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1.
Inorg Chem ; 63(23): 10775-10785, 2024 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-38804545

RESUMO

Gas-phase metal clusters are ideal models to explore transition-metal-mediated N2 activation mechanism. However, the effective design and search of reactive clusters in N2 activation are currently hindered by the lack of clear guidelines. Inspired by the Sabatier principle, we discovered in this work that N2 initial adsorption energy (ΔEads) is an important parameter to control the N2 activation reactivity of metal clusters in the gas phase. This mechanistic insight obtained from high-level calculations rationalizes the N2 activation reactivity of many previously reported metal clusters when combined with the known factor determining the N≡N cleavage process. Furthermore, based on this guideline of ΔEads, we successfully designed several new reactive clusters for cleaving N≡N triple bond under mild conditions, including FeV2S2-, TaV2C2-, and TaV2C3-, the high N2 activation reactivity of which has been fully corroborated in our gas phase experiments employing mass spectrometry with collision-induced dissociation. The importance of ΔEads revealed in this work not only reshapes our understanding of N2 activation reactions in the gas phase but also could have implication for other N2 activation processes in the condensed phase. The more general establishment of this new perspective on N2 activation reactivity warrants future experimental and computational studies.

2.
J Craniofac Surg ; 2024 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-38709034

RESUMO

When searching over associations between congenital ear abnormalities, especially microtia and affiliated deformities like cleft lip or palate and congenital heart diseases, some clinical analysis and genetic theories are found. A 10-year-old boy sent to the plastic surgery hospital was puzzled by a congenital anterior auricular fistula with fluid trace for more than 9 years. The preoperative diagnoses were branchial cleft fistula and congenital left ear deformity with postoperation of TOF. By browsing over studies on genetic concerns and clinical performance, it may be attributed to a possible association between microtia, branchial cleft fistula, and tetralogy of Fallot, though whose fundamental mechanisms remain concerned.

3.
EClinicalMedicine ; 67: 102391, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38274117

RESUMO

Background: Clinical appearance and high-frequency ultrasound (HFUS) are indispensable for diagnosing skin diseases by providing internal and external information. However, their complex combination brings challenges for primary care physicians and dermatologists. Thus, we developed a deep multimodal fusion network (DMFN) model combining analysis of clinical close-up and HFUS images for binary and multiclass classification in skin diseases. Methods: Between Jan 10, 2017, and Dec 31, 2020, the DMFN model was trained and validated using 1269 close-ups and 11,852 HFUS images from 1351 skin lesions. The monomodal convolutional neural network (CNN) model was trained and validated with the same close-up images for comparison. Subsequently, we did a prospective and multicenter study in China. Both CNN models were tested prospectively on 422 cases from 4 hospitals and compared with the results from human raters (general practitioners, general dermatologists, and dermatologists specialized in HFUS). The performance of binary classification (benign vs. malignant) and multiclass classification (the specific diagnoses of 17 types of skin diseases) measured by the area under the receiver operating characteristic curve (AUC) were evaluated. This study is registered with www.chictr.org.cn (ChiCTR2300074765). Findings: The performance of the DMFN model (AUC, 0.876) was superior to that of the monomodal CNN model (AUC, 0.697) in the binary classification (P = 0.0063), which was also better than that of the general practitioner (AUC, 0.651, P = 0.0025) and general dermatologists (AUC, 0.838; P = 0.0038). By integrating close-up and HFUS images, the DMFN model attained an almost identical performance in comparison to dermatologists (AUC, 0.876 vs. AUC, 0.891; P = 0.0080). For the multiclass classification, the DMFN model (AUC, 0.707) exhibited superior prediction performance compared with general dermatologists (AUC, 0.514; P = 0.0043) and dermatologists specialized in HFUS (AUC, 0.640; P = 0.0083), respectively. Compared to dermatologists specialized in HFUS, the DMFN model showed better or comparable performance in diagnosing 9 of the 17 skin diseases. Interpretation: The DMFN model combining analysis of clinical close-up and HFUS images exhibited satisfactory performance in the binary and multiclass classification compared with the dermatologists. It may be a valuable tool for general dermatologists and primary care providers. Funding: This work was supported in part by the National Natural Science Foundation of China and the Clinical research project of Shanghai Skin Disease Hospital.

