[1]李杨,万菁菁,李零燕,等.自身免疫性多发内分泌腺病综合征Ⅰ型研究进展[J].国际内分泌代谢杂志,2017,37(06):426-429.
 Li Yang,Wan Jingjing,Li Lingyan,et al.Recent progress of autoimmune polyglandular syndrome type Ⅰ[J].International Journal of Endocrinology and Metabolism,2017,37(06):426-429.
点击复制

自身免疫性多发内分泌腺病综合征Ⅰ型研究进展()
分享到:

《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]

卷:
37
期数:
2017年06期
页码:
426-429
栏目:
综述
出版日期:
2017-11-20

文章信息/Info

Title:
Recent progress of autoimmune polyglandular syndrome type Ⅰ
作者:
李杨万菁菁李零燕孙家忠
430071 武汉大学中南医院内分泌科
Author(s):
Li Yang Wan Jingjing Li Lingyan Sun Jiazhong.
Department of Endocrinology, Zhongnan Hospital, Wuhan University, Wuhan 430071, China
关键词:
自身免疫性多发内分泌腺病综合征 原发性肾上腺皮质功能减退症 甲状旁腺功能减退症 慢性黏膜皮肤念珠菌病
Keywords:
Autoimmune polyglandular syndrome Addison's disease Hypoparathyroidism Mucocutaneous candidiasis
文献标志码:
A
摘要:
自身免疫性多发内分泌腺病综合征Ⅰ型(APSⅠ)是一种罕见的由于自身免疫调节(AIRE)基因突变导致的常染色体隐性遗传病。其临床表现主要包括,原发性肾上腺皮质功能减退症、甲状旁腺功能减退症和慢性黏膜皮肤念珠菌病,三者中至少存在2个,同时也可能存在其他的内分泌或非内分泌疾病。其治疗主要包括激素替代、抗感染以及免疫抑制疗法,通常预后不佳。近30余年来中国共报道了17例APSⅠ患者,对其组成疾病种类及发病率、起病年龄、AIRE基因突变等进行总结,有助于为临床提供参考。
Abstract:
Autoimmune polyglandular syndrome type Ⅰ(APS Ⅰ)is a rare autosommal recessive disease caused by mutations in the AIRE gene. Its clinical symptoms mainly include:Addison's disease, hypoparathyroidism, mucocutaneous candidiasis. At least two of the three symptoms should occur. Other endocrine or nonendocrine diseases may occur, too. The therapy mainly includes hormone replacement, anti-infection and immunosuppressive treatment. The prognosis is usually poor. There are 17 cases of Chinese patients with APSⅠduring the past 30 years which had been summarized on components, incidence, onset age and AIRE gene mutations in order to provide clinical reference.

参考文献/References:

