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[肝豆状核变性的药物治疗进展]

[Progress in drug therapy of Wilson's disease].

作者信息

Zhang W, Zhao X Y, Huang J, Ou X J, Jia J D

机构信息

Liver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China National Clinical Research Center for Digestive Diseases, Beijing 100050, China.

National Clinical Research Center for Digestive Diseases, Beijing 100050, China Beijing Institute of Clinical Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.

出版信息

Zhonghua Gan Zang Bing Za Zhi. 2024 Sep 20;32(9):783-786. doi: 10.3760/cma.j.cn501113-20240714-00324.

DOI:10.3760/cma.j.cn501113-20240714-00324
PMID:39375099
Abstract

Wilson's disease, also known as hepatolenticular degeneration, is an inherited disorder of copper metabolism caused by homozygous or compound heterozygous variants in the gene, which is mainly clinically manifested as liver disease and/or neurological/psychological disorders, and Kayser-Fleischer ring in the peripheral cornea. Patients with Wilson's disease are currently treated with lifelong use of chelating agents that promote copper ion excretion and/or zinc agents that reduce copper absorption, but there is still an unmet clinical need because some patients who receive treatment have poor efficacy, disease progression, or serious adverse drug reactions. In recent years, new therapeutic drugs have been developed rapidly. This article will summarize the advances in drug treatment of Wilson's disease, shedding new light on the treatment of Wilson's disease.

摘要

威尔逊病,又称肝豆状核变性,是一种由该基因的纯合或复合杂合变异引起的铜代谢遗传性疾病,主要临床表现为肝脏疾病和/或神经/心理障碍,以及周边角膜的凯-弗环。目前,威尔逊病患者需终身使用促进铜离子排泄的螯合剂和/或减少铜吸收的锌剂进行治疗,但仍存在未满足的临床需求,因为一些接受治疗的患者疗效不佳、疾病进展或出现严重药物不良反应。近年来,新型治疗药物发展迅速。本文将总结威尔逊病药物治疗的进展,为威尔逊病的治疗提供新的思路。

相似文献

1
[Progress in drug therapy of Wilson's disease].[肝豆状核变性的药物治疗进展]
Zhonghua Gan Zang Bing Za Zhi. 2024 Sep 20;32(9):783-786. doi: 10.3760/cma.j.cn501113-20240714-00324.
2
Practical recommendations and new therapies for Wilson's disease.威尔逊氏病的实用建议和新疗法
Drugs. 1995 Aug;50(2):240-9. doi: 10.2165/00003495-199550020-00004.
3
[The onset of psychiatric disorders and Wilson's disease].[精神疾病与威尔逊氏病的发病]
Encephale. 2007 Dec;33(6):924-32. doi: 10.1016/j.encep.2006.08.009. Epub 2007 Sep 5.
4
Clinical presentation, diagnosis and long-term outcome of Wilson's disease: a cohort study.肝豆状核变性的临床表现、诊断及长期预后:一项队列研究
Gut. 2007 Jan;56(1):115-20. doi: 10.1136/gut.2005.087262. Epub 2006 May 18.
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Wilson's Disease: A Review for the General Pediatrician.威尔逊氏病:面向普通儿科医生的综述
Pediatr Ann. 2018 Nov 1;47(11):e440-e444. doi: 10.3928/19382359-20181026-01.
6
Wilson's disease.威尔逊氏病
Clin Liver Dis. 1998 Feb;2(1):31-49, v-vi. doi: 10.1016/s1089-3261(05)70362-7.
7
DPM-1001 decreased copper levels and ameliorated deficits in a mouse model of Wilson's disease.DPM-1001 降低了威尔逊病小鼠模型中的铜水平并改善了相关缺陷。
Genes Dev. 2018 Jul 1;32(13-14):944-952. doi: 10.1101/gad.314658.118. Epub 2018 Jun 26.
8
The link between copper and Wilson's disease.铜与威尔逊病的关系。
Sci Prog. 2013;96(Pt 3):213-23. doi: 10.3184/003685013X13712193905878.
9
Paradigm shift in treatment of Wilson's disease: zinc therapy now treatment of choice.威尔逊氏病治疗的范式转变:锌疗法现已成为首选治疗方法。
Brain Dev. 2006 Apr;28(3):141-6. doi: 10.1016/j.braindev.2005.08.008. Epub 2006 Feb 7.
10
Activation of HIF-1 signaling ameliorates liver steatosis in zebrafish atp7b deficiency (Wilson's disease) models.HIF-1 信号的激活可改善 ATP7B 缺陷(威尔逊病)斑马鱼模型中的肝脂肪变性。
Biochim Biophys Acta Mol Basis Dis. 2020 Oct 1;1866(10):165842. doi: 10.1016/j.bbadis.2020.165842. Epub 2020 May 21.

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