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遗传性出血性脑血管病:对临床管理的启示

Hereditary Haemorrhagic Cerebrovascular Disease: Implications for Clinical Management.

作者信息

Hou Wanting, Hou Yanbo, Ren Xiangshan, Liu Jingyao

机构信息

Department of Pathology, Medical College of Yanbian University, Gongyuan, Yanji, China.

Department of Neurology, The First Hospital, Jilin University, Jilin, Changchun, China.

出版信息

Ann Neurosci. 2025 Mar 18:09727531241308346. doi: 10.1177/09727531241308346.

DOI:10.1177/09727531241308346
PMID:40115281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11920984/
Abstract

BACKGROUND

At present, treatment of hereditary haemorrhagic cerebrovascular disease remains in the symptomatic stage. It is more important to provide strategies for developing rational treatment methods, expanding our understanding with regard to the pathophysiology in the context of familial diseases.

SUMMARY

In this article, the combined data from the literature on diseases, including familial cerebral cavernous haemangiomas, hereditary cerebral haemorrhage with amyloidosis, familial intracranial aneurysms, cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy, were reviewed to manage the haemorrhagic diseases discussed through genetic counselling and early prevention and treatment of these patients and their families, the genetics, pathogenesis, clinical manifestations and treatment.

KEY MESSAGES

It is important to understand and treat hereditary haemorrhagic cerebrovascular disease through genetic treatment options.

摘要

背景

目前,遗传性出血性脑血管疾病的治疗仍处于对症治疗阶段。提供制定合理治疗方法的策略,扩展我们对家族性疾病病理生理学的理解更为重要。

总结

本文回顾了关于多种疾病的文献综合数据,包括家族性脑海绵状血管瘤、遗传性淀粉样变性脑出血、家族性颅内动脉瘤、伴有皮质下梗死和白质脑病的常染色体显性遗传性脑动脉病,以通过遗传咨询以及对这些患者及其家族的早期预防和治疗来处理所讨论的出血性疾病,涵盖遗传学、发病机制、临床表现和治疗。

关键信息

通过基因治疗方案来理解和治疗遗传性出血性脑血管疾病很重要。

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本文引用的文献

1
Genetic repair of a human induced pluripotent cell line from patient with Dutch-type cerebral amyloid angiopathy.从荷兰型脑淀粉样血管病患者诱导的多能干细胞系的遗传修复。
Stem Cell Res. 2023 Sep;71:103180. doi: 10.1016/j.scr.2023.103180. Epub 2023 Aug 11.
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Management of Inherited CNS Small Vessel Diseases: The CADASIL Example: A Scientific Statement From the American Heart Association.遗传性中枢神经系统小血管病的管理:CADASIL 实例:美国心脏协会的科学声明。
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Cerebral cavernous malformations: Typical and atypical imaging characteristics.脑海绵状血管畸形:典型与非典型影像学特征
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A Novel Mutation in COL4A1 Gene in a Chinese Family with Pontine Autosomal Dominant Microangiopathy and Leukoencephalopathy.一个中国家族伴脑桥脑内在常染色体显性血管病和脑白质病的 COL4A1 基因突变
Transl Stroke Res. 2022 Apr;13(2):238-244. doi: 10.1007/s12975-021-00926-0. Epub 2021 Aug 20.
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Peripheral arteriopathy caused by Notch3 gain-of-function mutation involves ER and oxidative stress and blunting of NO/sGC/cGMP pathway.Notch3 功能获得性突变引起的周围血管病涉及内质网和氧化应激,以及 NO/sGC/cGMP 通路的钝化。
Clin Sci (Lond). 2021 Mar 26;135(6):753-773. doi: 10.1042/CS20201412.
6
Intracerebral Hemorrhage in Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy: Prevalence, Clinical and Neuroimaging Features and Risk Factors.脑动脉病伴皮质下梗死和白质脑病的常染色体显性遗传:患病率、临床和神经影像学特征及危险因素。
Stroke. 2021 Mar;52(3):985-993. doi: 10.1161/STROKEAHA.120.030664. Epub 2021 Feb 4.
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Aneurysmal Subarachnoid Hemorrhage: the Last Decade.动脉瘤性蛛网膜下腔出血:过去十年
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Blood Pressure and Outcomes in Patients With Different Etiologies of Intracerebral Hemorrhage: A Multicenter Cohort Study.不同病因脑出血患者的血压与结局:一项多中心队列研究。
J Am Heart Assoc. 2020 Oct 20;9(19):e016766. doi: 10.1161/JAHA.120.016766. Epub 2020 Sep 13.
9
A Nationwide Survey and Multicenter Registry-Based Database of Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy in Japan.日本一项关于伴有皮质下梗死和白质脑病的大脑常染色体显性动脉病的全国性调查及基于多中心注册登记的数据库。
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Lack of impact of polycystic kidney disease on the outcome of aneurysmal subarachnoid hemorrhage: a matched case-control study.多囊肾病对动脉瘤性蛛网膜下腔出血预后无影响:一项配对病例对照研究。
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