留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

儿童罕见肾脏病诊治现状及展望

张琰琴 王芳 丁洁

张琰琴, 王芳, 丁洁. 儿童罕见肾脏病诊治现状及展望[J]. 罕见病研究, 2022, 1(3): 233-237. doi: 10.12376/j.issn.2097-0501.2022.03.002
引用本文: 张琰琴, 王芳, 丁洁. 儿童罕见肾脏病诊治现状及展望[J]. 罕见病研究, 2022, 1(3): 233-237. doi: 10.12376/j.issn.2097-0501.2022.03.002
ZHANG Yanqin, WANG Fang, DING Jie. The Status Quo and Prospects of Diagnosis and Treatment of Rare Kidney Disease in Children[J]. Journal of Rare Diseases, 2022, 1(3): 233-237. doi: 10.12376/j.issn.2097-0501.2022.03.002
Citation: ZHANG Yanqin, WANG Fang, DING Jie. The Status Quo and Prospects of Diagnosis and Treatment of Rare Kidney Disease in Children[J]. Journal of Rare Diseases, 2022, 1(3): 233-237. doi: 10.12376/j.issn.2097-0501.2022.03.002

儿童罕见肾脏病诊治现状及展望

doi: 10.12376/j.issn.2097-0501.2022.03.002
基金项目: 

儿科遗传性疾病分子诊断与研究北京市重点实验室 BZ0317

国家重点研发计划精准医学研究重点专项课题 2016YFC0901505

详细信息
    通信作者:

    丁洁,E-mail:djnc_5855@126.com

  • 中图分类号: R726.9;R593.3

The Status Quo and Prospects of Diagnosis and Treatment of Rare Kidney Disease in Children

Funding: 

Beijing Key Laboratory of Molecular Diagnosis and Study on Pediatric Genetic Diseases BZ0317

National Key Research and Development Program of China 2016YFC0901505

More Information
  • 摘要: 儿童罕见肾脏病是导致儿童慢性肾脏病、肾衰竭的重要疾病构成,其中大部分是遗传性肾脏病,占儿童慢性肾脏病的29.7%~52.1%。近十多年以来,随着二代测序技术在临床的广泛应用,提高了儿童罕见肾脏病的诊断能力。2018年公布的中国《第一批罕见病目录》进一步全面推动和促进了中国儿童罕见肾脏病的诊治和研究,同时儿童罕见肾脏病的诊治也面临诸多挑战,如基因变异致病性判断、缺乏监测疾病进展的生物标志物、缺少治疗药物等。今后儿童罕见肾脏病的诊断和治疗需要患者、临床医生、药物研发企业以及政府不同部门的共同努力,进一步促进研究进展向临床应用的快速转化,以满足儿童罕见肾脏病患者的诊治需求。

     

