Disorders of Sphingolipid Metabolism and Neuronal Ceroid-Lipofuscinoses

Disorders of Sphingolipid Metabolism and Neuronal Ceroid-Lipofuscinoses
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鞘脂代谢紊乱和神经元蜡质脂褐质沉积症

DOI:
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发表时间:
2012
期刊:
影响因子:
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通讯作者:
C. Caillaud
C. Caillaud
中科院分区:
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文献类型:
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作者:
M. Vanier;C. Caillaud

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鞘脂贮积症是溶酶体贮积症的一个亚组,其中鞘脂在一个或多个器官中积聚,这是由于参与其降解途径的酶或激活蛋白的主要缺乏所致。传统上,该亚组还包括 Niemann-Pick C 病,其特征是细胞脂质运输受损。这些疾病可能有内脏、神经内脏或纯粹的神经系统表现。神经元蜡样质脂褐素沉积症 (NCL) 构成另一组溶酶体疾病,伴有自发荧光蜡样质脂色素的积累和严重的神经退行性过程,包括视网膜病、癫痫、运动异常和痴呆。除法布里病(X连锁隐性遗传)外,遗传方式均为常染色体隐性遗传。经典形式的临床表现和病程通常是典型的。
Sphingolipidoses are a subgroup of lysosomal storage disorders in which sphingolipids accumulate in one or several organs as the result of a primary deficiency in enzymes or activator proteins involved in their degradative pathway. Traditionally, this subgroup also includes Niemann-Pick C disease, which is characterised by impaired cellular trafficking of lipids. These diseases may have visceral, neurovisceral or purely neurological manifestations. The neuronal ceroid-lipofuscinoses (NCLs) constitute another group of lysosomal disorders, with accumulation of autofluorescent ceroid lipopigments and a severe neurodegenerative course including retinopathy, epilepsy, motor abnormalities and dementia. Except for Fabry disease (X-linked recessive), the mode of inheritance is autosomal recessive. The clinical presentation and course of the classic forms are often typical.
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