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进行性家族性肝内胆汁淤积症的最新研究进展 被引量:8

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摘要 进行性家族性肝内胆汁淤积症(PFIC)是一组异质性的常染色体隐性遗传病。依特异性肝细胞转运基因突变的不同,PFlC分为3型。PFIC-l型是ATP8B1基因突变所致,PFIC-2型是ABCB11基因突变所致,PFIC-3型是ABCB4基因突变所致。胆汁淤积是PFIC的主要临床征象。PFIC-1和PFIC-2血清γ-谷氨酰转肽酶(γ-GT)活性正常,而PFIC-3患者血清γ-GT活性升高。熊去氧胆酸是所有类型PFIC患儿的初始治疗选择,外科胆汁分流术能减轻部分PFIC-1或PFIC-2患者瘙痒,延缓病情进展,但对大多数患者肝移植乃惟一有效治疗措施。
作者 田辉
出处 《实用肝脏病杂志》 CAS 2009年第6期477-480,共4页 Journal of Practical Hepatology
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参考文献28

  • 1VANMIL SWC,HOUWEN RHJ,KLOMP LWJ. Genetics of intrafamilial cholestasis syndromes [J]. J Med Genet,2005, 42: 449-463.
  • 2孙梅,郭亚琼.进行性家族性肝内胆汁淤积症的诊治进展[J].中国实用儿科杂志,2008,23(1):6-9. 被引量:7
  • 3DEMEILLIERS C,JACQUEMIN E,BARBU V,et al. Altered hepatobiliary gene expressions in PFICI:ATPSB1 gene defect is associated with CFTR downregulation[J]. Hepatology,2006,43:1125-1134.
  • 4PAULUSMA CC,GROEN A,KUNNE C,et al. Atp8b1 deficiency in mice reduces resistance of the canalicular membrane to hydrophobic bile salts and impairs bile salt transport[J]. Hepatology, 2006,44: 195-204.
  • 5CAI SY,GAUTAM S,NGUYEN T,et al. ATP8B1 Deficiency disrupts the bile canalicular membrane bilayer structure in hepatocytes,but FXR expression and activity are maintained[J]. Gastroenterology, 2009,136:1060-1069.
  • 6OUDE ELFERINK RP,PAULUSMA CC,GROEN AK. Hepatocanalicular transport defects: pathophysiologic mechanisms of rare diseases[J]. Gastroenterology, 2006,130: 908-925.
  • 7HAYASHI H,SUGIYAMA Y. 4-phenylbutyrate enhances the cell surface expression and the transport capacity of wild-type and mutated bile salt export pumps[J]. Hepatology,2007,45 : 1506-1516.
  • 8STRAUTNIEKS SS,BYRNE JA,PAWLIKOWSKA L,et al. Severe bile salt export pump deficiency:82 different ABCBll mutations in 109 families [J]. Gastroenterology, 2008,134:1203-1214.
  • 9KAGAWA T,WATANABE N,MOCHIZUKI K,et al. Phenotypic differences in PFIC2 and BRIC2 correlate with protein stability of mutant Bsep and impaired taurocholate secretion in MDCK Ⅱ cells [J]. Am J Physiol Gastrointest Liver Physiol, 2008,294: G58-67.
  • 10HERMEZIU B,SANLAVILLE D,GIRARD M,et al. Heterozygous bile salt export pump deficiency:a possible genetic predisposition to transient neonatal cholestasis [J]. J Pediatr Gastroenterol Nutr, 2006,42: 7-8.

二级参考文献18

  • 1陈朱波,姚定康.进行性家族性肝内胆汁淤积[J].国际消化病杂志,2006,26(4):279-281. 被引量:5
  • 2Emmanuel Jacquemin.progressive familial intrahepatic cholestssis:genetic basis and treatment[J].Pediatric Liver,2000,4(4):753-763.
  • 3Karan M Emerick,MD.Progressive familial intrahepatic cholestasis.2006-06-19[2007-11-13].http://www.emedicine.com/ped/topic2771.htm.
  • 4Matthew J Harris,David G LE couteur,Zrwin M arias.Progressive familial intrahepatic cholestasis:genetic disorders of biliary transporters[J].Gastroenterology and Hepatology,2005,20:807-817.
  • 5Nancy A.M van Doteghem,Leo W.J.Klomp,Gerard P.Benign recurrent intrahepatic cholestasis progressiving to progressive familial intrahepatic cholestasis:low GGT cholestasis is a clinical continuum[J].Hepatology,2002,36:439-443.
  • 6Chen F,Ananthanarayanan M,Emer S,et al.Progressive Familial Intrahepatic Cholestasis Type1,Is Associated With Decreased Farnesoid X Receptor Activity[J].Gastroenterology,2004,126:756-764.
  • 7Peter LM,Jansen,Sandra S.Emmanuel Jacquemin,et al.Hepatocanalicular bile salt export pump deficiency in patients with progressive familial intrahepatic cholestasis[J].Gastroenterology,1999,117:1370-1379.
  • 8Ismail H,Kalicinski P,Markiewiez M,et al.Treatment of progressive familial intrahepatic cholestasis:liver transplantation or partial external biliary diversion[J].Pediatric Transplantation,1999,3:219-224.
  • 9Demeilliers C,Jacquemin E,Barbu V,et al.Altered hepatobiliary gene expressions in PFIC1:ATP8B1 gene defect is associated with CFTR down regulation[J].Hepatology,2006,43 (5):1125-1134.
  • 10王中林,朱启镕,王建设,等.BSEP基因突变在低γ-GGT的进行性肝内胆汁淤积中的意义[J].第十四次全国儿科学术会议论文汇编,2007:64.

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