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Neural crest derivatives in ocular development: Discerning the eye of the storm 眼发育中的神经嵴衍生物:辨别风暴眼
Q Medicine Pub Date : 2015-06-04 DOI: 10.1002/bdrc.21095
Antionette L. Williams, Brenda L. Bohnsack

Neural crest cells (NCCs) are vertebrate-specific transient, multipotent, migratory stem cells that play a crucial role in many aspects of embryonic development. These cells emerge from the dorsal neural tube and subsequently migrate to different regions of the body, contributing to the formation of diverse cell lineages and structures, including much of the peripheral nervous system, craniofacial skeleton, smooth muscle, skin pigmentation, and multiple ocular and periocular structures. Indeed, abnormalities in neural crest development cause craniofacial defects and ocular anomalies, such as Axenfeld-Rieger syndrome and primary congenital glaucoma. Thus, understanding the molecular regulation of neural crest development is important to enhance our knowledge of the basis for congenital eye diseases, reflecting the contributions of these progenitors to multiple cell lineages. Particularly, understanding the underpinnings of neural crest formation will help to discern the complexities of eye development, as these NCCs are involved in every aspect of this process. In this review, we summarize the role of ocular NCCs in eye development, particularly focusing on congenital eye diseases associated with anterior segment defects and the interplay between three prominent molecules, PITX2, CYP1B1, and retinoic acid, which act in concert to specify a population of neural crest-derived mesenchymal progenitors for migration and differentiation, to give rise to distinct anterior segment tissues. We also describe recent findings implicating this stem cell population in ocular coloboma formation, and introduce recent evidence suggesting the involvement of NCCs in optic fissure closure and vascular development. Birth Defects Research (Part C) 105:87–95, 2015. © 2015 Wiley Periodicals, Inc.

神经嵴细胞(NCCs)是脊椎动物特异性的瞬时、多能、迁移干细胞,在胚胎发育的许多方面起着至关重要的作用。这些细胞来自背神经管,随后迁移到身体的不同区域,促进不同细胞系和结构的形成,包括大部分周围神经系统、颅面骨骼、平滑肌、皮肤色素沉着以及多种眼和眼周结构。事实上,神经嵴发育异常会导致颅面缺损和眼部异常,如Axenfeld-Rieger综合征和原发性先天性青光眼。因此,了解神经嵴发育的分子调控对于增强我们对先天性眼病基础的认识非常重要,反映了这些祖细胞对多细胞系的贡献。特别是,了解神经嵴形成的基础将有助于辨别眼睛发育的复杂性,因为这些ncc参与了这一过程的各个方面。在这篇综述中,我们总结了眼部ncc在眼睛发育中的作用,特别关注与前段缺陷相关的先天性眼病,以及三个突出分子PITX2、CYP1B1和视黄酸之间的相互作用,这三个分子协同作用,指定了一群神经嵴源性间充质祖细胞的迁移和分化,从而产生不同的前段组织。我们还描述了最近的研究结果,暗示这种干细胞群与眼结肠瘤的形成有关,并介绍了最近的证据表明NCCs参与视神经裂隙闭合和血管发育。出生缺陷研究(C辑)105:87-95,2015。©2015 Wiley期刊公司
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引用次数: 104
Conserved genetic pathways associated with microphthalmia, anophthalmia, and coloboma 与小眼、眼失和结肠瘤相关的保守遗传途径
Q Medicine Pub Date : 2015-06-03 DOI: 10.1002/bdrc.21097
Linda M. Reis, Elena V. Semina

The human eye is a complex organ whose development requires extraordinary coordination of developmental processes. The conservation of ocular developmental steps in vertebrates suggests possible common genetic mechanisms. Genetic diseases involving the eye represent a leading cause of blindness in children and adults. During the last decades, there has been an exponential increase in genetic studies of ocular disorders. In this review, we summarize current success in identification of genes responsible for microphthalmia, anophthalmia, and coloboma (MAC) phenotypes, which are associated with early defects in embryonic eye development. Studies in animal models for the orthologous genes identified overlapping phenotypes for most factors, confirming the conservation of their function in vertebrate development. These animal models allow for further investigation of the mechanisms of MAC, integration of various identified genes into common developmental pathways and finally, provide an avenue for the development and testing of therapeutic interventions. Birth Defects Research (Part C) 105:96–113, 2015. © 2015 Wiley Periodicals, Inc.

