Bagirova H V, Spasskaya O Yu, Kim E I, Lavreniuk A A, Eremkina A K, Mokrysheva N G
Endocrinology research centre.
Probl Endokrinol (Mosk). 2025 May 20;71(2):35-44. doi: 10.14341/probl13543.
Primary hyperparathyroidism (PHPT) is a common endocrine disorder characterized by autonomous secretion of parathyroid hormone by altered parathyroid glands. In most cases PHPT is a sporadic disease, 5-10% of observations are genetically determined syndromal and non-syndromal forms. Studies of families with hereditary forms of PHPT have led to the discovery of key oncosuppressor genes and proto-oncogenes whose somatic mutations underlie the development of many sporadic parathyroid tumors. Another interest in the pathogenesis of primary hyperparathyroidism is studying mechanisms of epigenetic regulation in tumor tissue. In the first part of this review, we will discuss the classification, morphology, and etiology of PHPT. In the second part, we will present a summary of the most important studies using genetic analysis, classified according to the method used.
原发性甲状旁腺功能亢进症(PHPT)是一种常见的内分泌疾病,其特征是甲状旁腺发生改变后自主分泌甲状旁腺激素。在大多数情况下,PHPT是一种散发性疾病,5% - 10%的病例是由遗传决定的综合征型和非综合征型。对遗传性PHPT家族的研究已导致发现关键的抑癌基因和原癌基因,其体细胞突变是许多散发性甲状旁腺肿瘤发生的基础。原发性甲状旁腺功能亢进症发病机制的另一个研究热点是肿瘤组织中表观遗传调控机制。在本综述的第一部分,我们将讨论PHPT的分类、形态学和病因。在第二部分,我们将根据所使用的方法对最重要的基因分析研究进行总结。