  • [1] 马端, 李定国, 张学, 等. 中国罕见病防治的机遇与挑战[J]. 中国循证儿科杂志, 2011, 6: 81-82. doi: 10.3969/j.issn.1673-5501.2011.02.001
    [2] 李定国, 王琳, 许小幸. 从临床流行病学角度思考中国罕见病定义修订[J]. 临床儿科杂志, 2021, 39: 561-564. doi: 10.3969/j.issn.1000-3606.2021.08.001
    [3] Devuyst O, Knoers NV, Remuzzi G, et al. Rare inherited kidney diseases: challenges, opportunities, and perspectives[J]. Lancet, 2014, 383: 1844-1859. doi: 10.1016/S0140-6736(14)60659-0
    [4] 朱春华, 张爱华. 儿童遗传性肾脏病[J]. 中华儿科杂志, 2021, 59: 804-806. doi: 10.3760/cma.j.cn112140-20210719-00600
    [5] Shi X, Shi Y, Zhang L, et al. Analysis of chronic kidney disease among national hospitalization data with 14 million children[J]. BMC Nephrol, 2021, 22: 195. doi: 10.1186/s12882-021-02383-1
    [6] Tang X, Liu C, Liu X, et al. Phenotype and genotype spectra of a Chinese cohort with nephronophthisis-related ciliopathy[J]. J Med Genet, 2022, 59: 147-154. doi: 10.1136/jmedgenet-2020-107184
    [7] Bassanese G, Wlodkowski T, Servais A, et al. The European Rare Kidney Disease Registry (ERKReg): objectives, design and initial results[J]. Orphanet J Rare Dis, 2021, 16: 251. doi: 10.1186/s13023-021-01872-8
    [8] 王於尘, 严紫嫣, 邓文锋, 等. 肾移植术后Ⅰ型原发性高草酸尿症复发致移植肾功能不全的多学科综合诊疗[J]. 器官移植, 2021, 12: 77-82. doi: 10.3969/j.issn.1674-7445.2021.01.012
    [9] Zhang Y, Böckhaus J, Wang F, et al. Genotype-phenotype correlations and nephroprotective effects of RAAS inhibition in patients with autosomal recessive Alport syndrome[J]. Pediatr Nephrol, 2021, 36: 2719-2730. doi: 10.1007/s00467-021-05040-9
    [10] 安晓刚, 张琰琴, 丁洁, 等. Alport综合征单中心临床诊治状况分析[J]. 中华儿科杂志, 2016, 54: 669-673. doi: 10.3760/cma.j.issn.0578-1310.2016.09.008
    [11] Wang F, Zhang Y, Mao J, et al. Spectrum of mutations in Chinese children with steroid-resistant nephrotic syndrome[J]. Pediatr Nephrol, 2017, 32: 1181-1192. doi: 10.1007/s00467-017-3590-y
    [12] Atmaca M, Gulhan B, Korkmaz E, et al. Follow-up results of patients with ADCK4 mutations and the efficacy of CoQ10 treatment[J]. Pediatr Nephrol, 2017, 32: 1369-1375. doi: 10.1007/s00467-017-3634-3
    [13] Braun DA, Schueler M, Halbritter J, et al. Whole exome sequencing identifies causative mutations in the majority of consanguineous or familial cases with childhood-onset increased renal echogenicity[J]. Kidney Int, 2016, 89: 468-475. doi: 10.1038/ki.2015.317
    [14] Wang X, Xiao H, Yao Y, et al. Spectrum of mutations in pediatric non-glomerular chronic kidney disease stages 2-5[J]. Front Genet, 2021, 12: 697085. doi: 10.3389/fgene.2021.697085
    [15] Deng H, Zhang Y, Xiao H, et al. Diverse phenotypes in children with PAX2-related disorder[J]. Mol Genet Genomic Med, 2019, 7: e701.
    [16] Alport综合征诊疗共识专家组. Alport综合征诊断和治疗专家推荐意见[J]. 中华肾脏病杂志, 2018, 34: 5.
    [17] Yamamura T, Horinouchi T, Nagano C, et al. Genotype-phenotype correlations influence the response to angiotensin-targeting drugs in Japanese patients with male X-linked Alport syndrome[J]. Kidney Int, 2020, 98: 1605-1614. doi: 10.1016/j.kint.2020.06.038
    [18] 中国研究型医院学会罕见病分会, 中国罕见病联盟, 北京罕见病诊疗与保障学会, 等. Gitelman综合征诊疗中国专家共识(2021版)[J]. 罕见病研究, 2022, 1: 56-67. doi: 10.12376/j.issn.2097-0501.2022.01.010
    [19] Dorval G, Boyer O, Couderc A, et al. Long-term kidney and liver outcome in 50 children with autosomal recessive polycystic kidney disease[J]. Pediatr Nephrol, 2021, 36: 1165-1173. doi: 10.1007/s00467-020-04808-9
  • 加载中
计量
  • 文章访问数:  193
  • HTML全文浏览量:  44
  • PDF下载量:  64
  • 被引次数: 0
出版历程
  • 收稿日期:  2022-05-30
  • 录用日期:  2022-06-14
  • 网络出版日期:  2022-09-06

目录

    /

    返回文章
    返回