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一名携带功能丧失变异的肺动脉高压患者。

A Patient With Pulmonary Hypertension Carrying Loss-of-Function Variant.

作者信息

Cai Zongye, Lin Shuangxiang, Jin Nan, Fu Yahong, Zhang Ying, Cheng Jifang, Mao Yue, Li Yuanshi, Montani David, Jiang Jun

机构信息

Department of Cardiology, The Second Affiliated Hospital Zhejiang University School of Medicine Hangzhou China.

State Key Laboratory of Transvascular Implantation Devices Hangzhou China.

出版信息

Pulm Circ. 2025 Jul 9;15(3):e70110. doi: 10.1002/pul2.70110. eCollection 2025 Jul.

DOI:10.1002/pul2.70110
PMID:40641615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12240676/
Abstract

In a recent study conducted by Laura Stourm et al., the authors identified that patients with pulmonary hypertension (PH) harboring loss-of-function variants in the gene exhibit a unique spectrum of phenotypes. These include pulmonary involvement with lung parenchymal abnormalities and emphysema, as well as a range of extrapulmonary manifestations such as dysmorphic facial features, epilepsy, congenital heart defects, valvular and aortic diseases, thrombocytopenia, and periventricular nodular heterotopia (PVNH). Based on these findings, the study advocates for genetic screening in patients with PH who present with these specific phenotypic features. Here, we describe a clinical case that aligns closely with the observations reported in their study.

摘要

在劳拉·斯托姆等人最近进行的一项研究中,作者发现携带该基因功能丧失变异的肺动脉高压(PH)患者表现出独特的一系列表型。这些表型包括肺部实质异常和肺气肿的肺部受累,以及一系列肺外表现,如面部畸形、癫痫、先天性心脏缺陷、瓣膜和主动脉疾病、血小板减少症和室周结节性异位(PVNH)。基于这些发现,该研究主张对具有这些特定表型特征的PH患者进行基因筛查。在此,我们描述一个与他们研究中报告的观察结果密切相符的临床病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ca/12240676/0c61fa102cf8/PUL2-15-e70110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ca/12240676/0c61fa102cf8/PUL2-15-e70110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56ca/12240676/0c61fa102cf8/PUL2-15-e70110-g001.jpg

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本文引用的文献

1
Pulmonary hypertension in patients carrying loss-of-function variants.携带功能丧失性变异的患者的肺动脉高压
Eur Respir J. 2025 Mar 6;65(3). doi: 10.1183/13993003.01132-2024. Print 2025 Mar.
2
Pulmonary vascular phenotype identified in patients with () or variants: an international multicentre study.在 () 或 变异患者中鉴定出的肺血管表型:一项国际多中心研究。
Eur Respir J. 2024 Apr 4;63(4). doi: 10.1183/13993003.01634-2023. Print 2024 Apr.
3
COMPERA 2.0 risk stratification in medically managed chronic thromboembolic pulmonary hypertension.
COMPERA 2.0在药物治疗的慢性血栓栓塞性肺动脉高压中的风险分层
Eur Respir J. 2022 Sep 15;60(3). doi: 10.1183/13993003.00313-2022. Print 2022 Sep.
4
An emerging phenotype of pulmonary arterial hypertension patients carrying variants.携带变异体的肺动脉高压患者的一种新兴表型。
Eur Respir J. 2022 Dec 8;60(6). doi: 10.1183/13993003.00656-2022. Print 2022 Dec.
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Phenotypic manifestations in -related periventricular nodular heterotopia: a case report and review of the literature.- 相关型脑室外结节性异位:病例报告及文献复习。
BMJ Case Rep. 2022 Apr 12;15(4):e247268. doi: 10.1136/bcr-2021-247268.
6
COMPERA 2.0: a refined four-stratum risk assessment model for pulmonary arterial hypertension.COMPERA 2.0:一种改良的肺动脉高压四层风险评估模型。
Eur Respir J. 2022 Jul 7;60(1). doi: 10.1183/13993003.02311-2021. Print 2022 Jul.
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Phenotype and outcome of pulmonary arterial hypertension patients carrying a mutation.携带突变的肺动脉高压患者的表型和结局。
Eur Respir J. 2020 May 14;55(5). doi: 10.1183/13993003.02340-2019. Print 2020 May.
8
Clinical outcomes of pulmonary arterial hypertension in patients carrying an ACVRL1 (ALK1) mutation.携带 ACVRL1(ALK1)突变的肺动脉高压患者的临床结局。
Am J Respir Crit Care Med. 2010 Apr 15;181(8):851-61. doi: 10.1164/rccm.200908-1284OC. Epub 2010 Jan 7.
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Clinical outcomes of pulmonary arterial hypertension in carriers of BMPR2 mutation.BMPR2 突变携带者的肺动脉高压临床结局
Am J Respir Crit Care Med. 2008 Jun 15;177(12):1377-83. doi: 10.1164/rccm.200712-1807OC. Epub 2008 Mar 20.
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MYH11 mutations result in a distinct vascular pathology driven by insulin-like growth factor 1 and angiotensin II.MYH11突变导致由胰岛素样生长因子1和血管紧张素II驱动的独特血管病变。
Hum Mol Genet. 2007 Oct 15;16(20):2453-62. doi: 10.1093/hmg/ddm201. Epub 2007 Jul 31.