4.
Anal Biochem ; 676: 115234, 2023 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-37422060

RESUMO

Abnormal expression of carcinoembryonic antigen (CEA) can be used for early diagnosis of various cancers (e.g. colorectal cancer, cervical carcinomas, and breast cancer). In this work, using l-cysteine-ferrocene-ruthenium nanocomposites (L-Cys-Fc-Ru) to immobilize secondary antibody (Ab2) and Au nanoparticles (NPs) as the substrate to ensure accurate capture of primary antibody (Ab1), a signal-on sandwich-like biosensor was constructed in the presence of CEA. Specifically, Ru nanoassemblies (NAs) were first prepared by a facile one-step solvothermal approach as signal amplifiers for the electrical signal of Fc. Based on specific immune recognition, as the increase of CEA concentration, the content of L-Cys-Fc-Ru-Ab2 captured on the electrode surface also increased, thus the signal of Fc gradually increased. Therefore, the quantitative detection of CEA can be realized according to the peak current of Fc. After a series of experiments, it was found that the biosensor has a wide detection range from 1.0 pg mL-1 to 100.0 ng mL-1 and a low detection limit down to 0.5 pg mL-1, as well as good selectivity, repeatability and stability. Furthermore, satisfactory results were also obtained for the determination of CEA in serums, which were comparable to commercial electrochemiluminescence (ECL) method. The developed biosensor shows great potential in clinical applications.


Assuntos
Técnicas Biossensoriais , Neoplasias da Mama , Nanopartículas Metálicas , Humanos , Feminino , Antígeno Carcinoembrionário , Ouro/química , Nanopartículas Metálicas/química , Imunoensaio/métodos , Técnicas Eletroquímicas/métodos , Técnicas Biossensoriais/métodos , Limite de Detecção
5.
Adv Sci (Weinh) ; 10(22): e2301020, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37191279

RESUMO

Traditional trial-and-error experiments and theoretical simulations have difficulty optimizing catalytic processes and developing new, better-performing catalysts. Machine learning (ML) provides a promising approach for accelerating catalysis research due to its powerful learning and predictive abilities. The selection of appropriate input features (descriptors) plays a decisive role in improving the predictive accuracy of ML models and uncovering the key factors that influence catalytic activity and selectivity. This review introduces tactics for the utilization and extraction of catalytic descriptors in ML-assisted experimental and theoretical research. In addition to the effectiveness and advantages of various descriptors, their limitations are also discussed. Highlighted are both 1) newly developed spectral descriptors for catalytic performance prediction and 2) a novel research paradigm combining computational and experimental ML models through suitable intermediate descriptors. Current challenges and future perspectives on the application of descriptors and ML techniques to catalysis are also presented.

6.
Cancer Med ; 12(10): 11651-11671, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-37041721

RESUMO

BACKGROUND: Growing evidences suggest that circular RNAs (circRNAs) are important factors in cancer progression. Nevertheless, the role of circRNAs in the progression of pancreatic ductal adenocarcinoma (PDAC) remains unclear. METHODS: CircPTPRA was identified based on our previous circRNA array data analysis. Wound healing, transwell, and EdU assays were performed to investigate the effect of circPTPRA on the migration, invasion, and proliferation of PDAC cells in vitro. RNA pull-down, fluorescence in situ hybridization (FISH), RNA immunoprecipitation (RIP), and dual-luciferase reporter assays were conducted to verify the binding of circPTPRA with miR-140-5p. Subcutaneous xenograft model was constructed for in vivo experiment. RESULTS: CircPTPRA was significantly upregulated in PDAC tissues and cells compared to normal controls. Moreover, circPTPRA overexpression was positively correlated with lymph node invasion and worse prognosis in PDAC patients. In addition, overexpression of circPTPRA promoted PDAC migration, invasion, proliferation, and epithelial-mesenchymal transition (EMT) in vitro and in vivo. Mechanistically, circPTPRA upregulates LaminB1 (LMNB1) expression by sponging miR-140-5p and ultimately promotes the progression of PDAC. CONCLUSIONS: This study revealed that circPTPRA plays an important role in the progression of PDAC by sponging miR-140-5p. It can be explored as a potential prognostic marker and therapeutic target for PDAC.


