developmental disorder

发育障碍
  • 文章类型: Journal Article
    感知生物运动(BM)对于人类生存和社会交往至关重要。许多研究报道了自闭症谱系障碍的BM感知受损,其特点是社会互动不足。患有注意力缺陷多动障碍(ADHD)的儿童通常在社交互动中表现出类似的困难。然而,很少有研究调查患有ADHD的儿童的BM感知。这里,我们比较了处理局部运动学和全局构型线索的能力差异,BM感知的两个基本能力,在典型的发展和多动症儿童之间。我们进一步调查了使用社会反应量表测量的BM感知和社交互动技能之间的关系,并检查了潜在因素的贡献(例如性别,年龄,注意,和智力)到BM感知。结果显示,患有ADHD的儿童表现出非典型的BM感知。局部和全局BM处理显示出明显的特征。本地BM处理能力与社交互动技能有关,而全球BM加工能力随着年龄的增长而显著提高。严重的,ADHD儿童的一般BM感知(即局部和全局BM处理)可能受到持续注意能力的影响。这种关系主要是由推理智力介导的。这些发现阐明了ADHD中非典型的BM感知以及与BM感知相关的潜在因素。此外,这项研究提供了新的证据,表明BM感知是社会认知的标志,并促进了我们对局部和全局处理在BM感知和社会认知障碍中的潜在作用的理解.
    Perceiving biological motion (BM) is crucial for human survival and social interaction. Many studies have reported impaired BM perception in autism spectrum disorder, which is characterised by deficits in social interaction. Children with attention deficit hyperactivity disorder (ADHD) often exhibit similar difficulties in social interaction. However, few studies have investigated BM perception in children with ADHD. Here, we compared differences in the ability to process local kinematic and global configurational cues, two fundamental abilities of BM perception, between typically developing and ADHD children. We further investigated the relationship between BM perception and social interaction skills measured using the Social Responsiveness Scale and examined the contributions of latent factors (e.g. sex, age, attention, and intelligence) to BM perception. The results revealed that children with ADHD exhibited atypical BM perception. Local and global BM processing showed distinct features. Local BM processing ability was related to social interaction skills, whereas global BM processing ability significantly improved with age. Critically, general BM perception (i.e. both local and global BM processing) may be affected by sustained attentional ability in children with ADHD. This relationship was primarily mediated by reasoning intelligence. These findings elucidate atypical BM perception in ADHD and the latent factors related to BM perception. Moreover, this study provides new evidence that BM perception is a hallmark of social cognition and advances our understanding of the potential roles of local and global processing in BM perception and social cognitive disorders.
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  • 文章类型: Journal Article
    随着从头突变(DNM)对人类遗传疾病的贡献逐渐被发现,分析过去20年的全球研究格局至关重要。由于该领域出版物数量庞大且迅速增加,了解目前人类基因组中DNM对遗传疾病的贡献仍然是一个挑战。文献计量分析提供了一种使用特定领域已发布记录中的信息可视化这些研究的方法。本研究旨在说明目前全球DNM相关遗传病领域的研究现状和趋势。使用基于R语言版本4.1.3和CiteSpace版本6.1的Bibliometrix软件包进行文献计量分析。用于2000年至2021年出版物的R2软件,于2022年9月17日在WebofScienceCoreCollection(WoSCC)中对DNM潜在遗传疾病进行索引。我们确定了3435条记录,由来自66个国家的6052个研究所的26538名作者在731种期刊上发表。自2013年以来,出版物数量呈上升趋势。美国,中国,德国贡献了其中的大部分记录。华盛顿大学,哥伦比亚大学,贝勒医学院是一流的生产机构。华盛顿大学的EvanEEichler,耶鲁大学医学院的StephanJSanders,墨尔本大学的IngridEScheffer是排名最高的作者。关键词共现分析表明DNM在神经发育障碍和智力障碍中的应用是研究热点和趋势。总之,我们的数据表明DNM对人类遗传疾病有显著影响,在过去的5年里,年度出版物明显增加。此外,潜在的热点正在转向理解在患者中观察到的新发现或低频DNM的致病作用和临床解释。
