多学科合作更好管理纯合型家族性高胆固醇血症——安贞医院经验
王伟,杨娅,王蒨,于薇,袁慧,杨士伟,周玉杰,王绿娅
摘要(Abstract):
<正>家族性高胆固醇血症(familial hypercholesterolemia,FH)是一种常染色体显性遗传病,其主要临床特征包括:低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)水平极度升高、皮肤肌腱等多部位出现黄色瘤、早发冠心病和全身严重的动脉粥样硬化(atherosclerosis,As)[1-2]。三个主要致病基因为:低密度脂蛋白受体(low density lipoprotein receptor,
关键词(KeyWords): 多学科;纯合子;家族性高胆固醇血症;安贞医院
基金项目(Foundation): 国家自然科学基金资助项目(81471098、81670811、81670314)
作者(Author): 王伟,杨娅,王蒨,于薇,袁慧,杨士伟,周玉杰,王绿娅
参考文献(References):
- [1]Nordestgaard BG,Chapman MJ,Humphries SE,et al.Familial hypercholesterolaemia is underdiagnosed and undertreated in the general population:guidance for clinicians to prevent coronary heart disease:consensus statement of the European Atherosclerosis Society.Eur Heart J,2013,34(45):3478-3490a.
- [2]Watts GF,Gidding S,Wierzbicki AS,et al.Integrated guidance on the care of familial hypercholesterolaemia from the International FH Foundation.Int J Cardiol,2014,171(3):309-325.
- [3]Huijgen R,Hutten BA,Kindt I,et al.Discriminative ability of LDLcholesterol to identify patients with familial hypercholesterolemia:a cross-sectional study in 26,406 individuals tested for genetic FH.Circ Cardiovasc Genet,2012,5(3):354-359.
- [4]Teramoto T,Sasaki J,Ishibashi S,et al.Executive summary of the Japan Atherosclerosis Society(JAS)guidelines for the diagnosis and prevention of atherosclerotic cardiovascular diseases in Japan-2012 version.J Atheroscler Thromb,2013,20(6):517-523.
- [5]Vallejo-Vaz AJ,Kondapally Seshasai SR,Cole D,et al.Familial hypercholesterolaemia:A global call to arms.Atherosclerosis,2015,243(1):257-259.
- [6]Cuchel M,Bruckert E,Ginsberg HN,et al.Homozygous familial hypercholesterolaemia:new insights and guidance for clinicians to improve detection and clinical management.A position paper from the Consensus Panel on Familial Hypercholesterolaemia of the European Atherosclerosis Society.Eur Heart J,2014,35(32):2146-2157.
- [7]王绿娅,胡大一.家族性高胆固醇血症:建立全球统一战线迫在眉睫.中华心血管病学杂志,2016,44(1):5-6.
- [8]Séguro F,Bongard V,Bérard E,et al.Dutch Lipid Clinic Network low-density lipoprotein cholesterol criteria are associated with long-term mortality in the general population.Arch Cardiovasc Dis,2015,108(10):511-518.
- [9]Yang Y,Zhang X,Li R,et al.Evaluation of coronary flow velocity reserve in homozygous familial hypercholesterolemia by transthoracic Doppler echocardiography and dual-source computed tomography.Ultrasound Med Biol,2010,36(10):1756-1761.
- [10]杨娅,Thomas Bartel,王新房,等.冠状动脉造影正常者冠状动脉血流储备的经胸多普勒超声研究.中华超声影像学杂志,2003,12(8):457-460.
- [11]焦建,王绿娅,王蒨,等.核素心肌灌注显像评价FH纯合子患者心肌血供异常临床意义初步研究.心肺血管病杂志,2015,34(1):42-45.
- [12]Tang L,Jiang L,Pan XD,et al.Extremely severe aortic stenosis developed in a young female patient with underdiagnosis of homozygous familial hypercholesterolemia:An 8-year followup.Int J Cardiol,2016,207:372-374.
- [13]Jiao J,Jiang L,Yang SW,et al.Use of(18)F-FDG PET and MPI with(99m)Tc-MIBI in a patient with delayed diagnosis of homozygous familial hypercholesterolemia.Int J Cardiol,2015,201:145-147.
- [14]Jiang L,Gao F,Hu LB,et al.Seven-year clinical follow-up of a Chinese homozygous familial hypercholesterolemia child with premature xanthomas and coronary artery disease--a need for early diagnosis and aggressive treatment.Int J Cardiol,2014,177(1):188-191.
- [15]Sun LY,Zhang YB,Jiang L,et al.Identification of the gene defect responsible for severe hypercholesterolaemia using wholeexome sequencing.Sci Rep,2015,5:11380.
- [16]Wu WF,Sun LY,Pan XD,et al.Use of targeted exome sequencing in genetic diagnosis of Chinese familial hypercholesterolemia.PLo S One,2014,9(4):e94697.
- [17]Jiang L,Wu WF,Sun LY,et al.The use of targeted exome sequencing in genetic diagnosis of young patients with severe hypercholesterolemia.Sci Rep,2016,6:36823.
- [18]Jiang L,Sun LY,Pan XD,et al.Characterization of the unique Chinese W483X mutation in the low-density lipoproteinreceptor gene in young patients with homozygous familial hypercholesterolemia.J Clin Lipidol,2016,10(3):538-546.
- [19]Wang L,Lin J,Liu S,et al.Mutations in the LDL receptor gene in four Chinese homozygous familial hypercholesterolemia phenotype patients.Nutr Metab Cardiovasc Dis,2009,19(6):391-400.
- [20]Wang H,Xu S,Sun L,et al.Functional characterization of two low-density lipoprotein receptor gene mutations in two Chinese patients with familial hypercholesterolemia.PLo S One,2014,9(3):e92703.
- [21]徐胜媛,潘晓冬,王绿娅,等.羊水细胞低密度脂蛋白受体基因突变分析在家族性高胆固醇血症产前诊断中应用.中华实用诊断与治疗杂志,2012;26(4):344-348.