Assuntos
Carcinoma Ductal Pancreático , MicroRNAs , Neoplasias Pancreáticas , Humanos , MicroRNAs/genética , MicroRNAs/metabolismo , RNA Circular/genética , RNA Circular/metabolismo , Hibridização in Situ Fluorescente , Neoplasias Pancreáticas/patologia , Carcinoma Ductal Pancreático/metabolismo , Linhagem Celular Tumoral , Proliferação de Células/genética , Regulação Neoplásica da Expressão Gênica , Movimento Celular/genética , Neoplasias Pancreáticas
7.
Sci Total Environ ; 879: 163068, 2023 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-36965724

RESUMO

With the COVID-19 pandemic, the use of disinfectants has grown significantly around the world. Triclosan (TCS), namely 5-chloro-2-(2,4-dichlorophenoxy) phenol or 2,4,4'-trichloro-2'-hydroxydiphenyl ether, is a broad-spectrum, lipophilic, antibacterial agent that is extensively used in multifarious consumer products. Due to the widespread use and bioaccumulation, TCS is frequently detected in the environment and human biological samples. Accumulating evidence suggests that TCS is considered as a novel endocrine disruptor and may have potential unfavorable effects on human health, but studies on the toxic effect mediated by TCS exposure as well as its underlying mechanisms of action are relatively sparse. Therefore, in this review, we attempted to summarize the potential detrimental effects of TCS exposure on human reproductive health, liver function, intestinal homeostasis, kidney function, thyroid endocrine, and other tissue health, and further explore its mechanisms of action, thereby contributing to the better understanding of TCS characteristics and safety. Moreover, our work suggested the need to further investigate the biological effects of TCS exposure at the metabolic level in vivo.


Assuntos
COVID-19 , Triclosan , Humanos , Triclosan/toxicidade , Triclosan/metabolismo , Pandemias , Fenol , Antibacterianos
8.
Sleep ; 46(11)2023 11 08.
Artigo em Inglês | MEDLINE | ID: mdl-36827092

RESUMO

STUDY OBJECTIVES: This study verified that sleep deprivation before and after skin/muscle incision and retraction (SMIR) surgery increased the risk of chronic pain and investigated the underlying roles of microglial voltage-dependent anion channel 1 (VDAC1) signaling. METHODS: Adult mice received 6 hours of total sleep deprivation from 1 day prior to SMIR until the third day after surgery. Mechanical and heat-evoked pain was assessed before and within 21 days after surgery. Microglial activation and changes in VDAC1 expression and oligomerization were measured. Minocycline was injected to observe the effects of inhibiting microglial activation on pain maintenance. The VDAC1 inhibitor 4,4'-diisothiocyanostilbene-2,2'-disulfonic acid (DIDS) and oligomerization inhibitor VBIT-4 were used to determine the roles of VDAC1 signaling on microglial adenosine 5' triphosphate (ATP) release, inflammation (IL-1ß and CCL2), and chronicity of pain. RESULTS: Sleep deprivation significantly increased the pain duration after SMIR surgery, activated microglia, and enhanced VDAC1 signaling in the spinal cord. Minocycline inhibited microglial activation and alleviated sleep deprivation-induced pain maintenance. Lipopolysaccharide (LPS)-induced microglial activation was accompanied by increased VDAC1 expression and oligomerization, and more VDAC1 was observed on the cell membrane surface compared with control. DIDS and VBIT-4 rescued LPS-induced microglial ATP release and IL-1ß and CCL2 expression. DIDS and VBIT-4 reversed sleep loss-induced microglial activation and pain chronicity in mice, similar to the effects of minocycline. No synergistic effects were found for minocycline plus VBIT-4 or DIDS. CONCLUSIONS: Perioperative sleep deprivation activated spinal microglia and increases the risk of chronic postsurgical pain in mice. VDAC1 signaling regulates microglial activation-related ATP release, inflammation, and chronicity of pain.