    As the contribution of de novo mutations (DNMs) to human genetic diseases has been gradually uncovered, analyzing the global research landscape over the past 20 years is essential. Because of the large and rapidly increasing number of publications in this field, understanding the current landscape of the contribution of DNMs in the human genome to genetic diseases remains a challenge. Bibliometric analysis provides an approach for visualizing these studies using information in published records in a specific field. This study aimed to illustrate the current global research status and explore trends in the field of DNMs underlying genetic diseases. Bibliometric analyses were performed using the Bibliometrix Package based on the R language version 4.1.3 and CiteSpace version 6.1.R2 software for publications from 2000 to 2021 indexed under the Web of Science Core Collection (WoSCC) about DNMs underlying genetic diseases on 17 September 2022. We identified 3435 records, which were published in 731 journals by 26,538 authors from 6052 institutes in 66 countries. There was an upward trend in the number of publications since 2013. The USA, China, and Germany contributed the majority of the records included. The University of Washington, Columbia University, and Baylor College of Medicine were the top-producing institutions. Evan E Eichler of the University of Washington, Stephan J Sanders of the Yale University School of Medicine, and Ingrid E Scheffer of the University of Melbourne were the most high-ranked authors. Keyword co-occurrence analysis suggested that DNMs in neurodevelopmental disorders and intellectual disabilities were research hotspots and trends. In conclusion, our data show that DNMs have a significant effect on human genetic diseases, with a noticeable increase in annual publications over the last 5 years. Furthermore, potential hotspots are shifting toward understanding the causative role and clinical interpretation of newly identified or low-frequency DNMs observed in patients.
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  • 文章类型: Journal Article
    TRAK1基因定位于染色体3p22.1并编码结合1的运输蛋白驱动蛋白。这项研究的目的是调查TRAK1相关癫痫的基因型表型。
    对98例病因不明的癫痫患者进行了基于Trio的全外显子组测序。蛋白质建模和VarCards数据库用于预测变体的损伤效应。分析了所有具有TRAK1变异的癫痫患者的详细神经系统表型,以评估基因型-表型相关性。
    一种新的TRAK1化合物杂合变体,包含变体c.835C>T,p.Arg279Cys和变体c.2560A>C,在一名儿科患者中鉴定出p.Lys854Gln。蛋白质建模和VarCards数据库分析显示,这些变体具有破坏性。该患者诊断为早期婴儿癫痫性痉挛伴发育障碍;通过丙戊酸盐和促肾上腺皮质激素治疗,他无癫痫发作。12例癫痫患者中6种变异的进一步结果表明双等位基因TRAK1变异(包括纯合或复合杂合变异)与癫痫伴发育障碍相关。在这些患者中,8例(67%)患者出现癫痫性痉挛,7例(58%)患者难以服用抗癫痫药物.此外,8例患者出现难治性癫痫持续状态,其中7人(88%)早年死亡。据我们所知,这是首例报道的由TRAK1复合杂合子变异体引起的癫痫病例.
    双等位基因TRAK1变体可引起癫痫和发育障碍。在这些患者中,癫痫发作进展为癫痫持续状态,提示不良结局的高风险和早期治疗的要求。
    UNASSIGNED: The TRAK1 gene is mapped to chromosome 3p22.1 and encodes trafficking protein kinesin binding 1. The aim of this study was to investigate the genotype-phenotype of TRAK1-associated epilepsy.
    UNASSIGNED: Trio-based whole-exome sequencing was performed on a cohort of 98 patients with epilepsy of unknown etiologies. Protein modeling and the VarCards database were used to predict the damaging effects of the variants. Detailed neurological phenotypes of all patients with epilepsy having TRAK1 variants were analyzed to assess the genotype-phenotype correlations.
