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一例婴儿NALCN基因杂合突变所致先天性关节挛缩、全面发育迟缓报道
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作者 李颖 石凯丽 《妇儿健康导刊》 2024年第12期38-42,共5页
NALCN基因编码钠离子渗漏通道,调节神经元的静息电导和兴奋性。NALCN基因纯合突变或杂合突变均有致病性,一种为CLIFAHDD(常染色体显性先天性四肢和面部挛缩、肌张力低下和发育迟缓,OMIM#616266),另一种为IHPRF(婴儿肌张力低下伴精神运... NALCN基因编码钠离子渗漏通道,调节神经元的静息电导和兴奋性。NALCN基因纯合突变或杂合突变均有致病性,一种为CLIFAHDD(常染色体显性先天性四肢和面部挛缩、肌张力低下和发育迟缓,OMIM#616266),另一种为IHPRF(婴儿肌张力低下伴精神运动迟缓和特征性面容,OMIM#615419)。本文报道1例新生儿期确诊的CLIFAHDD综合征患儿,全外显子基因测序证实患儿NALCN基因突变(c.3542G>A),父母该基因均正常,为新发突变,结合相关文献进行复习总结,以提高儿科医师对该病的认识,减少漏诊和误诊。 展开更多
关键词 nalcn基因 CLIFAHDD综合征 先天性关节挛缩 全面发育迟缓
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Sodium Leak Channel in Glutamatergic Neurons of the Lateral Parabrachial Nucleus Helps to Maintain Respiratory Frequency Under Sevoflurane Anesthesia 被引量:1
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作者 Lin Wu Donghang Zhang +3 位作者 Yujie Wu Jin Liu Jingyao Jiang Cheng Zhou 《Neuroscience Bulletin》 SCIE CAS CSCD 2024年第8期1127-1140,共14页
The lateral parabrachial nucleus(PBL)is implicated in the regulation of respiratory activity.Sodium leak channel(NALCN)mutations disrupt the respiratory rhythm and influence anesthetic sensitivity in both rodents and ... The lateral parabrachial nucleus(PBL)is implicated in the regulation of respiratory activity.Sodium leak channel(NALCN)mutations disrupt the respiratory rhythm and influence anesthetic sensitivity in both rodents and humans.Here,we investigated whether the NALCN in PBL glutamatergic neurons maintains respiratory function under general anesthesia.Our results showed that chemogenetic activation of PBL glutamatergic neurons increased the respiratory frequency(RF)in mice;whereas chemogenetic inhibition suppressed RF.NALCN knockdown in PBL glutamatergic neurons but not GABAergic neurons significantly reduced RF under physiological conditions and caused more respiratory suppression under sevoflurane anesthesia.NALCN knockdown in PBL glutamatergic neurons did not further exacerbate the respiratory suppression induced by propofol or morphine.Under sevoflurane anesthesia,painful stimuli rapidly increased the RF,which was not affected by NALCN knockdown in PBL glutamatergic neurons.This study suggested that the NALCN is a key ion channel in PBL glutamatergic neurons that maintains respiratory frequency under volatile anesthetic sevoflurane but not intravenous anesthetic propofol. 展开更多
关键词 Glutamatergic neurons Lateral parabrachial nucleus nalcn RESPIRATION General anesthesia
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