人眼是一个复杂的器官,它的发育需要非常协调的发育过程。脊椎动物眼睛发育步骤的保存表明可能存在共同的遗传机制。涉及眼睛的遗传疾病是儿童和成人失明的主要原因。在过去的几十年里,眼部疾病的遗传研究呈指数级增长。在这篇综述中,我们总结了目前在鉴定与胚胎眼发育早期缺陷相关的小眼症、无眼症和结肠瘤(MAC)表型相关的基因方面取得的成功。在动物模型中对同源基因的研究发现了大多数因子的重叠表型,证实了它们在脊椎动物发育中的功能守恒。这些动物模型允许进一步研究MAC的机制,将各种已识别的基因整合到共同的发育途径中,并最终为治疗干预措施的开发和测试提供途径。出生缺陷研究(C辑)105:96-113,2015。©2015 Wiley期刊公司
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引用次数: 60
Cystic fibrosis: A look into the future of prenatal screening and therapy 囊性纤维化:产前筛查和治疗的未来展望
Q Medicine Pub Date : 2015-03-26 DOI: 10.1002/bdrc.21091
Kevin Nishida, Zachary Smith, Dane Rana, Jereme Palmer, G. Ian Gallicano

Despite recent guidelines suggesting prenatal screening for carriers of cystic fibrosis (CF) mutations, many physicians do not offer patients this service or even counseling. Some argue that the risks of miscarriage associated with prenatal diagnostic techniques outweigh the benefit of added insight, but with the advent of newer, noninvasive techniques, risks of miscarriage may be significantly lowered. Prenatal diagnosis provides parents the time to prepare for raising a child with CF, and soon, could provide treatment options in utero that could improve quality of life. Here, we describe two of the most promising gene therapy approaches: lentivirus and adenoassociated virus (AAV)-mediated gene transduction. Thus, prenatal detection and treatment is in a most crucial stage for care of patients with CF. Birth Defects Research (Part C) 105:73–80, 2015. © 2015 Wiley Periodicals, Inc.

尽管最近的指南建议产前筛查囊性纤维化(CF)突变携带者,但许多医生不向患者提供这项服务,甚至不提供咨询。一些人认为产前诊断技术带来的流产风险超过了增加洞察的好处,但随着更新的、无创的技术的出现,流产的风险可能会显著降低。产前诊断为父母提供了时间来准备抚养患有CF的孩子,并且很快可以提供子宫内治疗选择,从而提高生活质量。在这里,我们描述了两种最有前途的基因治疗方法:慢病毒和腺相关病毒(AAV)介导的基因转导。因此,产前检测和治疗是CF患者护理中最关键的阶段。出生缺陷研究(C部分)105:73 - 80,2015。©2015 Wiley期刊公司
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引用次数: 7
Serial block face-scanning electron microscopy: A tool for studying embryonic development at the cell–matrix interface 连续块面扫描电子显微镜:在细胞-基质界面研究胚胎发育的工具
Q Medicine Pub Date : 2015-03-26 DOI: 10.1002/bdrc.21087
Tobias Starborg, Karl E. Kadler

Studies of gene regulation, signaling pathways, and stem cell biology are contributing greatly to our understanding of early embryonic vertebrate development. However, much less is known about the events during the latter half of embryonic development, when tissues comprising mostly extracellular matrix (ECM) are formed. The matrix extends far beyond the boundaries of individual cells and is refractory to study by conventional biochemical and molecular techniques; thus major gaps exist in our knowledge of the formation and three-dimensional (3D) organization of the dense tissues that form the bulk of adult vertebrates. Serial block face-scanning electron microscopy (SBF-SEM) has the ability to image volumes of tissue containing numerous cells at a resolution sufficient to study the organization of the ECM. Furthermore, whereas light microscopy was once relatively straightforward and electron microscopy was performed in specialist laboratories, the tables are turned; SBF-SEM is relatively straightforward and is becoming routine in high-end resolution studies of embryonic structures in vivo. In this review, we discuss the emergence of SBF-SEM as a tool for studying embryonic vertebrate development. Birth Defects Research (Part C) 105:9–18, 2015. © 2015 Wiley Periodicals, Inc.

