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Therapeutic advances in neural regeneration for Huntington’s disease 被引量:1
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作者 Francesco D’Egidio Vanessa Castelli +3 位作者 Giorgia Lombardozzi Fabrizio Ammannito Annamaria Cimini Michele d’Angelo 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第9期1991-1997,共7页
Huntington’s disease is a neurodegenerative disease caused by the expansion mutation of a cytosine-adenine-guanine triplet in the exon 1 of the HTT gene which is responsible for the production of the huntingtin (Htt)... Huntington’s disease is a neurodegenerative disease caused by the expansion mutation of a cytosine-adenine-guanine triplet in the exon 1 of the HTT gene which is responsible for the production of the huntingtin (Htt) protein. In physiological conditions, Htt is involved in many cellular processes such as cell signaling, transcriptional regulation, energy metabolism regulation, DNA maintenance, axonal trafficking, and antiapoptotic activity. When the genetic alteration is present, the production of a mutant version of Htt (mHtt) occurs, which is characterized by a plethora of pathogenic activities that, finally, lead to cell death. Among all the cells in which mHtt exerts its dangerous activity, the GABAergic Medium Spiny Neurons seem to be the most affected by the mHtt-induced excitotoxicity both in the cortex and in the striatum. However, as the neurodegeneration proceeds ahead the neuronal loss grows also in other brain areas such as the cerebellum, hypothalamus, thalamus, subthalamic nucleus, globus pallidus, and substantia nigra, determining the variety of symptoms that characterize Huntington’s disease. From a clinical point of view, Huntington’s disease is characterized by a wide spectrum of symptoms spanning from motor impairment to cognitive disorders and dementia. Huntington’s disease shows a prevalence of around 3.92 cases every 100,000 worldwide and an incidence of 0.48 new cases every 100,000/year. To date, there is no available cure for Huntington’s disease. Several treatments have been developed so far, aiming to reduce the severity of one or more symptoms to slow down the inexorable decline caused by the disease. In this context, the search for reliable strategies to target the different aspects of Huntington’s disease become of the utmost interest. In recent years, a variety of studies demonstrated the detrimental role of neuronal loss in Huntington’s disease condition highlighting how the replacement of lost cells would be a reasonable strategy to overcome the neurodegeneration. In this view, numerous have been the attempts in several preclinical models of Huntington’s disease to evaluate the feasibility of invasive and non-invasive approaches. Thus, the aim of this review is to offer an overview of the most appealing approaches spanning from stem cell-based cell therapy to extracellular vesicles such as exosomes in light of promoting neurogenesis, discussing the results obtained so far, their limits and the future perspectives regarding the neural regeneration in the context of Huntington’s disease. 展开更多
关键词 cell therapy EXOSOMES extracellular vesicles HUNTINGTIN huntington’s disease medium spiny neurons neurodegenerative disease NEUROGENESIS neuronal loss stem cells
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Neuroinflammation as a therapeutic target in Huntington's disease
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作者 Andrea Kwakowsky Thulani H.Palpagama 《Neural Regeneration Research》 SCIE CAS 2025年第3期817-818,共2页
In 1872, George Huntington presented his essay “On Chorea” to the Meigs and Mason Academy of Medicine and, in doing so, detailed a disease that would later bear his name. Huntington's disease(HD) is a genetic, n... In 1872, George Huntington presented his essay “On Chorea” to the Meigs and Mason Academy of Medicine and, in doing so, detailed a disease that would later bear his name. Huntington's disease(HD) is a genetic, neurodegenerative disease that manifests as the loss of motor control,cognitive impairment,and mood and psychiatric changes in paents. 展开更多
关键词 huntington INFLAMMATION MEDICINE
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Is GDNF to Parkinson’s disease what BDNF is to Huntington’s disease?
