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Carney综合征1例

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摘要 Carney综合征(Carney complex,CNC)是一种罕见遗传性疾病,自1985年首次报道以来,其世界报道病例数近千例^([1])。曾调查了梅奥诊所的353例Carney综合征患者,发现其中63%为中青年女性,有73%的病例伴PRKAR1A基因失活突变^([2]),经研究显示该基因编码酶蛋白激酶A调节型1α亚基^([3])。该病可出现皮肤病变、心脏黏液瘤、垂体肿瘤、色素性结节状肾上腺皮质病、甲状腺肿瘤、砂粒体型黑色素性神经鞘瘤、睾丸肿瘤、乳房肿瘤、卵巢病变等多系统病变。本文报道一例Carney综合征患者,结合文献学习,加强了解疾病,提高临床诊断水平。
出处 《心肺血管病杂志》 CAS 2024年第9期981-983,共3页 Journal of Cardiovascular and Pulmonary Diseases
基金 首都医科大学学生科研(XSKY2023311)。
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  • 1中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中国医学前沿杂志(电子版),2010,2(4):50-59. 被引量:1842
  • 2CARNEY J A,GORDON H, CARPENTER P C, et al. Thecomplex of myxomas, spotty pigmentation, and endocrineoveractivity[J]. Medicine, 1985,64(4). : 270-283.
  • 3BERTHERAT J, HORVATH A,GROUSSIN L, et al.Mutations in regulatory subunit type 1A of cyclic adenosine5.-monophosphate-dependent protein kinase ( PRKAR1A). sphenotype analysis in 353 patients and 80 different genotypes[J]. J Clin Endocrinol Metab, 2009,94(6).: 2085-2091.
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  • 5KIRSCHNER L S, CARNEY J A, PACK S D,et al.Mutations of the gene encoding the protein kinase A typeI-alpha regulatory subunit in patients with the Carneycomplex[J]. Nat Genet, 2000,26(1). : 89-92.
  • 6STEFAN E, MALLESHAIAH M K, BRETON B,et al.PKA regulatory subunits mediate synergy among conservedG-protein-coupled receptor cascades [J]. Nat Commun,2011,2: 598.
  • 7MOUJALLED D, WESTON R, ANDERTON H,et al.Cyclic-AMP-dependent protein kinase A regulates apoptosisby stabilizing the BH3-only protein Bim[J], EMBO Rep,2011, 12(1).: 77-83.
  • 8YIN Z, PRINGLE DR, JONES GN,'et al. Differential roleof PKA catalytic subunits in mediating phenotypes caused byknockout of the Carney complex gene Prkarla [ J]. MolEndocrinol,2011,25(10).: 1786-1793.
  • 9GAUJOUX S,TISSIER F, RAGAZZON B, et al.Pancreatic ductal and acinar cell neoplasms in Carneycomplex: a possible new association [J]. J Clin EndocrinolMetab, 2011,96(11).: E1888-E1895.
  • 10YIN Z,PRINGLE DR, JONES G N,et al.' Differential roleof PKA catalytic subunits in mediating phenotypes caused byknockout of the Carney complex gene Prkarla [J]. MolEndocrinol, 2011,25(10). : 1786-1793.

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