基因调控、信号通路和干细胞生物学的研究对我们对早期胚胎脊椎动物发育的理解做出了巨大贡献。然而,在胚胎发育的后半段,当组织主要由细胞外基质(ECM)组成时,对这些事件知之甚少。这种基质远远超出了单个细胞的界限,难以用常规的生化和分子技术进行研究;因此,我们对构成大部分成年脊椎动物的致密组织的形成和三维(3D)组织的知识存在重大空白。连续块面扫描电子显微镜(SBF-SEM)能够以足够的分辨率对含有大量细胞的组织进行成像,以研究ECM的组织结构。此外,尽管光学显微镜曾经相对简单,电子显微镜在专业实验室进行,但情况已经发生了变化;SBF-SEM相对简单,并且正在成为体内胚胎结构高分辨率研究的常规方法。在这篇综述中,我们讨论了SBF-SEM作为研究胚胎脊椎动物发育的工具的出现。出生缺陷研究(C辑)105:9-18,2015。©2015 Wiley期刊公司
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引用次数: 25
Development by three-dimensional approaches and four-dimensional imaging: To the knowledge frontier and beyond 发展的三维方法和四维成像:知识前沿和超越
Q Medicine Pub Date : 2015-03-19 DOI: 10.1002/bdrc.21089
Katia Carneiro, Jose M. de Brito, Maria I. D. Rossi

Many advances have been taken on elucidating embryonic development and tissue homeostasis and repair by the use of experimental strategies that preserve the three-dimensional (3D) organization and allow quantitative analysis of images over time (four-dimensional). Ranging from the understanding about the relationship between blastomeres and the events that take place during gastrulation by the use of time-lapse imaging through 3D cultures that mimic organogenesis, the advances in this area are of critical value. The studies on embryonic development without disrupting the original architecture and the development of 3D organoid cultures pave a new avenue for unprecedented experimental advances that will positively impact the emergence of new treatments applying regenerative principles for both tissue repair and organ transplant. Birth Defects Research (Part C) 105:1–8, 2015. © 2015 Wiley Periodicals, Inc.

在阐明胚胎发育和组织稳态和修复方面已经取得了许多进展,通过使用实验策略来保持三维(3D)组织,并允许随时间(四维)对图像进行定量分析。从了解卵裂球和原肠胚形成过程中发生的事件之间的关系,通过使用延时成像技术通过模拟器官发生的3D培养,这一领域的进展具有关键价值。在不破坏原始结构的情况下对胚胎发育的研究和3D类器官培养的发展为前所未有的实验进展铺平了新的道路,这将对应用再生原理进行组织修复和器官移植的新疗法的出现产生积极影响。出生缺陷研究(C辑)(5):1 - 8,2015。©2015 Wiley期刊公司
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引用次数: 4
Evaluation of the association of zoonotic Ljungan virus with perinatal deaths and fetal malformation 评估人畜共患龙岗病毒与围产期死亡和胎儿畸形的关系
Q Medicine Pub Date : 2015-03-19 DOI: 10.1002/bdrc.21093
Lili Zheng, Fang Wang, Jing Huang, Hong Xin

More and more epidemiologic and experimental data support the notion that Ljungan virus (LV), originally isolated from some rodent populations in Sweden, Denmark, and the United States, plays an important role in stillbirth and fetal malformation. Mouse dams infected with LV may result in uterine resorption and perinatal deaths that may cross generations, and their offspring may suffer high rates of malformations including cranial, brain, and limb malformations. In humans, researches founded that LV infection is related to malformation, intrauterine fetal death, and even central nervous system malformation. Although molecularly characterized, little is known about the biophysical nature of LV. Consequently, the role of LV infections in sudden infant death syndrome is still confusing, and the mechanism of how LV infections cause diseases is not clear. More research is clearly necessary to explore the mechanisms of LV infection in human and animal diseases to bring improvement to the clinical outcomes. Birth Defects Research (Part C) 105:81–85, 2015. © 2015 Wiley Periodicals, Inc.