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作者 Francesca R.Fusco Emanuela Paldino 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第5期973-974,共2页
Neurotrophic factors,or neurotrophins,are a group of molecules supporting the growth,survival,and differentiation of developing and mature neurons.Given their role in the survival of neurons,and often of specific subs... Neurotrophic factors,or neurotrophins,are a group of molecules supporting the growth,survival,and differentiation of developing and mature neurons.Given their role in the survival of neurons,and often of specific subsets of brain cells,neurotrophins have been implicated in several ways with many neurodegenerative disorders. 展开更多
关键词 huntington supporting DEGENERATIVE
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Glial response in the midcingulate cortex in Huntington’s disease
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作者 Thulani H.Palpagama Andrea Kwakowsky 《Neural Regeneration Research》 SCIE CAS 2025年第1期207-208,共2页
Huntington’s disease(HD)is a genetic disease characterized by the progressive degeneration of the striatum and cortex.Patients can present with a variety of symptoms that can broadly be classified into motor symptoms... Huntington’s disease(HD)is a genetic disease characterized by the progressive degeneration of the striatum and cortex.Patients can present with a variety of symptoms that can broadly be classified into motor symptoms,inclusive of choreatic movements and rigidity,mood and psychiatric symptoms,such as depression and apathy,and cognitive symptoms,such as cognitive decline.The causal mutation underlying HD results from an expansion of a CAG repeat sequence on the IT15 gene,resulting in the formation and accumulation of a mutant huntingtin protein. 展开更多
关键词 huntington DEGENERATION CORTEX
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Brain-derived neurotrophic factor plays with TRiC:focus on synaptic dysfunction in Huntington’s disease
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作者 Yingli Gu Kijung Sung Chengbiao Wu 《Neural Regeneration Research》 SCIE CAS 2025年第10期2919-2920,共2页
Brain-derived neurotrophic factor(BDNF)exerts pleiotropic effects on brain processes including psychiatric disorders,aging,neurodegeneration,and metabolic homeostasis.A simple PubMed search using the key word“BDNF,”... Brain-derived neurotrophic factor(BDNF)exerts pleiotropic effects on brain processes including psychiatric disorders,aging,neurodegeneration,and metabolic homeostasis.A simple PubMed search using the key word“BDNF,”to date,yields over 33,000 publications.From fundamental biology to potential therapeutic applications,BDNF has clearly garnered extensive and significant attention in the field of neurobiology research. 展开更多
关键词 huntington HOMEOSTASIS THERAPEUTIC
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Neurodevelopmental defects as a primer of neurodegeneration:lessons from spinal muscular atrophy and Huntington's disease 被引量:1
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作者 Stuart J.Grice Ji-Long Liu 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第9期1952-1953,共2页
Developmental motifs in neurodegeneration:Neurodegeneration,the prominent feature of neurodegenerative disease,is characterized by the progressive and selective loss of neuronal function.As some of the pathologies cau... Developmental motifs in neurodegeneration:Neurodegeneration,the prominent feature of neurodegenerative disease,is characterized by the progressive and selective loss of neuronal function.As some of the pathologies caused by neurodegeneration may be irreversible,early intervention will be required for the treatments that aim to slow or halt the manifestation of these diseases.Traditionally,neurodegeneration evokes the idea of a progressive decline of brain function. 展开更多
关键词 NEURODEGENERATION huntington FUNCTION
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Regulation of one-carbon metabolism may open new avenues to slow down the initiation and progression of Huntington's disease 被引量:1
