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雑誌文献

循環器ジャーナル71巻4号

2023年10月発行

文献概要

特集 変革期を迎えた肺高血圧症—次世代の病態理解,診断,治療とは? Ⅲ.肺高血圧症における最新トピックス

肺高血圧症における遺伝学的知見

著者: 平出貴裕1

所属機関: 1慶應義塾大学医学部循環器内科

ページ範囲:P.584 - P.589

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POINT
●遺伝学的検査技術の進歩により肺高血圧症の発症原因遺伝子が多く報告されているが,約7割の症例ではいまだに発症原因遺伝子が同定されていない.
●肺高血圧症診療において,遺伝学的検査は疾患の診断や予後予測,家族員の早期発見に有用である一方,根治療法がないため,検査の実施や結果の開示には十分に配慮が必要である.

参考文献

1)Rabinovitch M. Molecular pathogenesis of pulmonary arterial hypertension. J Clin Invest 2012 ; 122 : 4306-13.
2)日本循環器学会,日本肺高血圧・肺循環学会,日本呼吸器学会,他.肺高血圧症治療ガイドライン(2017年改訂版).2018
3)Morrell NW, Aldred MA, Chung WK, et al. Genetics and genomics of pulmonary arterial hypertension. Eur Respir J 2019 ; 53 : 1801899.
4)International PPH Consortium ; Lane KB, Machado RD, Pauciulo MW, et al. Heterozygous germline mutations in BMPR2, encoding a TGF-beta receptor, cause familial primary pulmonary hypertension. Nat Genet 2000 ; 26 : 81-4.
5)Morrell NW, Aldred MA, Chung WK, et al. Genetics and genomics of pulmonary arterial hypertension. Eur Respir J 2019 ; 53 : 1801899.
6)Gamou S, Kataoka M, Aimi Y, et al. Genetics in pulmonary arterial hypertension in a large homogeneous Japanese population. Clin Genet 2018 ; 94 : 70-80.
7)Trembath RC, Thomson JR, Machado RD, et al. Clinical and molecular genetic features of pulmonary hypertension in patients with hereditary hemorrhagic telangiectasia. N Engl J Med 2001 ; 345 : 325-34.
8)Chaouat A, Coulet F, Favre C, et al. Endoglin germline mutation in a patient with hereditary haemorrhagic telangiectasia and dexfenfluramine associated pulmonary arterial hypertension. Thorax 2004 ; 59 : 446-8.
associated with pulmonary arterial hypertension. J Med Genet 2009 ; 46 : 331-7.
10)Austin ED, Ma L, LeDuc C, et al. Whole exome sequencing to identify a novel gene(caveolin-1)associated with human pulmonary arterial hypertension. Circ Cardiovasc Genet 2012 ; 5 : 336-43.
11)Ma L, Roman-Campos D, Austin ED, et al. A novel channelopathy in pulmonary arterial hypertension. N Engl J Med 2013 ; 369 : 351-61.
mutations(small patella syndrome)are associated with childhood-onset pulmonary arterial hypertension. J Med Genet 2013 ; 50 : 500-6.
mutations cause pulmonary veno-occlusive disease. Nat Genet 2014 ; 46 : 65-9.
14)Gräf S, Haimel M, Bleda M, et al. Identification of rare sequence variation underlying heritable pulmonary arterial hypertension. Nat Commun 2018 ; 9 : 1416.
15)Zhu N, Pauciulo MW, Welch CL, et al. Novel risk genes and mechanisms implicated by exome sequencing of 2572 individuals with pulmonary arterial hypertension. Genome Med 2019 ; 11 : 69.
, and rare de novo variants in PAH. Genome Med 2021 ; 13 : 80.
Deficiency in the Pulmonary Vasculature and Beyond : Contributions to Pulmonary Arterial Hypertension. Int J Mol Sci 2018 ; 19 : E2499.
18)Long L, Ormiston ML, Yang X, et al. Selective enhancement of endothelial BMPR-II with BMP9 reverses pulmonary arterial hypertension. Nat Med 2015 ; 21 : 777-85.
, rescues endothelial dysfunction, and reverses pulmonary hypertension. J Clin Invest 2013 ; 123 : 3600-13.
20)Humbert M, McLaughlin V, Gibbs JSR, et al. Sotatercept for the Treatment of Pulmonary Arterial Hypertension. N Engl J Med 2021 ; 384 : 1204-15.
mutations and survival in pulmonary arterial hypertension : an individual participant data meta-analysis. Lancet Respir Med 2016 ; 4 : 129-37.
Mutations in the Last Decade. Am J Respir Crit Care Med 2016 ; 193 : 1310-4.
23)Machado RD, Southgate L, Eichstaedt CA, et al. Pulmonary Arterial Hypertension : A Current Perspective on Established and Emerging Molecular Genetic Defects. Hum Mutat 2015 ; 36 : 1113-27.
Mutation Carriers in a Large Cohort of Patients Diagnosed Clinically With Pulmonary Arterial Hypertension. Circulation 2017 ; 136 : 2022-33.
25)Humbert M, Kovacs G, Hoeper MM, et al. 2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. Eur Heart J 2022 ; 43 : 3618-731.
Mutations in Japanese Patients with Pulmonary Arterial Hypertension. Am J Respir Crit Care Med 2018 ; 198 : 1231-3.
are associated with pulmonary arterial hypertension with congenital heart disease. Genome Med 2018 ; 10 : 56.
as a risk gene for pulmonary arterial hypertension. Circ Genom Precis Med 2018 ; 11 : e002317.
variant(p.Arg4810Lys)with pulmonary arterial hypertension. J Heart Lung Transplant 2020 ; 39 : 103-12.
-Associated Vascular Disease : A Concept Unifying Various Vasculopathies. Life 2022 ; 12 : 555.

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

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