Assuntos
Microglia , Privação do Sono , Camundongos , Animais , Microglia/metabolismo , Privação do Sono/complicações , Privação do Sono/metabolismo , Canal de Ânion 1 Dependente de Voltagem/metabolismo , Minociclina/farmacologia , Minociclina/metabolismo , Ácido 4,4'-Di-Isotiocianoestilbeno-2,2'-Dissulfônico/metabolismo , Lipopolissacarídeos/metabolismo , Dor Pós-Operatória , Inflamação/metabolismo , Trifosfato de Adenosina
9.
Chemistry ; 29(14): e202203384, 2023 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-36511849

RESUMO

We report on cluster-mediated C-N bond formation in the gas phase using N2 as a nitrogen source. The V3 C+ +N2 reaction is studied by a combination of ion-trap mass spectrometry with infrared photodissociation (IRPD) spectroscopy and complemented by electronic structure calculations. The proposed reaction mechanism is spectroscopically validated by identifying the structures of the reactant and product ions. V3 C+ exhibits a pyramidal structure of C1 -symmetry. N2 activation is initiated by adsorption in an end-on fashion at a vanadium site, followed by spontaneous cleavage of the N≡N triple bond and subsequent C-N coupling. The IRPD spectrum of the metal nitride product [NV3 (C=N)]+ exhibits characteristic C=N double bond (1530 cm-1 ) and V-N single bond (770, 541 and 522 cm-1 ) stretching bands.

10.
Phys Chem Chem Phys ; 24(40): 24950-24958, 2022 Oct 19.
Artigo em Inglês | MEDLINE | ID: mdl-36205256

RESUMO

The activation and transformation of molecular nitrogen (N2) by metal hydride species has attracted widespread attention due to its critical role in nitrogen fixation. Herein, the reactions between tantalum deuteride cluster anions Ta2D2,4- and N2 were investigated experimentally and theoretically. An unprecedented reaction channel of the liberation of a single D atom was observed and much superior reactivity was identified for Ta2D4-. Theoretical investigations indicate that the releasing of D atoms benefits from the completely dissociative adsorption of N2 on the dinuclear metal centres. The extra D atoms in Ta2D4- compared to Ta2D2- are helpful to create sufficient electron density at the adsorption site and modify the symmetry of active orbitals to facilitate a further reduction of N2. This comparative study provides a molecular-level insight to understand the high structure-modulating capability of the additional hydride ligands in polyhydride species in the adsorption and activation of nitrogen molecules.

11.
Chem Sci ; 13(32): 9366-9372, 2022 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-36093004

RESUMO

The direct coupling of dinitrogen (N2) and methane (CH4) to construct the N-C bond is a fascinating but challenging approach for the energy-saving synthesis of N-containing organic compounds. Herein we identified a likely reaction pathway for N-C coupling from N2 and CH4 mediated by heteronuclear metal cluster anions CoTaC2 -, which starts with the dissociative adsorption of N2 on CoTaC2 - to generate a Ta δ+-Nt δ- (terminal-nitrogen) Lewis acid-base pair (LABP), followed by the further activation of CH4 by CoTaC2N2 - to construct the N-C bond. The N[triple bond, length as m-dash]N cleavage by CoTaC2 - affording two N atoms with strong charge buffering ability plays a key part, which facilitates the H3C-H cleavage via the LABP mechanism and the N-C formation via a CH3 migration mechanism. A novel Nt triggering strategy to couple N2 and CH4 molecules using metal clusters was accordingly proposed, which provides a new idea for the direct synthesis of N-containing compounds.

12.
Phys Chem Chem Phys ; 24(23): 14616-14622, 2022 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-35670100

RESUMO

The reverse water-gas shift (RWGS, CO2 + H2 → CO + H2O, ΔH298 = +0.44 eV) reaction mediated by the diatomic anion Rh2- was successfully constructed. The generation of a gas-phase H2O molecule and ion product [Rh2(CO)ads]- was identified unambiguously at room temperature and the only elementary step that requires extra energy to complete the catalysis is the desorption of CO from [Rh2(CO)ads]-. This experimentally identified Rh2- anion represents the first gas-phase species that can drive the RWGS reaction because it is challenging to design effective routes to yield H2O from CO2 and H2. The reactions were performed by using our newly developed double ion trap reactors and characterized by mass spectrometry, photoelectron spectroscopy, and high-level quantum-chemical calculations. We found that the order that the reactants (CO2 or D2) were fed into the reactor did not have a pronounced impact on the reactivity and the final product distribution (D2O and Rh2CO-). The atomically precise insights into the key steps to guide the reaction toward the RWGS direction were provided.