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作者 Jiahua Xie Farooqahmed S.Kittur +1 位作者 Chiu-Yueh Hung Tomas T.Ding 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第11期2401-2402,共2页
Huntington’s disease (HD)(OMIM 143100) is an autosomal dominant neurodegenerative disorder caused by a monogenic mutation in the huntingtin gene (HTT),which induces typical midlife onset and age-dependent progression... Huntington’s disease (HD)(OMIM 143100) is an autosomal dominant neurodegenerative disorder caused by a monogenic mutation in the huntingtin gene (HTT),which induces typical midlife onset and age-dependent progression with major symptoms including choreic movements,psychiatric disorders,and cognitive impairment(Gusella et al.,2021).After the 1993 discovery of a pathogenic expansion of the CAG trinucleotide repeat beyond 35 in HTT exon 1 as a causative factor for HD,many animal,mammalian cell and yeast models expressing mutant HTT (mHtt) with abnormal CAG repeats have been created to study CAG repeat-induced toxicity (Naphade et al.,2019;Gusella et al.,2021). 展开更多
关键词 huntington METABOLISM
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Renin-angiotensin system in the central nervous system:focus on Huntington’s disease
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作者 Aline Silva de Miranda Antonio Lucio Teixeira 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第10期2206-2207,共2页
The renin-angiotensin system(RAS)was originally conceived as a circulating hormonal system involved in the regulation of cardiovascular and renal homeostasis.With the discovery of local RAS components in diverse organ... The renin-angiotensin system(RAS)was originally conceived as a circulating hormonal system involved in the regulation of cardiovascular and renal homeostasis.With the discovery of local RAS components in diverse organs,including the brain,and related biologically active peptides. 展开更多
关键词 huntington ORGANS ANGIOTENSIN
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Mitochondria in Huntington’s disease:implications in pathogenesis and mitochondrial-targeted therapeutic strategies
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作者 Anamaria Jurcau Carolina Maria Jurcau 《Neural Regeneration Research》 SCIE CAS CSCD 2023年第7期1472-1477,共6页
Huntington’s disease is a genetic disease caused by expanded CAG repeats on exon 1 of the huntingtin gene located on chromosome 4.Compelling evidence implicates impaired mitochondrial energetics,altered mitochondrial... Huntington’s disease is a genetic disease caused by expanded CAG repeats on exon 1 of the huntingtin gene located on chromosome 4.Compelling evidence implicates impaired mitochondrial energetics,altered mitochondrial biogenesis and quality control,disturbed mitochondrial trafficking,oxidative stress and mitochondrial calcium dyshomeostasis in the pathogenesis of the disorder.Unfortunately,conventional mitochondrial-targeted molecules,such as cysteamine,creatine,coenzyme Q10,or triheptanoin,yielded negative or inconclusive results.However,future therapeutic strategies,aiming to restore mitochondrial biogenesis,improving the fission/fusion balance,and improving mitochondrial trafficking,could prove useful tools in improving the phenotype of Huntington’s disease and,used in combination with genome-editing methods,could lead to a cure for the disease. 展开更多
关键词 ANTIOXIDANTS calcium homeostasis huntington’s disease mitochondrial biogenesis mitochondrial fission/fusion mitochondrial trafficking oxidative phosphorylation oxidative stress SS peptides therapeutic intervention
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Gene Editing Offers New Hope for Treating Huntington’s Disease
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作者 YAN Fusheng 《Bulletin of the Chinese Academy of Sciences》 2023年第1期29-31,共3页
On February 16,a new study published in the journal of Nature Biomedical Engineering demonstrated the potential of CRISPR/Cas9 technology to combat Huntington’s disease(HD),a devastating neurodegenerative disorder.
