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进行性肌阵挛性癫痫——走向精确医学?

Progressive myoclonus epilepsies – on the way to precision medicine?
课程网址: http://videolectures.net/kolokviji_lehesjoki_myoclonus_epilepsies...  
主讲教师: Anna-Elina Lehesjoki
开课单位: 赫尔辛基大学
开课时间: 2017-09-22
课程语种: 英语
中文简介:
在过去二十年中,在理解人类遗传疾病的分子遗传学基础方面取得了重大进展,目前的下一代测序技术甚至允许在单个家族中进行基因识别。未来的挑战是通过产生新的诊断、预防和治疗方法,将这些知识转化为患者的利益。进行性肌阵挛性癫痫(PME)是一种罕见的遗传性神经退行性疾病,通常发生在儿童期,其核心症状是癫痫发作和衰弱性不自主肌肉抽搐(肌阵挛)。1996年,在确定胱抑素B编码基因突变是最常见的单一型PME(Unverricht-Lundborg病)的根本原因后,已经确定了超过25个与PME相关的基因。在本次演讲中,我们将概述目前对PME的分子遗传学理解,最终确定KCNC1基因中的复发性从头突变是PME的主要原因。我们将回顾半胱氨酸蛋白酶抑制剂B的研究工作,旨在了解其在Unverricht-Lundborg病中的生理功能和发病机制。我们将很快讨论PME潜在的统一机制和精确医学方法的前景。
课程简介: During the past two decades, significant progress has been made in understanding the molecular genetic basis of human genetic diseases, the current next-generation sequencing technologies allowing gene identification even in single families. The future challenge is to translate this knowledge into the benefit of patients by producing novel methods for diagnostics, prevention and treatment. Progressive myoclonus epilepsies (PME) are rare, inherited, and usually childhood-onset neurodegenerative diseases whose core symptoms are epileptic seizures and debilitating involuntary muscle twitching (myoclonus). After the identification of mutations in the cystatin B encoding gene as the underlying cause for the most common single form of PME, Unverricht-Lundborg disease in 1996, over 25 genes associated with PME have been identified. In this talk, we will give on overview on the current molecular genetic understanding of PMEs culminating in our recent identification of a recurrent de novo mutation in the KCNC1 gene as a major cause of PME. We will review work on cystatin B aiming at understanding its physiological function and disease mechanisms in Unverricht-Lundborg disease. We will shortly discuss the possibly unifying mechanism underlying PME and prospects for precision medicine approaches.
关 键 词: 分子遗传学; 进行性肌阵挛性癫痫; 发病机制
课程来源: 视频讲座网
数据采集: 2021-12-11:zkj
最后编审: 2021-12-11:zkj
阅读次数: 47