13.
J Phys Chem Lett ; 13(18): 4159-4169, 2022 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-35507918

RESUMO

Understanding the mechanisms to activate and functionalize dinitrogen (N2) is of great importance for the rational design of nitrogen-fixation catalysts. Reactions of gas-phase species with N2 are being actively studied to understand the bond activation and formation processes at a strictly molecular level. This Perspective provides an overview of the recent progress in combined experimental and theoretical studies on the activation and functionalization of N2 by gas-phase metal species. New mechanistic insights into N2 molecular adsorption, N≡N cleavage, and N-X (X = C, B, and H) formation have been introduced, in which the new reaction channels of ejecting neutral metal fragments and the coupling reactions of N2 with other molecules are highlighted. Finally, the current challenges and outlooks of N2 activation in the gas phase are discussed as well.

14.
J Oncol ; 2022: 3691635, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35498541

RESUMO

Background: Ovarian cancer (OC) is the most fatal gynecologic cancer. The branched-chain α-keto acid dehydrogenase kinase (BCKDK) plays an important role in many serious human diseases, including cancers. Its function in promoting cell proliferation and migration has been reported in various cancers. However, the biological role of BCKDK and its molecular mechanisms underlying OC initiation and progression are unclear. Methods: First, the expression level of BCKDK in OC cell lines or tissues was determined using tissue microarray- (TMA-) based immunohistochemistry or western blotting. Then, growth curve analysis, anchorage-independent cell transformation assays, wound healing assays, cell migration assays, and tumor xenografts were used to test whether BCKDK could promote cell transformation or metastasis. Finally, the signaling pathways involved in this process were investigated by western blotting or immunoprecipitation. Results: We found that the expression of BCKDK was upregulated in OC tissues and the high expression of BCKDK was correlated with an advanced pathological grade in patients. The ectopic overexpression of BCKDK promoted the proliferation and migration of OC cells, and the knockdown of BCKDK with shRNAs inhibited the proliferation and migration of OC ex vivo and in vivo. Moreover, BCKDK promoted OC proliferation and migration by activating MEK. Conclusions: Our results demonstrate that BCKDK promotes OC proliferation and migration by activating the MEK/ERK signaling pathway. Targeting the BCKDK-MEK axis may provide a new therapeutic strategy for treating patients with OC.

16.
J Chem Phys ; 156(6): 064303, 2022 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-35168360

RESUMO

Nitrogen (N2) fixation is a challenging task for chemists. Adsorption of N2 on transition metal (TM) sites has been identified as a prerequisite for activating the very stable N≡N triple bond in both industrial and biological processes. The importance of π back-donation (filled orbitals of TM → π* orbitals of N2) between metal sites and N2 has been well elucidated while the role of another classic orbital interaction, namely σ donation (σ orbitals of N2 → empty orbitals of TM), remains ambiguous. Herein, the size-dependent reactivity of trinuclear rhodium deuteride cluster anions Rh3Dn - (n = 0-3) toward N2 adsorption in the gas phase was investigated experimentally and theoretically. A reverse relationship that higher electron-donating ability of clusters corresponds to lower N2 adsorption reactivity was experimentally observed, which is uncommon in N2 activation by gas-phase species. Theoretical analysis revealed that the σ donation rather than the π back-donation plays a predominant role in the adsorption complexes Rh3DnN2 - and the enhanced reactivity upon D addition is ascribed to the lowered energy levels of active orbitals in Rh3Dn - as n increases. This study provides the first experimental evidence to declare the important role of σ donation and new clues for the design of reactive metal species in nitrogen fixation.

17.
J Am Chem Soc ; 143(45): 19224-19231, 2021 Nov 17.
Artigo em Inglês | MEDLINE | ID: mdl-34731569

RESUMO

Cleavage of the strong N≡N bond has long been a great challenge for energy-efficient dinitrogen (N2) fixation; thus a reasonable design of reactive species to activate N2 under mild conditions is highly desirable and meaningful. Herein a novel N2 activation strategy of combining 5d early (E) and 3d late (L) transition metals (TMs) is proposed, which is verified by the facile and complete N≡N cleavage via the polarized Fe-Ta bond in gas-phase cluster FeTaC2-. The efficient N≡N cleavage benefits from an electronic-level design of highly strengthened donor-acceptor interactions, in which the 5d-ETM (Ta) mainly pushes electrons from occupied 5d-orbitals to N2 π*-orbitals while the 3d-LTM (Fe) simultaneously pulls electrons from N2 σ/π-orbitals to its unoccupied 3d-orbitals. Through employing 5d-ETM and 3d-LTM to play their respective roles, this work provides a new and versatile idea for activating the inert N≡N bond and inspires relevant design of TM-based catalysts.