关键词 CRISPR/Cas9 huntington JOURNAL
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亨廷顿病多维度神经心理学评估的随访研究
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作者 张梅 贺佳乐 +1 位作者 李亚强 李静 《安徽理工大学学报(自然科学版)》 CAS 2024年第3期90-100,共11页
目的本研究旨在通过对3个家系的亨廷顿病(Huntington's disease,HD)患者进行多维度神经心理学评估,前瞻性的研究HD患者认知功能损害的进展。方法8名来自3个家系的HD患者和8名与其性别、年龄、种族匹配的健康对照者纳入本研究,并进行... 目的本研究旨在通过对3个家系的亨廷顿病(Huntington's disease,HD)患者进行多维度神经心理学评估,前瞻性的研究HD患者认知功能损害的进展。方法8名来自3个家系的HD患者和8名与其性别、年龄、种族匹配的健康对照者纳入本研究,并进行3年随访观察。通过多维度认知功能评定量表来评估参与者的认知功能。使用PCR-毛细管电泳检测IT15基因的CAG重复次数。结果共有来自3个家系的8名成员参与了HTT基因检测,确诊HD患者5例,其中2例为症状前期患者。3名患者通过阳性家族史、舞蹈样不自主动作、认知功能损害和精神行为异常进行临床诊断。HD患者在以下认知功能测试中的表现为进展性恶化:蒙特利尔认知评估(MoCA)、AVLT(听觉语言学习测试)回忆、VFT-F(语言流畅性测试-水果)、VFT-动物、RCFT(Rey复杂图形测试)、DST(数字跨度测试)、Stroop C、Stroop干扰效应(SIE)、CTT-B(颜色轨迹测试B)。HD组认知障碍存在两个峰值,主要集中在执行功能维度的认知领域。3年后的随访评估分析显示HD患者认知障碍呈恶化趋势,但只有AVLT、Stroop-C和SIE测试结果有统计学差异。结论多维神经心理学评估显示HD患者存在多个认知领域损害,其中执行功能是最显着的认知受损领域,其他认知领域如记忆、语言、视觉空间结构、注意力等也有不同程度的损害。评估HD患者认知功能障碍的纵向衰减对追踪疾病进展具有重要的临床和科学研究意义。 展开更多
关键词 亨廷顿病 认知功能障碍 多维度神经心理学量表
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独异如何联结伦理:塞缪尔·韦伯潜重复性诗学的深层推绎
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作者 刘阳 《文艺理论研究》 CSSCI 北大核心 2024年第4期98-108,共11页
文学既具独异性又具伦理性,这两者之间容易给人以矛盾感的关系,需得到深入解题。通过与塞缪尔·韦伯近期的研究进行对话,可以找到较好的解开这道诗学难题的思路。理解独异的关键在于理解重复。韦伯将潜在的、不可能性意义上的“iter... 文学既具独异性又具伦理性,这两者之间容易给人以矛盾感的关系,需得到深入解题。通过与塞缪尔·韦伯近期的研究进行对话,可以找到较好的解开这道诗学难题的思路。理解独异的关键在于理解重复。韦伯将潜在的、不可能性意义上的“iterability”(潜重复性)区别于现实的、可能性意义上的“repetition”(可重复性),揭示出“iterability”(潜重复性)作为“repetition”(可重复性)的幽灵性残余,并非“可重复性”而是“潜重复性”。因此,独异作为潜能运动的差异不等于个体,尽管每每在一神认同范式作用下被等同于个体,而回避了死亡。独异也无法被普遍化,以致消融于物种的类。这两种重要区别,触及了如何看待个体性与普遍性等伦理关键问题。韦伯进而结合文学案例,论证“自免疫”中的回应与见证的责任,表明独异恰恰在潜重复性中获得了完善自身的伦理性,这种独异性伦理落实于动名词语言机制。文学伦理研究在今天的发展,由此便不能不考虑吸收文学独异研究的成果。 展开更多
关键词 独异 伦理 塞缪尔·韦伯 潜重复性 自免疫
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亨廷顿病基因治疗的进展
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作者 裴中 吴腾腾 《重庆医科大学学报》 CAS CSCD 北大核心 2024年第5期552-557,共6页