    UNASSIGNED: A novel TRAK1 compound heterozygous variant comprising variant c.835C > T, p.Arg279Cys and variant c.2560A > C, p.Lys854Gln was identified in one pediatric patient. Protein modeling and VarCards database analyses revealed that the variants were damaging. The patient received a diagnosis of early infantile epileptic spasms with a developmental disorder; he became seizure-free through valproate and adrenocorticotropic hormone treatment. Further results for six variants in 12 patients with epilepsy indicated that biallelic TRAK1 variants (including homozygous or compound heterozygous variants) were associated with epilepsy with developmental disorders. Among these patients, eight (67%) had epileptic spasms and seven (58%) were intractable to anti-seizure medicines. Moreover, eight patients experienced refractory status epilepticus, of which seven (88%) died in early life. To our knowledge, this is the first reported case of epilepsy caused by TRAK1 compound heterozygous variants.
    UNASSIGNED: Biallelic TRAK1 variants can cause epilepsy and developmental disorders. In these patients, seizures progress to status epilepticus, suggesting a high risk for poor outcomes and the requirement of early treatment.
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  • 文章类型: Journal Article
    21三体,或唐氏综合征(DS),是人类最常见的常染色体染色体非整倍性,导致多种发育障碍,尤其是个体的智力低下。另外的21号人类染色体(HSA21)的存在可以解释DS的病理表现。在这项研究中,我们分析了DS来源羊膜细胞与正常羊膜细胞相比的mRNA基因表达谱,旨在评估候选HSA21基因失调与DS发育表型之间的关系。差异表达基因(DEGs)包括1794个上调基因和1411个下调基因,主要参与细胞粘附,炎症,细胞增殖,因此可能在DS胎儿发育过程中诱导多发性发育不良中起重要作用。此外,STRING蛋白质网络研究表明,7个候选HSA21基因参与了基因本体论(GO)术语:细胞粘附和细胞外基质重塑(COL6A1,COL6A2,COL18A1,ADAMTS5,JAM2和POFUT2),炎症和病毒感染反应(MX1和MX2),组蛋白修饰和染色质重塑(NRIP1),甘油脂和甘油磷脂代谢(AGPAT3),线粒体功能(ATP5PF和ATP5PO),突触小泡内吞(ITSN1和SYNJ1)和淀粉样蛋白代谢(APP)。同时,GSEA富集鉴定了几种转录因子和miRNA,其可以靶向DS组中的基因表达。我们的研究建立了失调基因之间的联系,尤其是HSA21基因,和DS相关表型。多种途径和生物过程的改变可能导致DS发育障碍,为DS提供潜在的发病机制和治疗靶点。
    Trisomy 21, or Down syndrome (DS), is the most frequent human autosomal chromosome aneuploidy, which leads to multiple developmental disorders, especially mental retardation in individuals. The presence of an additional human chromosome 21 (HSA21) could account for the pathological manifestations in DS. In this study, we analyzed the mRNA gene expression profile of DS-derived amniocytes compared with normal amniocytes, aiming to evaluate the relationship between candidate dysregulated HSA21 genes and DS developmental phenotypes. Differentially expressed genes (DEGs) included 1794 upregulated genes and 1411 downregulated genes, which are mainly involved in cell adhesion, inflammation, cell proliferation and thus may play an important role in inducing multiple dysplasia during DS fetal development. Furthermore, STRING protein network studies demonstrated 7 candidate HSA21 genes participated Gene Ontology (GO) terms: cell adhesion and extracellular matrix remodeling (COL6A1, COL6A2, COL18A1, ADAMTS5, JAM2, and POFUT2), inflammation and virus infection response (MX1 and MX2), histone modification and chromatin remodeling (NRIP1), glycerolipid and glycerophospholipid metabolism (AGPAT3), mitochondrial function (ATP5PF and ATP5PO), synaptic vesicle endocytosis (ITSN1 and SYNJ1) and amyloid metabolism (APP). Meanwhile, GSEA enrichment identified several transcription factors and miRNAs, which may target gene expression in the DS group. Our study established connections between dysregulated genes, especially HSA21 genes, and DS-associated phenotypes. The alteration of multiple pathways and biological processes may contribute to DS developmental disorders, providing potential pathogenesis and therapeutic targets for DS.
