Grateau G
Praticien hospitalier universitaire, service de médecine interne, Hôtel-Dieu de Paris, France.
Rev Med Interne. 1994 Apr;15(4):250-6. doi: 10.1016/s0248-8663(94)80029-4.
Amyloidoses are characterized by the deposition of non soluble proteins in tissues. Clinical aspects of hereditary amyloidoses are very diverse, and they offer many diagnosis problems to the physician. Biochemical and genetic aspects are also various. Several proteins are implicated in these hereditary diseases mainly: transthyretin, apolipoprotein A1, gelsolin, fibrinogen alpha chain and lysozyme. Studies on structural changes induced by the mutations in the transthyretin should bring new data relevant to our understanding of the amyloidogenic process. Transgenic mice with mutated transthyretin are a good model and will allow new pathogenic approach and therapeutic intervention.
淀粉样变性的特征是在组织中沉积不溶性蛋白质。遗传性淀粉样变性的临床情况非常多样,给医生带来了许多诊断难题。其生化和遗传方面也各不相同。主要有几种蛋白质与这些遗传性疾病有关:转甲状腺素蛋白、载脂蛋白A1、凝溶胶蛋白、纤维蛋白原α链和溶菌酶。对转甲状腺素蛋白突变引起的结构变化的研究应该会带来与我们对淀粉样变过程的理解相关的新数据。携带突变转甲状腺素蛋白的转基因小鼠是一个很好的模型,将有助于采用新的致病方法和进行治疗干预。