亨廷顿病是一种常染色体显性遗传病,近年来多项针对mRNA水平的干预策略相继开展临床试验,同时随着聚集的规律性间隔短回文重复序列(clustered regularly interspersed short palindromic repeats,CRISPR)/CRISPR关联基因(CRISPR associa... 亨廷顿病是一种常染色体显性遗传病,近年来多项针对mRNA水平的干预策略相继开展临床试验,同时随着聚集的规律性间隔短回文重复序列(clustered regularly interspersed short palindromic repeats,CRISPR)/CRISPR关联基因(CRISPR associated gene,Cas)系统的日渐成熟,针对致病基因组的基因编辑策略也屡有报道。本文将围绕亨廷顿病基因治疗的临床现状、研究进展、临床评估的改进做简要综述。 展开更多
关键词 亨廷顿病 基因治疗 反义寡核苷酸 基因编辑
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毕尔《宋云惠生行纪》英译重译与中国形象的表意实践
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作者 王烟朦 《国际汉学》 CSSCI 2024年第4期30-35,60,155,共8页
北魏宋云的西域求法行纪汇集在《洛阳伽蓝记》中的《宋云惠生行纪》篇,并由英国海军牧师毕尔分别于1869年和1884年两度翻译成英文。本文从重译视角比较毕尔前后两次的英译文所构建的中国形象,发现文化“他者”在19世纪欧洲构筑起的东方... 北魏宋云的西域求法行纪汇集在《洛阳伽蓝记》中的《宋云惠生行纪》篇,并由英国海军牧师毕尔分别于1869年和1884年两度翻译成英文。本文从重译视角比较毕尔前后两次的英译文所构建的中国形象,发现文化“他者”在19世纪欧洲构筑起的东方主义中,不断消解了中国乌托邦文明的图景。究其缘由,这与大英帝国在东方的殖民主义统治扩张和毕尔转向学术迂回传教的路线密不可分。 展开更多
关键词 《宋云惠生行纪》 毕尔 中国形象 东方主义
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2个Huntington病家系临床特征及CAG重复性分析 被引量:2
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作者 曹广娜 包新华 +6 位作者 卢红梅 张晶晶 马一楠 顾卫红 熊晖 秦炯 吴希如 《北京大学学报(医学版)》 CAS CSCD 北大核心 2011年第2期163-167,共5页
目的:探讨Huntington病(Huntington disease,HD)的临床和遗传特征。方法:对收集的2个中国汉族HD家系患者的临床资料进行综合分析,应用聚合酶链式反应及基因扫描方法对其中9例家系成员的IT15基因的三核苷酸重复序列进行分析。结果:... 目的:探讨Huntington病(Huntington disease,HD)的临床和遗传特征。方法:对收集的2个中国汉族HD家系患者的临床资料进行综合分析,应用聚合酶链式反应及基因扫描方法对其中9例家系成员的IT15基因的三核苷酸重复序列进行分析。结果:在两个家系中确诊了6例患者(男女均有发病),患者IT15基因的基因型均为杂合子,致病CAG重复拷贝数介于4078次。两个家系中子代较父代发病年龄提前,家系2中可见发病年龄与CAG重复拷贝数呈负相关。6例患者中有1例为少年型HD,其临床表现明显不同于成人型,以肌张力障碍为主要表现。结论:HD是一种由CAG重复序列异常扩增所致的神经变性病,存在遗传早现现象;少年型HD的临床表现不同于成人型,CAG重复拷贝数与发病年龄及疾病严重程度有关。 展开更多
关键词 huntington 基因 三核苷酸重复 早现 遗传
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喹啉酸所致Huntington病动物模型的建立及行为学和组织病理学研究 被引量:3
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作者 张伟 张本恕 王育新 《神经解剖学杂志》 CAS CSCD 北大核心 2009年第2期153-158,共6页