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  • 文章类型: Journal Article
    六苯氧基环三磷腈(HPCTP),一种未注册的化学品,已被用作阻燃剂和增塑剂中磷酸三苯酯的替代品。这里,我们确定了它的代谢产物,暴露于HPCTP的日本medaka肝脏中的五苯基氧基环三磷腈(PPCTP)。当性成熟的雌性medaka暴露于37.0、90.4和465.4ng/L的HPCTP35天时,胚胎中的HPCTP浓度(642.1-2531.9ng/g脂质重量[lw])大大超过了母体肌肉中的浓度(34.7-298.1ng/glw),表明产妇转移显著。受精后0-9天,胚胎中HPCTP浓度持续下降,而PPCTP浓度升高。HPCTP和PPCTP以34.8和21.2μM的50%抑制浓度(IC50)拮抗视黄酸X受体,分别,和PPCTP也以2.79μM的IC50拮抗视黄酸受体。这种拮抗活性可能导致眼睛畸形(465.4ng/L时为4.7%),身体畸形(90.4ng/L时为2.1%,465.4ng/L时为6.8%),和胚胎的早期发育死亡率(所有暴露组的11.6-21.7%)。在长江流域的主要支流中检测到HPCTP。因此,HPCTP对野生鱼类种群构成风险,考虑到与这种化学物质及其代谢物相关的发育毒性。
    Hexaphenoxycyclotriphosphazene (HPCTP), an unregistered chemical, has been used as a substitute for triphenyl phosphate in flame retardants and plasticizers. Here, we identified its metabolite, pentaphenoxycyclotriphosphazene (PPCTP) in the liver of Japanese medaka exposed to HPCTP. When sexually mature female medaka were exposed to HPCTP at 37.0, 90.4, and 465.4 ng/L for 35 days, the HPCTP concentration (642.1-2531.9 ng/g lipid weight [lw]) in the embryos considerably exceeded that (34.7-298.1 ng/g lw) in the maternal muscle, indicating remarkable maternal transfer. During 0-9 days postfertilization, the HPCTP concentration in the embryos decreased continuously, while the PPCTP concentration increased. HPCTP and PPCTP antagonized the retinoic X receptor with 50% inhibitory concentrations (IC50) of 34.8 and 21.2 μM, respectively, and PPCTP also antagonized the retinoic acid receptor with IC50 of 2.79 μM. Such antagonistic activities may contribute to eye deformity (4.7% at 465.4 ng/L), body malformation (2.1% at 90.4 ng/L and 6.8% at 465.4 ng/L), and early developmental mortality (11.6-21.7% in all exposure groups) of the embryos. HPCTP was detected in a main tributary of the Yangtze River Basin. Thus, HPCTP poses a risk to wild fish populations, given the developmental toxicities associated with this chemical and its metabolite.
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  • 文章类型: Review
    通过液-液相分离(LLPS)形成的无膜细胞器(MLO)与许多重要的生物学功能有关,但是异常的相分离也会使生理过程失调。新的证据表明LLPS在人类健康和疾病中的重要性。然而,尽管最近取得了进展,我们对LLPS与疾病之间的分子关系的了解通常是不完整的。在这次审查中,我们概述了我们目前对异常LLPS如何影响发育障碍的理解,串联重复障碍,癌症和病毒感染。我们还研究了由异常冷凝物驱动的疾病机制,并强调潜在的治疗方法。本研究旨在通过提供一种有价值的新范式来理解相分离和人类疾病,从而扩大我们对LLPS的理解。以及进一步将我们目前关于LLPS的知识转化为治疗发现。
    Membrane-less organelles (MLOs) formed through liquid-liquid phase separation (LLPS) are associated with numerous important biological functions, but the abnormal phase separation will also dysregulate the physiological processes. Emerging evidence points to the importance of LLPS in human health and diseases. Nevertheless, despite recent advancements, our knowledge of the molecular relationship between LLPS and diseases is frequently incomplete. In this review, we outline our current understanding about how aberrant LLPS affects developmental disorders, tandem repeat disorders, cancers and viral infection. We also examine disease mechanisms driven by aberrant condensates, and highlight potential treatment approaches. This study seeks to expand our understanding of LLPS by providing a valuable new paradigm for understanding phase separation and human disorders, as well as to further translate our current knowledge regarding LLPS into therapeutic discoveries.
