目的探讨中国脑内铁沉积神经变性病(neurodegeneration with brain iron accumulation,NBIA)患者的临床特点及PLA2G6基因的突变特点。方法对3个NBIA家系、6个散发性NBIA患者的临床特点进行回顾性分析,应用聚合酶链反应(PCR)结合DNA直接...目的探讨中国脑内铁沉积神经变性病(neurodegeneration with brain iron accumulation,NBIA)患者的临床特点及PLA2G6基因的突变特点。方法对3个NBIA家系、6个散发性NBIA患者的临床特点进行回顾性分析,应用聚合酶链反应(PCR)结合DNA直接序列分析方法,对NBIA患者进行PLA2G6基因突变研究。结果所有患者主要表现为锥体外系症状;头部MRI T2加权像表现双侧苍白球、黑质等部位对称性低信号,其中1家系在苍白球低信号区的前内侧出现高信号,即"虎眼征";本组NBIA患者未发现PLA2G6基因的致病突变,共发现7个多态,分别为c.C511T、c.G87A、IVS2+16C→T、IVS4+71A→G、IVS5+43C→T、IVS6+19G→A、和IVS15+55G→A,其中2个(c.C511T、IVS6+19G→A)为新发现的多态。结论根据临床和头部MRI特征可临床诊断NBIA,中国人NBIA患者PLA2G6基因突变可能罕见。展开更多
磷脂酶A2第6型基因(phospholipase A2 type 6,PLA2G6)突变引起的疾病具有高度遗传与临床异质性,根据其临床表现归类为肌张力障碍—帕金森综合征(dystonia-parkinsonism,DP)、常染色体隐性遗传早发性帕金森综合征和早发性帕金森病[1]。D...磷脂酶A2第6型基因(phospholipase A2 type 6,PLA2G6)突变引起的疾病具有高度遗传与临床异质性,根据其临床表现归类为肌张力障碍—帕金森综合征(dystonia-parkinsonism,DP)、常染色体隐性遗传早发性帕金森综合征和早发性帕金森病[1]。DP患者多于青年期起病,临床主要表现为肌张力障碍,首发症状可为精神障碍、认知功能减退等,早期易误诊为精神分裂症,用抗精神病药后肌张力障碍可能被诱发或者加重,治疗主要是改善肌张力和控制精神症状,总体预后一般[2]。现报告我院收治的1例以精神症状起病的帕金森综合征患者。展开更多
Lipid peroxidation and iron accumulation are closely associated with neurodegenerative diseases,such as Alzheimer’s,Parkinson’s,and Huntington’s diseases,or neurodegeneration with brain iron accumulation disorders....Lipid peroxidation and iron accumulation are closely associated with neurodegenerative diseases,such as Alzheimer’s,Parkinson’s,and Huntington’s diseases,or neurodegeneration with brain iron accumulation disorders.Mitochondrial dysfunction,lipofuscin accumulation,autophagy disruption,and ferroptosis have been implicated as the critical pathomechanisms of lipid peroxidation and iron accumulation in these disorders.Currently,the connection between lipid peroxidation and iron accumulation and the initial cause or consequence in neurodegeneration processes is unclear.In this review,we have compiled the known mechanisms by which lipid peroxidation triggers iron accumulation and lipofuscin formation,and the effect of iron overload on lipid peroxidation and cellular function.The vicious cycle established between both pathological alterations may lead to the development of neurodegeneration.Therefore,the investigation of these mechanisms is essential for exploring therapeutic strategies to restrict neurodegeneration.In addition,we discuss the interplay between lipid peroxidation and iron accumulation in neurodegeneration,particularly in PLA2G6-associated neurodegeneration,a rare neurodegenerative disease with autosomal recessive inheritance,which belongs to the group of neurodegeneration with brain iron accumulation disorders.展开更多
文摘目的探讨中国脑内铁沉积神经变性病(neurodegeneration with brain iron accumulation,NBIA)患者的临床特点及PLA2G6基因的突变特点。方法对3个NBIA家系、6个散发性NBIA患者的临床特点进行回顾性分析,应用聚合酶链反应(PCR)结合DNA直接序列分析方法,对NBIA患者进行PLA2G6基因突变研究。结果所有患者主要表现为锥体外系症状;头部MRI T2加权像表现双侧苍白球、黑质等部位对称性低信号,其中1家系在苍白球低信号区的前内侧出现高信号,即"虎眼征";本组NBIA患者未发现PLA2G6基因的致病突变,共发现7个多态,分别为c.C511T、c.G87A、IVS2+16C→T、IVS4+71A→G、IVS5+43C→T、IVS6+19G→A、和IVS15+55G→A,其中2个(c.C511T、IVS6+19G→A)为新发现的多态。结论根据临床和头部MRI特征可临床诊断NBIA,中国人NBIA患者PLA2G6基因突变可能罕见。
文摘磷脂酶A2第6型基因(phospholipase A2 type 6,PLA2G6)突变引起的疾病具有高度遗传与临床异质性,根据其临床表现归类为肌张力障碍—帕金森综合征(dystonia-parkinsonism,DP)、常染色体隐性遗传早发性帕金森综合征和早发性帕金森病[1]。DP患者多于青年期起病,临床主要表现为肌张力障碍,首发症状可为精神障碍、认知功能减退等,早期易误诊为精神分裂症,用抗精神病药后肌张力障碍可能被诱发或者加重,治疗主要是改善肌张力和控制精神症状,总体预后一般[2]。现报告我院收治的1例以精神症状起病的帕金森综合征患者。
基金supported by FIS PI16/00786(2016)and FIS PI19/00377(2019)grantsthe Ministerio de Sanidad,Spain and the Fondo Europeo de Desarrollo Regional(FEDER Unión Europea)Spanish Ministry of Education,Culture and Sport.This activity has been co-financed by the European Regional Development Fund(ERDF)and by the Regional Ministry of Economic Transformation,Industry,Knowledge and Universities of the Junta de Andalucía,within the framework of the ERDF Andalusia operational program 2014-2020 Thematic objective“01-Reinforcement of research,technological development and innovation”through the reference research project CTS-5725 and PY18-850(to JASA).
文摘Lipid peroxidation and iron accumulation are closely associated with neurodegenerative diseases,such as Alzheimer’s,Parkinson’s,and Huntington’s diseases,or neurodegeneration with brain iron accumulation disorders.Mitochondrial dysfunction,lipofuscin accumulation,autophagy disruption,and ferroptosis have been implicated as the critical pathomechanisms of lipid peroxidation and iron accumulation in these disorders.Currently,the connection between lipid peroxidation and iron accumulation and the initial cause or consequence in neurodegeneration processes is unclear.In this review,we have compiled the known mechanisms by which lipid peroxidation triggers iron accumulation and lipofuscin formation,and the effect of iron overload on lipid peroxidation and cellular function.The vicious cycle established between both pathological alterations may lead to the development of neurodegeneration.Therefore,the investigation of these mechanisms is essential for exploring therapeutic strategies to restrict neurodegeneration.In addition,we discuss the interplay between lipid peroxidation and iron accumulation in neurodegeneration,particularly in PLA2G6-associated neurodegeneration,a rare neurodegenerative disease with autosomal recessive inheritance,which belongs to the group of neurodegeneration with brain iron accumulation disorders.