越来越多的流行病学和实验数据支持这样一种观点,即最初从瑞典、丹麦和美国的一些啮齿动物种群中分离出来的Ljungan病毒(LV)在死产和胎儿畸形中起重要作用。感染LV的小鼠可能会导致子宫吸收和围产期死亡,这种情况可能会代代相传,它们的后代可能会出现高发生率的畸形,包括颅、脑和肢体畸形。在人类中,研究发现LV感染与畸形、宫内胎儿死亡甚至中枢神经系统畸形有关。虽然具有分子特征,但对LV的生物物理性质知之甚少。因此,左室感染在婴儿猝死综合征中的作用尚不清楚,左室感染致病的机制尚不清楚。显然需要更多的研究来探索人类和动物疾病中左室感染的机制,以改善临床结果。出生缺陷研究(C辑)105:81-85,2015。©2015 Wiley期刊公司
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引用次数: 5
Dynamic 3D culture: Models of chondrogenesis and endochondral ossification 动态三维培养:软骨形成和软骨内成骨模型
Q Medicine Pub Date : 2015-03-16 DOI: 10.1002/bdrc.21088
Nicola C. Foster, James R. Henstock, Yvonne Reinwald, Alicia J. El Haj

The formation of cartilage from stem cells during development is a complex process which is regulated by both local growth factors and biomechanical cues, and results in the differentiation of chondrocytes into a range of subtypes in specific regions of the tissue. In fetal development cartilage also acts as a precursor scaffold for many bones, and mineralization of this cartilaginous bone precursor occurs through the process of endochondral ossification. In the endochondral formation of bones during fetal development the interplay between cell signalling, growth factors, and biomechanics regulates the formation of load bearing bone, in addition to the joint capsule containing articular cartilage and synovium, generating complex, functional joints from a single precursor anlagen. These joint tissues are subsequently prone to degeneration in adult life and have poor regenerative capabilities, and so understanding how they are created during development may provide useful insights into therapies for diseases, such as osteoarthritis, and restoring bone and cartilage lost in adulthood. Of particular interest is how these tissues regenerate in the mechanically dynamic environment of a living joint, and so experiments performed using 3D models of cartilage development and endochondral ossification are proving insightful. In this review, we discuss some of the interesting models of cartilage development, such as the chick femur which can be observed in ovo, or isolated at a specific developmental stage and cultured organotypically in vitro. Biomaterial and hydrogel-based strategies which have emerged from regenerative medicine are also covered, allowing researchers to make informed choices on the characteristics of the materials used for both original research and clinical translation. In all of these models, we illustrate the essential importance of mechanical forces and mechanotransduction as a regulator of cell behavior and ultimate structural function in cartilage. Birth Defects Research (Part C) 105:19–33, 2015. © 2015 Wiley Periodicals, Inc.

干细胞在发育过程中形成软骨是一个复杂的过程,受局部生长因子和生物力学因素的调节,导致软骨细胞在组织的特定区域分化成一系列亚型。在胎儿发育过程中,软骨也作为许多骨骼的前体支架,这种软骨骨前体的矿化发生在软骨内成骨过程中。在胎儿发育期间的骨软骨内形成过程中,细胞信号传导、生长因子和生物力学之间的相互作用调节了承重骨的形成,以及包含关节软骨和滑膜的关节囊,由单一的前体胶原生成复杂的功能性关节。这些关节组织在成年后容易退化,再生能力差,因此了解它们在发育过程中是如何形成的,可能会为骨关节炎等疾病的治疗提供有用的见解,并有助于恢复成年后失去的骨和软骨。特别感兴趣的是这些组织如何在活关节的机械动态环境中再生,因此使用软骨发育和软骨内成骨的3D模型进行的实验证明是有见地的。在这篇综述中,我们讨论了一些有趣的软骨发育模型,如鸡股骨,它们可以在蛋中观察到,或者在特定的发育阶段分离出来并在体外培养。再生医学中出现的生物材料和基于水凝胶的策略也被涵盖,允许研究人员对用于原始研究和临床翻译的材料的特征做出明智的选择。在所有这些模型中,我们说明了机械力和机械转导作为软骨细胞行为和最终结构功能调节器的重要性。出生缺陷研究(C辑)105:19-33,2015。©2015 Wiley期刊公司
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引用次数: 31
Effect of maternal diabetes on the embryo, fetus, and children: Congenital anomalies, genetic and epigenetic changes and developmental outcomes 母体糖尿病对胚胎、胎儿和儿童的影响:先天性异常、遗传和表观遗传改变和发育结局
Q Medicine Pub Date : 2015-03-16 DOI: 10.1002/bdrc.21090
Asher Ornoy, E. Albert Reece, Gabriela Pavlinkova, Claudia Kappen, Richard Kermit Miller

Introduction

Pregestational and gestational diabetes mellitus (PGDM; GDM) are significant health concerns because they are associated with an increased rate of malformations and maternal health complications.