为了制作Huntington病(Huntington disease,HD)兴奋性动物模型,本文向大鼠纹状体内注射喹啉酸(quinolinic acid,QA),并观察了其行为学改变和纹状体内GABA能神经元数目的改变。采用立体定向手术向大鼠单侧纹状体内注入1μl240nmol/μl喹... 为了制作Huntington病(Huntington disease,HD)兴奋性动物模型,本文向大鼠纹状体内注射喹啉酸(quinolinic acid,QA),并观察了其行为学改变和纹状体内GABA能神经元数目的改变。采用立体定向手术向大鼠单侧纹状体内注入1μl240nmol/μl喹啉酸制作动物模型。手术后2周通过腹腔注射阿朴吗啡、旷场试验(open-field test)、Morris水迷宫实验观察和比较模型组大鼠与对照组大鼠的旋转行为、对新环境的探索行为、学习记忆能力的差异,并用免疫组化方法观察了纹状体钙结合蛋白Calbindin阳性细胞数的变化。结果显示:模型组大鼠经阿朴吗啡诱导出现转向损伤侧的旋转行为;旷场分析中模型鼠跨格次数、后腿站立次数及理毛次数减少(P<0.05),说明其对新环境的探索行为和适应能力下降;Morris水迷宫实验表明模型大鼠逃避潜伏期延长(P<0.05)、运动速度减慢(P<0.05)、对原平台所在象限记忆频度减低(P<0.05),说明模型大鼠学习记忆能力下降,空间参考记忆缺陷;免疫组化实验显示模型大鼠纹状体内钙结合蛋白Calbindin阳性细胞数减少。上述结果表明利用立体定向技术向大鼠单侧纹状体注射QA建立的HD动物模型可以表现出与HD相似的行为学和组织病理学改变,是一种可靠的HD兴奋性毒性模型。 展开更多
关键词 huntington 喹啉酸 动物模型 行为学
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Huntington舞蹈病4个家系IT15基因突变的研究 被引量:2
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作者 邢世会 陈玲 +3 位作者 陈曦 李洵桦 曾进胜 黎锦如 《中国神经精神疾病杂志》 CAS CSCD 北大核心 2013年第10期592-596,共5页
目的检测我国南方地区Huntington舞蹈病(Huntington disease,HD)4个家系患者1T15基因突变特点,为该病的基因诊断和遗传咨询提供科学依据。方法收集4个HD家系成员临床资料,采集静脉血提取DNA后应用PCR方法检测IT15基因CAG三核苷酸... 目的检测我国南方地区Huntington舞蹈病(Huntington disease,HD)4个家系患者1T15基因突变特点,为该病的基因诊断和遗传咨询提供科学依据。方法收集4个HD家系成员临床资料,采集静脉血提取DNA后应用PCR方法检测IT15基因CAG三核苷酸重复序列,分析CAG拷贝数分布及其与临床特点和发病年龄的关系。结果4个家系中共有13例患者,平均发病年龄41.23±10.28岁,首发症状1例为精神障碍,12例为运动障碍。IT15基因检测结果显示,所有患者异常等位基因CAG平均重复次数45.62±2.90次(41—51次),检测出临床症状前亲属1例,携带1条异常等位基因(CAG重复41次);正常等位基因CAG重复次数均在22次以下(17—20次)。不同性别、遗传方式间CAG重复次数无统计学差异(P〉0.05)。异常等位基因CAG重复次数与发病年龄呈负相关(P=0.03)。结论IT15基因动态突变是家族性HD发病的遗传学基础,IT15基因检测有助于确诊HD和临床症状前患者。 展开更多
关键词 huntington舞蹈病 CAG重复 IT15基因
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Huntington舞蹈病━家系的IT15基因诊断 被引量:2
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作者 徐伟 刘慧 +1 位作者 黄韧 李灼日 《中国现代医学杂志》 CAS CSCD 北大核心 2008年第19期2832-2834,共3页
