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摘要: 核纤层蛋白A/C位于核膜上。编码核纤层蛋白A/C的基因(LMNA)发生突变可通过一系列机制导致机体产生各种疾病,这一系列疾病统称为核纤层蛋白病,扩张型心肌病(dilated cardiomyopathy,DCM)便是其中之一。本文将介绍LMNA-DCM的发病率、病理生理机制、临床表型和治疗。Abstract: Lamin A/C is located on the nuclear membrane. Mutations in the gene coding for laminin A/C(LMNA) can lead to a variety of diseases, which is named laminopathy, through a series of mechanisms. Dilated cardiomyopathy(DCM) is one of them. This paper will introduce the incidence and prevalence, pathophysiological mechanism, clinical phenotype, and treatment of LMNA-DCM.
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Key words:
- laminopathy /
- dilated cardiomyopathy /
- atrioventricular block /
- arrhythmia
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[1] Stuurman N, Heins S, Aebi U. Nuclear lamins: their structure, assembly, and interactions[J]. J Struct Biol, 1998, 122(1-2): 42-66. doi: 10.1006/jsbi.1998.3987
[2] Brodsky GL, Muntoni F, Miocic S, et al. Lamin A/C gene mutation associated with dilated cardiomyopathy with variable skeletal muscle involvement[J]. Circulation, 2000, 101(5): 473-476. doi: 10.1161/01.CIR.101.5.473
[3] Fatkin D, MacRae C, Sasaki T, et al. Missense mutations in the rod domain of the lamin A/C gene as causes of dilated cardiomyopathy and conduction-system disease[J]. N Engl J Med, 1999, 341(23): 1715-1724. doi: 10.1056/NEJM199912023412302
[4] Haas J, Frese KS, Peil B, et al. Atlas of the clinical genetics of human dilated cardiomyopathy[J]. Eur Heart J, 2015, 36(18): 1123-1135a. doi: 10.1093/eurheartj/ehu301
[5] Arbustini E, Pilotto A, Repetto A, et al. Autosomal dominant dilated cardiomyopathy with atrioventricular block: a lamin A/C defect-related disease[J]. J Am Coll Cardiol, 2002, 39(6): 981-990. doi: 10.1016/S0735-1097(02)01724-2
[6] Hasselberg NE, Haland TF, Saberniak J, et al. Lamin A/C cardiomyopathy: young onset, high penetrance, and frequent need for heart transplantation[J]. Eur Heart J, 2018, 39(10): 853-860. doi: 10.1093/eurheartj/ehx596
[7] Le Dour C, Macquart C, Sera F, et al. Decreased WNT/β-catenin signalling contributes to the pathogenesis of dilated cardiomyopathy caused by mutations in the lamin a/C gene[J]. Hum Mol Genet, 2017, 26(2): 333-343.
[8] Muchir A, Reilly SA, Wu W, et al. Treatment with selumetinib preserves cardiac function and improves survival in cardiomyopathy caused by mutation in the lamin A/C gene[J]. Cardiovasc Res, 2012, 93(2): 311-319. doi: 10.1093/cvr/cvr301
[9] Chatzifrangkeskou M, Le Dour C, Wu W, et al. ERK1/2 directly acts on CTGF/CCN2 expression to mediate myocardial fibrosis in cardiomyopathy caused by mutations in the lamin A/C gene[J]. Hum Mol Genet, 2016, 25(11): 2220-2233. doi: 10.1093/hmg/ddw090
[10] Lee J, Termglinchan V, Diecke S, et al. Activation of PDGF pathway links LMNA mutation to dilated cardiomyopathy[J]. Nature, 2019, 572(7769): 335-340. doi: 10.1038/s41586-019-1406-x
[11] Taylor MR, Fain PR, Sinagra G, et al. Natural history of dilated cardiomyopathy due to lamin A/C gene mutations[J]. J Am Coll Cardiol, 2003, 41(5): 771-780. doi: 10.1016/S0735-1097(02)02954-6
[12] Kumar S, Baldinger SH, Gandjbakhch E, et al. Long-term arrhythmic and nonarrhythmic outcomes of lamin A/C mutation carriers[J]. J Am Coll Cardiol, 2016, 68(21): 2299-2307. doi: 10.1016/j.jacc.2016.08.058
[13] van Rijsingen IA, Arbustini E, Elliott PM, et al. Risk factors for malignant ventricular arrhythmias in lamin a/c mutation carriers a European cohort study[J]. J Am Coll Cardiol, 2012, 59(5): 493-500. doi: 10.1016/j.jacc.2011.08.078
[14] Wahbi K, Ben Yaou R, Gandjbakhch E, et al. Development and validation of a new risk prediction score for life-threatening ventricular tachyarrhythmias in laminopathies[J]. Circulation, 2019, 140(4): 293-302. doi: 10.1161/CIRCULATIONAHA.118.039410
[15] Zeppenfeld K, Tfelt-Hansen J, de Riva M, et al. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death[J]. Eur Heart J, 2022.
[16] van Rijsingen IA, Bakker A, Azim D, et al. Lamin A/C mutation is independently associated with an increased risk of arterial and venous thromboembolic complications[J]. Int J Cardiol, 2013, 168(1): 472-477. doi: 10.1016/j.ijcard.2012.09.118
[17] Muchir A, Shan J, Bonne G, et al. Inhibition of extracellular signal-regulated kinase signaling to prevent cardiomyopathy caused by mutation in the gene encoding A-type lamins[J]. Hum Mol Genet, 2009, 18(2): 241-247.
[18] Judge DP, Lakdawala NK, Taylor M, et al. Long-term efficacy and safety of ARRY-371797(PF-07265803) in patients with lamin A/C-related dilated cardiomyopathy[J]. Am J Cardiol, 2022, 183: 93-98. doi: 10.1016/j.amjcard.2022.08.001
[19] Arimura T, Sato R, Machida N, et al. Improvement of left ventricular dysfunction and of survival prognosis of dilated cardiomyopathy by administration of calcium sensitizer SCH00013 in a mouse model[J]. J Am Coll Cardiol, 2010, 55(14): 1503-1505. doi: 10.1016/j.jacc.2009.10.065
[20] Lee JM, Nobumori C, Tu Y, et al. Modulation of LMNA splicing as a strategy to treat prelamin A diseases[J]. J Clin Invest, 2016, 126(4): 1592-602. doi: 10.1172/JCI85908
[21] Koblan LW, Erdos MR, Wilson C, et al. In vivo base editing rescues Hutchinson-Gilford progeria syndrome in mice[J]. Nature, 2021, 589(7843): 608-614. doi: 10.1038/s41586-020-03086-7
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