Diabetologia:TRMA综合征中硫胺素治疗的结果

2018-05-31 MedSci MedSci原创

近日,国际杂志 《Diabetologia》上在线发表一项关于糖尿病药物基因组学:TRMA综合征中硫胺素治疗的结果的研究。 糖尿病是硫胺素反应性巨幼细胞性贫血(TRMA)综合征的主要特征之一。目前对这种罕见的单基因型糖尿病亚型的了解有限。研究人员调查了与TRMA相关的糖尿病患者队列中的硫胺素(维生素B 1)的基因型,表型和反应。 研究人员对由Sanger或下一代测序鉴定的32个具有双等

近日,国际杂志 《Diabetologia》上在线发表一项关于糖尿病药物基因组学:TRMA综合征中硫胺素治疗的结果的研究。 糖尿病是硫胺素反应性巨幼细胞性贫血(TRMA)综合征的主要特征之一。目前对这种罕见的单基因型糖尿病亚型的了解有限。研究人员调查了与TRMA相关的糖尿病患者队列中的硫胺素(维生素B 1)的基因型,表型和反应。 研究人员对由Sanger或下一代测序鉴定的32个具有双等位基因SLC19A2突变的个体开展了研究,并通过跟踪问卷收集临床细节。 研究人员确定了24种不同的突变,其中9种是新的。第一次TRMA症状的发生从出生到4岁(中位数6个月[四分位间距,IQR 3-24]),糖尿病发病的中位年龄为10个月(IQR 5-27)。在首诊时,三名患者为糖尿病,另外12人患有无症状性高血糖。15名接受硫胺素治疗的中位随访数据为4.7年(IQR 3-10)。4名患者能够停止胰岛素治疗,7名患者在较低的胰岛素剂量下获得了更好的血糖控制。这11名患者在糖尿病诊断(p = 0.042)、基因检测(p = 0.01)和开始使用硫胺(p = 0.007)方面明显较其他队列年轻。所有接受硫胺素治

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    2018-06-04 yfjms

    学习

    0

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    2018-06-03 虈亣靌

    好好学习一下天天向上

    0

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    2018-06-02 sjq030