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Brugada综合征的遗传基础。

Genetic Basis of Brugada Syndrome.

作者信息

Xie Xianghuan, Chen Yanghui, Li Zhiqiang, Sun Yang, Chen Guangzhi

机构信息

Hubei Key Laboratory of Genetics and Molecular Mechanisms of Cardiological Disorders, Division of Cardiology, Department of Internal Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095# Jiefang Ave., Wuhan 430030, China.

Department of Cell Biology, SUNY Downstate Health Sciences University, Brooklyn, NY 11203, USA.

出版信息

Biomedicines. 2025 Jul 16;13(7):1740. doi: 10.3390/biomedicines13071740.

DOI:10.3390/biomedicines13071740
PMID:40722809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12292546/
Abstract

Brugada syndrome is a rare inherited heart disease characterized by ventricular arrhythmias and characteristic ST segment elevation, which increases the risk of sudden death. Studies have shown that the pathogenesis of this disease involves a variety of gene mutations, including abnormal functions of sodium, calcium, and potassium ion channels, resulting in cardiac electrophysiological disorders. These variants affect excitability and conduction of cardiomyocytes, thereby increasing the susceptibility to ventricular arrhythmias and sudden death. However, many genetic variants remain of uncertain significance or are insufficiently characterized, necessitating further investigation. This review summarizes the genetic variants associated with Brugada syndrome and discusses their potential implications for improving diagnosis and therapeutic approaches.

摘要

布加综合征是一种罕见的遗传性心脏病,其特征为室性心律失常和特征性ST段抬高,这会增加猝死风险。研究表明,该疾病的发病机制涉及多种基因突变,包括钠、钙和钾离子通道功能异常,导致心脏电生理紊乱。这些变异影响心肌细胞的兴奋性和传导性,从而增加室性心律失常和猝死的易感性。然而,许多基因变异的意义仍不确定或特征描述不足,需要进一步研究。本综述总结了与布加综合征相关的基因变异,并讨论了它们对改善诊断和治疗方法的潜在意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc3/12292546/74fb30f135e9/biomedicines-13-01740-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc3/12292546/74fb30f135e9/biomedicines-13-01740-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdc3/12292546/74fb30f135e9/biomedicines-13-01740-g001.jpg

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本文引用的文献

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Novel Gain-of-Function Mutation in the Kv11.1 Channel Found in the Patient with Brugada Syndrome and Mild QTc Shortening.新发现的 Brugada 综合征伴轻度 QTc 缩短患者 Kv11.1 通道获得性功能突变。
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SCN5A gene variants and arrhythmic risk in Brugada syndrome: An updated systematic review and meta-analysis.SCN5A 基因突变与 Brugada 综合征心律失常风险:一项更新的系统评价和荟萃分析。
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Inherited Arrhythmias in the Pediatric Population: An Updated Overview.
儿科人群遗传性心律失常:最新概述。
Medicina (Kaunas). 2024 Jan 3;60(1):94. doi: 10.3390/medicina60010094.
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Long-term clinical outcomes of patients with drug-induced type 1 Brugada electrocardiographic pattern: A nationwide cohort registry study.药物诱导 1 型 Brugada 心电图模式患者的长期临床结局:一项全国队列登记研究。
Heart Rhythm. 2024 May;21(5):555-561. doi: 10.1016/j.hrthm.2024.01.015. Epub 2024 Jan 18.
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The Action Potential Clamp Technique as a Tool for Risk Stratification of Sinus Bradycardia Due to Loss-of-Function Mutations in HCN4: An In Silico Exploration Based on In Vitro and In Vivo Data.动作电位钳技术作为一种对由HCN4功能丧失突变引起的窦性心动过缓进行风险分层的工具:基于体外和体内数据的计算机模拟探索。
Biomedicines. 2023 Sep 2;11(9):2447. doi: 10.3390/biomedicines11092447.
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Calmodulin mutations affecting Gly114 impair binding to the Na1.5 IQ-domain.影响甘氨酸114的钙调蛋白突变会损害其与Na1.5 IQ结构域的结合。
Front Pharmacol. 2023 Aug 16;14:1210140. doi: 10.3389/fphar.2023.1210140. eCollection 2023.
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Int J Mol Sci. 2023 Feb 7;24(4):3328. doi: 10.3390/ijms24043328.
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Case report: Lamin A/C gene mutation in patient with drug-induced type 1 Brugada syndrome at high arrhythmic risk.病例报告:药物诱导的1型Brugada综合征且心律失常风险高的患者中的核纤层蛋白A/C基因突变
Front Cardiovasc Med. 2023 Jan 10;9:1099508. doi: 10.3389/fcvm.2022.1099508. eCollection 2022.
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Case report: Coexistence of myotonia congenita and Brugada syndrome in one family.病例报告:一个家族中先天性肌强直与Brugada综合征并存。
Front Neurol. 2022 Sep 23;13:1011956. doi: 10.3389/fneur.2022.1011956. eCollection 2022.