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  • 文章类型: Journal Article
    环状RNA(circularRNA,circRNA)是一种新发现的调控基因转录的非编码RNA,与RNA相关的蛋白质结合,并编码蛋白质微小RNA(miRNA)。诸如circRNAs的分子生物标志物的开发在临床疾病的诊断和预后中具有巨大的前景。重要的是,circRNA介导的母胎危险因素,包括环境(高海拔),母体(先兆子痫,吸烟,和绒毛膜羊膜炎),胎盘,和胎儿(早产和低出生体重)因素是早期起源,并可能有助于发育和小儿心肺疾病的发生和进展。尽管circRNAs在正常心肺发育和发育疾病中的研究刚刚开始,一些研究揭示了他们的表达方式。这里,我们概述了circRNAs的生物发生和生物学功能。此外,本综述旨在强调circRNAs在母胎危险因素中的重要性.同样,探讨了circRNAs在发育性和儿科肺部疾病中的潜在生物标志物和治疗靶标。
    Circular RNA (circRNA) is a newly discovered noncoding RNA that regulates gene transcription, binds to RNA-related proteins, and encodes protein microRNAs (miRNAs). The development of molecular biomarkers such as circRNAs holds great promise in the diagnosis and prognosis of clinical disorders. Importantly, circRNA-mediated maternal-fetus risk factors including environmental (high altitude), maternal (preeclampsia, smoking, and chorioamnionitis), placental, and fetal (preterm birth and low birth weight) factors are the early origins and likely to contribute to the occurrence and progression of developmental and pediatric cardiopulmonary disorders. Although studies of circRNAs in normal cardiopulmonary development and developmental diseases have just begun, some studies have revealed their expression patterns. Here, we provide an overview of circRNAs\' biogenesis and biological functions. Furthermore, this review aims to emphasize the importance of circRNAs in maternal-fetus risk factors. Likewise, the potential biomarker and therapeutic target of circRNAs in developmental and pediatric lung diseases are explored.
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  • 文章类型: Journal Article
    钙/钙调蛋白依赖性丝氨酸蛋白激酶基因(CASK)是哺乳动物的重要基因,对神经发育至关重要。这项研究的目的是扩大对CASK相关疾病的诊断的理解。
    从临床和基因突变分析,收集并分析2例中国汉族患者的相关数据。进行实时定量PCR(RT-qPCR)以研究患者的CASK表达水平。通过定量多态性人类雄激素受体(HUMARA)基因座的甲基化来测试患者及其核心家族的X染色体失活(XCI)模式。
    两名中国汉族患者均患有智力障碍(ID),小头畸形伴脑桥和小脑发育不全(MICPCH)。c.82C>T的两个从头突变(p。Arg28*)和c.846C>G(p。Tyr282*)中的CASK已被调查并预测为有害的,产生截短的蛋白质。STRING(http://string-db.org)的功能蛋白质关联网络基于CASK中的蛋白质序列生成了三维(3D)原子模型,并标记了两个Arg28和Tyr282残基。RT-qPCR显示患者的CASK表达拷贝数低于其父母,以及性别和年龄匹配的对照组。患者1显示出偏斜的XCI模式,而患者2无相关变化。
    携带不同无义变体的患者可具有不同程度的不同临床表型。这项研究扩展了汉族CASK连锁疾病的基因型和表型相关性谱,并为分子机制提供了新的见解。
    The calcium/calmodulin-dependent serine protein kinase gene (CASK) is an essential gene in mammals, critical for neurodevelopment. The purpose of this study is to expand the understanding of the diagnosis of CASK-linked disorders.