Methods

We reviewed the data that help us to understand the effects of diabetes in pregnancy.

Results

Diabetic embryopathy can affect any developing organ system, but cardiovascular and neural tube defects are among the most frequent anomalies. Other complications include preeclampsia, preterm delivery, fetal growth abnormalities, and perinatal mortality. Neurodevelopmental studies on offspring of mothers with diabetes demonstrated increased rate of Gross and Fine motor abnormalities, of Attention Deficit Hyperactivity Disorder, learning difficulties, and possibly also Autism Spectrum Disorder. The mechanisms underlying the effects of maternal hyperglycemia on the developing fetus may involve increased oxidative stress, hypoxia, apoptosis, and epigenetic changes. Evidence for epigenetic changes are the following: not all progeny are affected and not to the same extent; maternal diet may influence pregnancy outcomes; and maternal diabetes alters embryonic transcriptional profiles and increases the variation between transcriptomic profiles as a result of altered gene regulation. Research in animal models has revealed that maternal hyperglycemia is a teratogen, and has helped uncover potential therapeutic targets which, when blocked, can mitigate or ameliorate the negative effects of diabetes on the developing fetus.

Conclusions

Tight metabolic control, surveillance, and labor management remain the cornerstone of care for pregnant women with diabetes, but advances in the field indicate that new treatments to protect the mother and baby are not far from becoming clinical realities. Birth Defects Research (Part C) 105:53–72, 2015. © 2015 Wiley Periodicals, Inc.

妊娠期糖尿病(PGDM);妊娠期糖尿病(GDM)是严重的健康问题,因为它们与畸形和孕产妇健康并发症的发生率增加有关。方法我们回顾了有助于我们了解糖尿病对妊娠的影响的数据。结果糖尿病胚胎病可影响任何发育中的器官系统,但心血管和神经管缺陷是最常见的异常。其他并发症包括先兆子痫、早产、胎儿生长异常和围产期死亡率。对患有糖尿病的母亲的后代进行的神经发育研究表明,粗大和精细运动异常、注意缺陷多动障碍、学习困难以及可能的自闭症谱系障碍的发生率增加。母体高血糖对发育中的胎儿影响的潜在机制可能涉及氧化应激、缺氧、细胞凋亡和表观遗传改变的增加。表观遗传变化的证据如下:并不是所有的后代都受到影响,而且影响程度不同;产妇饮食可能影响妊娠结局;母体糖尿病改变了胚胎的转录谱,并增加了转录组谱之间的差异,这是基因调控改变的结果。动物模型研究表明,母体高血糖是一种致畸原,并有助于发现潜在的治疗靶点,当阻断这些靶点时,可以减轻或改善糖尿病对发育中的胎儿的负面影响。结论严格的代谢控制、监测和分娩管理仍然是妊娠糖尿病患者护理的基石,但该领域的进展表明,保护母亲和婴儿的新疗法离临床现实不远了。出生缺陷研究(C辑)105:53-72,2015。©2015 Wiley期刊公司
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引用次数: 210
The osteochondral interface as a gradient tissue: From development to the fabrication of gradient scaffolds for regenerative medicine 作为梯度组织的骨软骨界面:从再生医学梯度支架的发展到制造
Q Medicine Pub Date : 2015-03-16 DOI: 10.1002/bdrc.21092
Andrea Di Luca, Clemens Van Blitterswijk, Lorenzo Moroni

The osteochondral (OC) interface is not only the interface between two tissues, but also the evolution of hard and stiff bone tissue to the softer and viscoelastic articular cartilage covering the joint surface. To generate a smooth transition between two tissues with such differences in many of their characteristics, several gradients are recognizable when moving from the bone side to the joint surface. It is, therefore, necessary to implement such gradients in the design of scaffolds to regenerate the OC interface, so to mimic the anatomical, biological, and physicochemical properties of bone and cartilage as closely as possible. In the past years, several scaffolds were developed for OC regeneration: biphasic, triphasic, and multilayered scaffolds were used to mimic the compartmental nature of this tissue. The structure of these scaffolds presented gradients in mechanical, physicochemical, or biological properties. The use of gradient scaffolds with already differentiated or progenitor cells has been recently proposed. Some of these approaches have also been translated in clinical trials, yet without the expected satisfactory results, thus suggesting that further efforts in the development of constructs, which can lead to a functional regeneration of the OC interface by presenting gradients more closely resembling its native environment, will be needed in the near future. The aim of this review is to analyze the gradients present in the OC interface from the early stage of embryonic life up to the adult organism, and give an overview of the studies, which involved gradient scaffolds for its regeneration. Birth Defects Research (Part C) 105:34–52, 2015. © 2015 Wiley Periodicals, Inc.

