cMyBP-C在儿童肥厚型心肌病中的研究进展
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1.南京医科大学第二临床医学院;2.南京医科大学第二附属医院

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南京市卫生科技发展专项资金(YKK23292);江苏省高等学校大学生创新创业训练计划项目(202310312126Y)


Research progress of cMyBP-C in children with hypertrophic cardiomyopathy
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    摘要:

    儿童期肥厚型心肌病(hypertrophic cardiomyopathy ,HCM)病情进展快,猝死率更高,对儿童的生命健康有着极大的威胁。现今主要借助超声心动图或者磁共振进行辅助诊断,但此方法不能在疾病早期进行诊断。研究发现心肌肌球蛋白结合蛋白C(cardiac myosin?binding protein-C ,cMyBP-C)基因突变与HCM密切相关,探索cMyBP-C与HCM的关系,可以为儿童HCM的早期诊断与治疗提供指导,改善预后。本文将对cMyBP-C的分子结构与分子相互作用,其与HCM的关系以及S-谷胱甘肽化 cMyBP-C 诊断前景、心肌肌球蛋白 ATP 酶抑制剂治疗前景和基因疗法做一综述。

    Abstract:

    Hypertrophic cardiomyopathy (HCM) in children progresses faster and has a higher risk of sudden death, which is a great threat to children's life and health. Presently, echocardiography or magnetic resonance serve as auxiliary diagnosis, but these methods lack the capability to detect the disease at an early stage. Studies have found that mutations in cardiac myosin?binding protein-C (cMyBP-C) gene are closely related to HCM. Exploring the relationship between cMyBP-C and HCM can provide guidance for early diagnosis and treatment of HCM in children, ultimately improving prognosis. This article presents a comprehensive overview of cMyBP-C, including its molecular structure, physiological functions, relationship with HCM, as well as the diagnostic potential of S‐Glutathionylated cMyBP‐C, the therapeutic potential of myocardial myosin ATPase inhibitors, and the gene therapy.

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  • 收稿日期:2024-05-20
  • 最后修改日期:2024-09-07
  • 录用日期:2024-12-16
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