囊性纤维化的病理特点、诊断方法及治疗方法

Paphapin Pairojtanachai
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摘要

囊性纤维化是一种常见于白种人的疾病。它是由囊性纤维化跨膜传导调节(CFTR)基因的常染色体隐性突变引起的。突变导致CFTR蛋白缺陷,或在上皮细胞表面发现的跨膜环腺苷单磷酸(cAMP)依赖的氯离子通道。呼吸系统受这种异常表型的影响最大,肺部疾病可以带来囊性纤维化患者必须处理的大部分各种问题。即便如此,由于分泌的粘液过多,被诊断为囊性纤维化的患者在其他器官也会出现并发症。如今,新生儿筛查被广泛用作囊性纤维化的早期诊断手段,并且还有许多其他新技术旨在准确诊断和预防该疾病。此外,传统的治疗方案是基于治愈患者表现出的症状,而新的治疗方案是针对纠正发生在分子水平上的错误。随着医疗领域的进步,囊性纤维化患者能够活得更长,生活质量更好。本文综述了囊性纤维化的病因、与疾病相关的生理过程、疾病的诊断技术以及最近和即将到来的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The pathological features of cystic fibrosis and the diagnostic techniques and treatments involved
Cystic fibrosis is a disease found predominantly in Caucasians. It is caused by an autosomal recessive mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. The mutation(s) lead to defective CFTR proteins, or transmembrane cyclic adenosine monophosphate (cAMP)-dependent chloride channels found on the surface of epithelial cells. The respiratory system is most impacted by this abnormal phenotype, and lung disease can bring about the majority of the various issues that a cystic fibrosis patient has to deal with. Even so, due to the excess amount of mucus that is secreted, individuals diagnosed with cystic fibrosis experience complications in other organs as well. Today, newborn screening is widely used as a means of early diagnosis of cystic fibrosis, and there are also multiple other novel technologies that aim for accurate diagnosis and prevention of the disease. In addition, while traditional treatment programs are based on curing the symptoms that the patients exhibit, new regimens are directed at correcting the error that occurred at the molecular level. With improvements made in the medical field, cystic fibrosis patients are able to live longer and have a better quality of life. This review article serves as a compilation of the current knowledge on the causes of cystic fibrosis, the physiological processes associated with the disease, the techniques for diagnosis of the disease, and finally the recent and upcoming therapeutics for the disease.
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