目的从分子水平探讨Huntington舞蹈病(HD)的发病机制,明确亨廷顿病家系基因突变情况,从而为该家系的基因诊断和遗传咨询提供科学依据。方法应用巢式PCR、琼脂糖凝胶电泳等方法,在分子水平上检测IT15基因中(CAG)n的扩增片断长度,对一家族... 目的从分子水平探讨Huntington舞蹈病(HD)的发病机制,明确亨廷顿病家系基因突变情况,从而为该家系的基因诊断和遗传咨询提供科学依据。方法应用巢式PCR、琼脂糖凝胶电泳等方法,在分子水平上检测IT15基因中(CAG)n的扩增片断长度,对一家族性HD家系中的患者、HD症前高风险成员及正常家庭成员进行基因诊断。结果正常成员显示1条扩增区带,约100bp;HD患者除有1条正常扩增片断(约100bp)外,还有一异常的长约200bp的扩增片断;HD症前高风险成员中检出2个HD基因携带者,扩增片断与患者完全相同。结论应用该方法可以对HD进行准确的基因诊断,为临床HD高风险者的检出及随后的产前诊断提供了一种简便、易行的检测方法,同时也证明IT15基因的动态突变是导致该家系中亨廷顿病发生的遗传基础。 展开更多
关键词 huntington舞蹈病 三核苷酸重复 IT15基因 基因诊断
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辽宁地区Huntington舞蹈病两家系IT15基因的分子分析 被引量:1
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作者 赵育海 丛琳 +3 位作者 潘钰 宋芷珩 赵雨杰 张朝东 《中国医科大学学报》 CAS CSCD 北大核心 2003年第4期355-357,共3页
目的 :从分子水平探讨辽宁地区Huntington舞蹈病 (HD)的发病机制 ,为该病的基因诊断和遗传咨询提供科学依据。方法 :应用PCR扩增和聚丙烯酰胺凝胶电泳技术对辽宁地区两个HD家系的 3名患者、4名高风险成员及 2名正常配偶IT15基因的CAG重... 目的 :从分子水平探讨辽宁地区Huntington舞蹈病 (HD)的发病机制 ,为该病的基因诊断和遗传咨询提供科学依据。方法 :应用PCR扩增和聚丙烯酰胺凝胶电泳技术对辽宁地区两个HD家系的 3名患者、4名高风险成员及 2名正常配偶IT15基因的CAG重复数进行了检测。结果 :所有的HD患者都各携带有一个CAG重复序列发生扩展的IT15基因 ,其重复数为 4 9~ 6 2 ,而正常人的重复数为 17~ 35 ,两者不重叠。结论 展开更多
关键词 huntington舞蹈病 基因 CAG重复 多聚酶链反应
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Huntington病的临床和遗传特征 被引量:1
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作者 柯国秀 刘春风 +3 位作者 林芳 毛成洁 杨亚萍 秦正红 《临床神经病学杂志》 CAS 北大核心 2008年第1期15-17,共3页
目的探讨Huntington病(HD)的临床和遗传特征。方法对6个中国汉族HD家系28例患者的临床资料和遗传特征进行回顾性分析。结果本组男15例,女13例;起病年龄26~72岁;病程6~20年;有基因携带者6例(男2例,女4例);均以进行性加重的舞蹈样不自... 目的探讨Huntington病(HD)的临床和遗传特征。方法对6个中国汉族HD家系28例患者的临床资料和遗传特征进行回顾性分析。结果本组男15例,女13例;起病年龄26~72岁;病程6~20年;有基因携带者6例(男2例,女4例);均以进行性加重的舞蹈样不自主运动为主,伴精神异常3例,痴呆1例,共济失调3例,晚期出现吞咽及构音障碍10例。1例基因携带者头颅磁共振波谱(MRS)分析显示两侧豆状核出现较明显的Lac倒置峰。6个家系均呈常染色体显性遗传,基因诊断发现受测患者和无临床表现的基因携带者均有(CAG)n重复拷贝数超过正常值(≥37);本组中有4个家系子代较父代发病年龄提前。结论HD临床表现多样化,是一种常染色体显性遗传的神经变性疾病,存在遗传早现现象。IT15基因中(CAG)n重复拷贝数的异常扩展是这6个家系发生HD的发病基础。 展开更多
关键词 huntington 临床特征 IT15基因 三核苷酸重复
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