ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2013, Vol. 22 ›› Issue (1): 70-74.

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成人激素抵抗肾病综合征遗传学机制

  

  • 出版日期:2013-02-28 发布日期:2013-03-19

The genetic basis of adult-onset steroid resistant nephrotic syndrome

  • Online:2013-02-28 Published:2013-03-19

摘要:

【摘  要】激素抵抗肾病综合征(Steroid-resistant nephrotic syndrome,SRNS)为难治性肾病综合征,常发展至终末期肾病(ESRD),但其发病机制一直不明。近年来越来越多的证据表明编码足细胞相关蛋白的基因变异是部分SRNS的病因。最早足细胞相关蛋白基因变异仅见于家族性及儿童散发SRNS,但近来发现这些基因变异也与成人散发SRNS相关。本文系统性综述当前发现与成人SRNS相关的6个主要足细胞相关蛋白基因及其致病变异,旨在为成人SRNS遗传机制的阐明及进一步干预疾病进展、促进临床诊断及治疗工作提供理论依据。

关键词: 成人, 激素抵抗肾病综合征, 足细胞相关蛋白, 基因突变分析

Abstract:

ABSTRACT   As a refractory nephrotic syndrome, steroid-resistant nephrotic syndrome, often develop to ESRD, but its etiology has been unknown. In recent years, more and more evidence suggests that gene mutation of podocyte-associated protein be the cause of some SRNS. At the beginning, podocyte-associated protein gene mutation was found only in family and child-onset sporadic SRNS, but recently we have reported that these gene variants were also associated with sporadic adults SRNS. In order to provide a theoretical basis for the elucidation of the genetic mechanisms and further interfering with disease progression, promoting clinical diagnosis and treatment, 6 major podocyte-associated protein genes and their disease-causing mutations, which are closely related to adult-onset sporadic SRNS, are systematically reviewed.

Key words:  adults   , SRNS   , podocyte-associated protein   , gene mutation analysis