18.
J Phys Chem Lett ; 12(38): 9269-9274, 2021 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-34533969

RESUMO

Inspired by the fact that the active centers of natural nitrogenases are polynuclear iron-sulfur clusters, the reactivity of isolated iron-sulfur clusters toward N2 has received considerable attention to gain fundamental insights into the activation of the N≡N triple bond. Herein, a series of gas-phase iron-sulfur cluster anions FexSy- (x = 1-8, y = 0-x) were prepared and their reactivities toward N2 were investigated systematically by mass spectrometry. Among the 44 investigated clusters, only Fe5S2- and Fe5S3- showed superior reactivity toward N2. Theoretical results revealed that N2 binds molecularly to the iron sites of Fe5S2,3- in a common end-on coordination mode with an unprecedented back-donation interaction from the localized d-d bonding orbitals of Fe-Fe sites to the π* antibonding orbitals of N2. This is the first example to disclose the significant contribution of the dual metal sites rather than the single metal atom to N2 adsorption in the prevalent end-on binding mode.

19.
J Hum Genet ; 66(12): 1153-1158, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34140613

RESUMO

Hereditary spherocytosis (HS) with hemolysis, splenomegaly, and jaundice as the main clinical symptoms varied in different population and SPTB mutated rate is common except for ANK1 in the Chinese population, whereas only a few studies have been reported. Here, 11 Chinese pediatric patients with newly SPTB mutations detected by targeted next generation sequencing technology were included and analyzed in our study. The characteristics of mutation separation were verified among family members by bidirectional Sanger sequencing. The detected 11 mutations were novel, all of which were heterozygotes, including five de novo mutations, five maternal mutations, and one paternal mutation. Meanwhile, the 11 different novel mutation sites distributed on and near the seven exons included four pathogenic sites and seven likely pathogenic sites. The detection of 11 novel mutation sites gene expanded the mutant spectrum of the SPTB gene, and provided corresponding clinical data, which laid a foundation for the subsequent studies on HS in Chinese population, especially in pediatric patients.


Assuntos
Estudos de Associação Genética , Predisposição Genética para Doença , Mutação , Espectrina/genética , Esferocitose Hereditária/diagnóstico , Esferocitose Hereditária/genética , Alelos , Análise Mutacional de DNA , Estudos de Associação Genética/métodos , Genótipo , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Fenótipo
20.
Medicine (Baltimore) ; 100(13): e25258, 2021 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-33787609

RESUMO

RATIONALE: Hereditary hemochromatosis (HH) is a hereditary disorder of iron metabolism. It is classified into 4 main types depending on the underlying genetic mutation: human hemochromatosis protein (HFE) (type 1), hemojuvelin (HJV) (type 2A), HAMP (type 2B), transferrin receptor-2 (TFER2) (type 3), and ferroportin (type 4). Type 4 HH is divided into 2 subtypes according to different mutations: type 4A (classical ferroportin disease) and type 4B (non-classical ferroportin disease). Type 4B HH is a rare autosomal dominant disease that results from mutations in the Solute Carrier Family 40 member 1 (SLC40A1) gene, which encodes the iron transport protein ferroportin. PATIENT CONCERNS: Here we report 2 elderly Chinese Han men, who were brothers, presented with liver cirrhosis, diabetes mellitus, skin hyperpigmentation, hyperferritinaemia as well as high transferrin saturation. DIAGNOSIS: Subsequent genetic analyses identified a heterozygous mutation (p. Cys326Tyr) in the SLC40A1 gene in both patients. INTERVENTIONS: We treated the patient with iron chelator and followed up for 3 years. OUTCOMES: Iron chelator helped to reduce the serum ferritin and improve the condition of target organs, including skin, pancreas, liver as well as pituitary. LESSONS: Type 4B HH is rare but usually tends to cause multiple organ dysfunction and even death. For those patients who have difficulty tolerating phlebotomy, iron chelator might be a good alternative.


Assuntos
Proteínas de Transporte de Cátions/deficiência , Hemocromatose/genética , Hemocromatose/terapia , Quelantes de Ferro/uso terapêutico , Mutação/genética , Idoso , Povo Asiático/genética , Proteínas de Transporte de Cátions/genética , Humanos , Masculino , Pessoa de Meia-Idade
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