk factors of hearing loss in patients with Turner Syndrome.特纳综合征患者听力损失的发生率及危险因素。
Medicina (Kaunas). 2024 Dec 1;60(12):1976. doi: 10.3390/medicina60121976.
4
Turner Syndrome and the Thyroid Function-A Systematic and Critical Review.特纳综合征与甲状腺功能——一项系统的批判性综述
Int J Mol Sci. 2024 Dec 2;25(23):12937. doi: 10.3390/ijms252312937.
Front Public Health. 2023 Mar 14;11:1076812. doi: 10.3389/fpubh.2023.1076812. eCollection 2023.
4
Growth in girls with Turner syndrome.特纳综合征女孩的生长情况。
Front Endocrinol (Lausanne). 2023 Jan 12;13:1068128. doi: 10.3389/fendo.2022.1068128. eCollection 2022.
5
Brain-derived neurotrophic factor G196A (rs6265) gene polymorphism increases Turner syndrome susceptibility.脑源性神经营养因子 G196A(rs6265)基因多态性增加特纳综合征易感性。
Biotechnol Genet Eng Rev. 2023 Oct;39(2):882-896. doi: 10.1080/02648725.2022.2164417. Epub 2023 Jan 3.
6
A Rare Case of Mosaic Ring Turner Syndrome with Horseshoe Kidney.一例罕见的嵌合型环状特纳综合征合并马蹄肾病例。
J Hum Reprod Sci. 2022 Jul-Sep;15(3):318-320. doi: 10.4103/jhrs.jhrs_110_22. Epub 2022 Sep 30.
7
Reproductive health in Turner syndrome: A narrative review.特纳综合征的生殖健康:叙事性综述。
Prenat Diagn. 2023 Feb;43(2):261-271. doi: 10.1002/pd.6261. Epub 2022 Nov 12.
8
The Changing Face of Turner Syndrome.特纳综合征不断变化的面貌。
Endocr Rev. 2023 Jan 12;44(1):33-69. doi: 10.1210/endrev/bnac016.
9
Turner Syndrome and the Risks of Clinical Depression in Adolescence.特纳综合征与青少年临床抑郁症风险
Cureus. 2021 Nov 2;13(11):e19204. doi: 10.7759/cureus.19204. eCollection 2021 Nov.
10
A Review of Recent Developments in Turner Syndrome Research.特纳综合征研究的最新进展综述
J Cardiovasc Dev Dis. 2021 Oct 23;8(11):138. doi: 10.3390/jcdd8110138.