骨软骨(OC)界面不仅是两个组织之间的界面,也是坚硬的骨组织向覆盖关节表面的柔软粘弹性关节软骨的演变过程。为了在两个具有许多不同特征的组织之间产生平滑过渡,从骨骼一侧移动到关节表面时可以识别出几个梯度。因此,有必要在支架的设计中实现这种梯度来再生OC界面,从而尽可能地模拟骨和软骨的解剖、生物和物理化学性质。在过去的几年里,几种支架被开发用于OC再生:双相、三相和多层支架被用来模拟这种组织的区室性质。这些支架的结构呈现出机械、物理化学或生物特性的梯度。最近提出使用已分化或祖细胞的梯度支架。这些方法中的一些也已经在临床试验中得到了转化,但没有预期的令人满意的结果,因此表明在不久的将来,需要进一步努力开发结构,通过呈现更接近其原生环境的梯度来导致OC界面的功能再生。本文的目的是分析从胚胎早期到成年生物OC界面中存在的梯度,并对其再生的梯度支架的研究进行综述。出生缺陷研究(C辑)105:34-52,2015。©2015 Wiley期刊公司
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引用次数: 105
Genetic and nongenetic etiology of nonsyndromic anorectal malformations: A systematic review 非综合征性肛肠畸形的遗传和非遗传病因:系统综述
Q Medicine Pub Date : 2014-12-26 DOI: 10.1002/bdrc.21068
Charlotte H. W. Wijers, Iris A. L. M. van Rooij, Carlo L. M. Marcelis, Han G. Brunner, Ivo de Blaauw, Nel Roeleveld

Congenital anorectal malformations (ARMs) are one of the most frequently observed birth defects of the digestive system. However, their etiology remains elusive. Therefore, we aim to summarize and critically appraise all existing literature on the genetic and nongenetic etiology of nonsyndromic ARM and to conclude with unifying hypotheses and directions for future research. A structured literature search on English language human studies was conducted in PubMed and Embase up to October 1, 2013, resulting in 112 included articles. Research on the identification of genes underlying nonsyndromic ARM is remarkably scarce. Most studies were focused on screening of candidate genes for mutations or single-nucleotide polymorphisms, which did not yield any substantial evidence. Nongenetic factors fairly consistently found to be associated with ARM are assisted reproductive techniques, multiple pregnancy, preterm delivery, low birth weight, maternal overweight or obesity, and preexisting diabetes. This review provides indications for the involvement of both genes and nongenetic risk factors in the etiology of ARM. In future studies, large cohorts of patients with ARM from national and international collaborations are needed to acquire new hypotheses and knowledge through hypothesis-generating approaches. Challenges for future studies may also lie in the investigation of gene–gene and gene–environment interactions. Birth Defects Research (Part C) 102:382–400, 2014. © 2014 Wiley Periodicals, Inc.

先天性肛肠畸形(ARMs)是最常见的消化系统出生缺陷之一。然而,它们的病因仍然难以捉摸。因此,我们的目标是总结和批判性评价所有关于非综合征性ARM的遗传和非遗传病因的现有文献,并得出统一的假设和未来的研究方向。在PubMed和Embase中对英语人类研究进行结构化文献检索,截至2013年10月1日,共纳入112篇文章。对非综合征性ARM的基因鉴定的研究非常少。大多数研究都集中在候选基因突变或单核苷酸多态性的筛选上,没有产生任何实质性的证据。与ARM相关的非遗传因素有辅助生殖技术、多胎妊娠、早产、低出生体重、母亲超重或肥胖以及既往糖尿病。这篇综述提供了基因和非遗传危险因素在ARM病因学中的作用。在未来的研究中,需要来自国家和国际合作的大量ARM患者队列,通过假设生成方法获得新的假设和知识。未来研究的挑战还可能在于基因-基因和基因-环境相互作用的研究。出生缺陷研究(C辑)(2):382 - 394,2014。©2014 Wiley期刊公司
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引用次数: 57
期刊
Birth Defects Research Part C-Embryo Today-Reviews
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