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马凡综合征的治疗机遇:当前观点

Therapeutic Opportunities of Marfan Syndrome: Current Perspectives.

作者信息

Feng Xiaoying, Qu Chao, Jia Ping, Zhang Ding Ding

机构信息

College of Medical Technology, Chengdu University of Traditional Chinese Medicine, Chengdu, People's Republic of China.

Department of Ophthalmology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, People's Republic of China.

出版信息

Drug Des Devel Ther. 2025 Aug 26;19:7365-7379. doi: 10.2147/DDDT.S523571. eCollection 2025.

Abstract

Marfan syndrome (MFS) is a hereditary connective tissue disorder that is primarily caused by mutations in the fibrillin-1 () gene. This disease predominantly affects the eyes, bones, and cardiovascular system, with cardiovascular complications posing the most significant threat to life. Currently, conventional treatments, which are based on pharmacological management and surgical interventions, aim to slow disease progression and manage life-threatening cardiovascular complications. Emerging technologies such as CRISPR-Cas9 gene editing and induced pluripotent stem cell (iPSC) have advanced the understanding of mutation heterogeneity and disease mechanisms beyond TGF-β signaling, providing novel platforms for drug discovery and personalized therapeutic exploration. This review explores recent progress in MFS therapies, focusing on surgical innovations, emerging medicine and therapeutic targets, while discussing the potential future applications of gene therapy.

摘要

马凡综合征(MFS)是一种遗传性结缔组织疾病,主要由原纤维蛋白-1(FBN1)基因突变引起。这种疾病主要影响眼睛、骨骼和心血管系统,心血管并发症对生命构成最大威胁。目前,基于药物治疗和手术干预的传统治疗方法旨在减缓疾病进展并处理危及生命的心血管并发症。诸如CRISPR-Cas9基因编辑和诱导多能干细胞(iPSC)等新兴技术加深了我们对除TGF-β信号通路之外的FBN1突变异质性和疾病机制的理解,为药物研发和个性化治疗探索提供了新平台。本综述探讨了马凡综合征治疗的最新进展,重点关注手术创新、新兴药物和治疗靶点,同时讨论了基因治疗未来的潜在应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c44c/12399795/ec66d5338a31/DDDT-19-7365-g0001.jpg

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