[1] Oftedal BE, Hellesen A, Erichsen MM,et al. Dominant mutations in the autoimmune regulator AIRE are associated with common organ-specific autoimmune diseases[J].Immunity,2015,42(6):1185-1196. DOI:10.1016/j.immuni. 2015.04.021.
[2] Zlotogora J, Shapiro MS. Polyglandular autoimmune syndrome type Ⅰ among Iranian Jews[J].J Med Genet,1992,29(11):824-826. DOI: 10.1136/jmg.29.11.824.
[3] Ahonen P, Myllärniemi S, Sipil I,et al. Clinical variation of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy(APECED)in a series of 68 patients[J].N Engl J Med,1990,322(26):1829-1836.DOI:10.1056/NEJM199006283222601.
[4] Rosatelli MC, Meloni A, Meloni A,et al. A common mutation in Sardinian autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy patients[J].Hum Genet,1998,103(4):428-434.DOI:10.1007/s004390050846.
[5] Wolff AS, Erichsen MM, Meager A, et al. Autoimmune polyendocrine syndrome type 1 in Norway: phenotypic variation, autoantibodies, and novel mutations in the autoimmune regulator gene[J]. J Clin Endocrinol Metab, 2007,92(2):595-603.DOI:10.1210/jc.2006-1873.
[6] 王柔抒, 庄志祥. 自身免疫调节因子(AIRE)在免疫调节中的研究现状及进展[J]. 中国免疫学杂志, 2015, 31(6):859-865.DOI:10.3969/j.issn.1000-484X.2015.06.034.
[7] Pitkänen J, Doucas V, Sternsdorf T,et al. The autoimmune regulator protein has transcriptional transactivating properties and interacts with the common coactivator CREB-binding protein[J].J Biol Chem,2000,275(22):16802-16809.DOI:10.1074/jbc.M908944199.
[8] Retraction: interleukin 17 acts in synergy with B cell-activating factor to influence B cell biology and the pathophysiology of systemic lupus erythematosus[J]. Nat Immunol,2014,15(9):894. DOI:10.1038/ni0914-894a.DOI:10.1038/ni.2820.
[9] Org T, Chignola F, Hetényi C, et al. The autoimmune regulator PHD finger binds to non-methylated histone H3K4 to activate gene expression[J].EMBO Rep,2008,9(4):370-376. DOI:10.1038/sj.embor.2008.11.
[10] Björses P, Halonen M, Palvimo JJ,et al. Mutations in the AIRE gene: effects on subcellular location and transactivation function of the autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy protein[J].Am J Hum Genet,2000,66(2):378-392.DOI:10.1086/302765.
[11] Haljasorg U, Bichele R, Saare M,et al. A highly conserved NF-κB-responsive enhancer is critical for thymic expression of Aire in mice[J].Eur J Immunol,2015,45(12):3246-3256. DOI:10.1002/eji.201545928.
[12] Yanagihara T, Sanematsu F, Sato T,et al. Intronic regulation of Aire expression by Jmjd6 for self-tolerance induction in the thymus[J].Nat Commun,2015,6:8820. DOI:10.1038/ncomms9820.
[13] Anderson MS, Su MA. AIRE expands: new roles in immune tolerance and beyond[J].Nat Rev Immunol,2016,16(4):247-258. DOI:10.1038/nri.2016.9.
[14] Puel A, Döffinger R, Natividad A, et al. Autoantibodies against IL-17A, IL-17F, and IL-22 in patients with chronic mucocutaneous candidiasis and autoimmune polyendocrine syndrome type Ⅰ[J].J Exp Med,2010,207(2):291-297.DOI:10.1084/jem. 20091983.
[15] 陈佩筠. 多发性内分泌综合征二例报告[J]. 现代医学, 1980(2):68-69.
[16] 史长宏, 廖培元. 自身免疫多腺体综合征Ⅰ型1例[J]. 中国实用儿科杂志, 2000, 15(6).DOI:10.3969/j.issn.1005-2224.2000.06.037.
[17] 宁志伟,王鸥,徐竞英, 等. 中国人自身免疫性多内分泌腺病综合征Ⅰ型2例报告[J]. 中国医学科学院学报, 2003, 25(3):105-106.
[18] 姚国英, 郑足珍. 自身免疫性多腺体综合征二例报告[J]. 中华儿科杂志, 2003, 41(3):237-237.DOI:10.3760/j.issn.0578-1310.2003.03.031.
[19] 闫洁. 自身免疫性多内分泌腺综合征Ⅰ型1例[J]. 实用儿科临床杂志, 2008,23(20):1589-1589.DOI:10.3969/j.issn.1003-515X.2008.20.031.
[20] 刘彩虹, 石岩, 阴怀清,等.中国人自身免疫性多内分泌腺病综合征Ⅰ型AIRE基因突变[J]. 中华医学遗传学杂志, 2010,27(1):18-22. DOI:10.3760/cma.j.issn. 1003-9406. 2010.01.004.
[21] 蒋真, 潘文友, 孟德钎,等.系统性红斑狼疮合并自身免疫性内分泌腺病Ⅰ型一例[J]. 中华风湿病学杂志, 2010, 14(7): 503-504.DOI:10.3760/cma.j.issn. 1007-7480.2010. 07.020.
[22] 赵彦. 儿童自身免疫性多内分泌腺病综合征7例[J]. 广东医学, 2011, 32(12):1635-1635.DOI:10.3969/j.issn.1001-9448.2011.12.057.
[23] 刘红斌, 刘志远, 廖涌,等.自身免疫性多内分泌腺病综合征Ⅰ型二例[J]. 中华临床医师杂志(电子版),2012,6(24):8424-8426.DOI:10.3877/cma.j.issn.1674-0785.2012.24.095.
[24] 张志华,母义明,汪寅章,等.自身免疫性多内分泌腺病综合征二例并文献复习[J]. 临床误诊误治, 2012,25(6):23-25.DOI:10.3969/j.issn.1002-3429.2012.06.012.
[25] Zhang J, Liu H, Liu Z,et al. A functional alternative splicing mutation in AIRE gene causes autoimmune polyendocrine syndrome type 1[J].PLoS One,2013,8(1):e53981. DOI:10.1371/journal.pone.0053981.
[26] Jin P, Zhang Q, Dong CS,et al. A novel mutation in autoimmune regulator gene causes autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy[J].J Endocrinol Invest,2014,37(10):941-948. DOI:10.1007/s40618-014-0120-7.
[27] 孙永香, 何亚非,栗夏连. 1例自身免疫性多内分泌腺病综合征Ⅰ型患者的临床及家系AIRE基因突变分析[J]. 中国当代儿科杂志, 2016,(2):147-151.DOI:10.7499/j.issn.1008-8830.2016.02.010.
[28] 杨俊朋,郑瑞芝,刘宏霞,等. AIRE基因突变导致自身免疫性多发内分泌腺体综合征Ⅰ型一例[J]. 中华内科杂志, 2016,55(6):474-475.DOI:10.3760/cma.j.issn.0578-1426.2016.06.015.
[29] Gylling M, Tuomi T, Björses P,et al. ss-cell autoantibodies, human leukocyte antigen Ⅱ alleles, and type 1 diabetes in autoimmune polyendocrinopathy- candidiasis-ectodermal dystrophy[J].J Clin Endocrinol Metab,2000,85(12): 4434- 4440.DOI:10.1210/jcem.85.12.7120.
[30] Collins SM, Dominguez M, Ilmarinen T,et al. Dermatological manifestations of autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy syndrome[J].Br J Dermatol,2006,154(6):1088-1093.DOI:10.1111/j.1365-2133.2006.07166.x.
[31] Perheentupa J. Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy[J].J Clin Endocrinol Metab,2006,91(8): 2843-2850.DOI:10.1210/ jc.2005- 2611.
[32] Improda N, Capalbo D, Cirillo E,et al. Cutaneous vasculitis in patients with autoimmune polyendocrine syndrome type 1: report of a case and brief review of the literature[J].BMC Pediatr,2014,14:272. DOI:10.1186/1471-2431-14-272.
[33] Cervato S, Mariniello B, Lazzarotto F,et al. Evaluation of the autoimmune regulator(AIRE)gene mutations in a cohort of Italian patients with autoimmune-polyendocrinopathy-candidiasis-ectodermal-dystrophy(APECED)and in their relatives[J].Clin Endocrinol(Oxf),2009,70(3):421-428. DOI:10.1111/j. 1365-2265.2008.03318.x.

备注/Memo

备注/Memo:
通信作者:孙家忠,Email:sjz300@163.com
更新日期/Last Update: 2017-11-30