    From clinical and genetic mutational analyses, relevant data in 2 Han Chinese patients were collected and analyzed. Real-time quantitative PCR (RT-qPCR) was performed to investigate the CASK expression levels in the patients. The X-chromosome inactivation (XCI) patterns of the patients and their nuclear families were tested by quantitation of methylation of the polymorphic human androgen receptor (HUMARA) locus.
    Two Han Chinese patients both presented with intellectual disability (ID), microcephaly with pontine and cerebellar hypoplasia (MICPCH). Two de novo mutations of c.82C>T (p.Arg28*) and c.846C>G (p.Tyr282*) in CASK have been investigated and predicted to be deleterious, which have produced truncated proteins. The functional protein association network of STRING (http://string-db.org) generated three-dimensional (3D) atomic models based on protein sequences in CASK and two Arg28 and Tyr282 residues were marked. RT-qPCR showed lower copy numbers of CASK expression in the patients than in their parents, as well as the sex- and age- matched control groups. Patient 1 showed a skewed XCI pattern, while no related changes noted in patient 2.
    Patients carrying different nonsense variants may have different degrees of different clinical phenotypes. This study expands the spectrum of genotype and phenotype correlations of CASK-linked disorders in the Han Chinese ethnicity and provides new insights into the molecular mechanism.
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  • 文章类型: Journal Article
    对数以万计的亲本-先证者三重奏的外显子组测序已经鉴定出许多有害的从头突变(DNM)和涉及许多疾病的风险基因。最近的研究表明,共有的基因和途径在多种疾病中富含DNM。然而,现有的分析策略仅关注对多种疾病具有统计学意义的基因,并且在每项研究中需要大量的三重样本。因此,由于多源性和不完整的外显率,这些方法无法表征遗传共享的全部景观。在这项工作中,我们介绍EncoreDNM,一种新的统计框架,用于量化两种疾病之间的共同遗传效应,其特征是外显子组中DNM的一致富集。EncoreDNM利用全外显子组,汇总级DNM数据,包括在单一疾病分析中没有达到统计学意义的基因,评估两种疾病之间的总体和注释分区遗传共享。将EncoreDNM应用于九种疾病的DNM数据,我们确定了丰富的成对富集相关性,特别是对致病突变不耐受的基因和在胎儿组织中高表达的基因。这些结果表明,EncoreDNM改进了当前的分析方法,并可能在DNM研究中具有广泛的应用。
    Exome sequencing on tens of thousands of parent-proband trios has identified numerous deleterious de novo mutations (DNMs) and implicated risk genes for many disorders. Recent studies have suggested shared genes and pathways are enriched for DNMs across multiple disorders. However, existing analytic strategies only focus on genes that reach statistical significance for multiple disorders and require large trio samples in each study. As a result, these methods are not able to characterize the full landscape of genetic sharing due to polygenicity and incomplete penetrance. In this work, we introduce EncoreDNM, a novel statistical framework to quantify shared genetic effects between two disorders characterized by concordant enrichment of DNMs in the exome. EncoreDNM makes use of exome-wide, summary-level DNM data, including genes that do not reach statistical significance in single-disorder analysis, to evaluate the overall and annotation-partitioned genetic sharing between two disorders. Applying EncoreDNM to DNM data of nine disorders, we identified abundant pairwise enrichment correlations, especially in genes intolerant to pathogenic mutations and genes highly expressed in fetal tissues. These results suggest that EncoreDNM improves current analytic approaches and may have broad applications in DNM studies.
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  • 文章类型: Journal Article
    临床上,宫内缺氧是胎儿和新生儿围产期发病和发育可塑性的首要原因。在缺氧下,肺细胞表观基因组出现偏差。表观遗传机制(例如,DNA甲基化,组蛋白修饰,和miRNA表达)控制表型编程,并与生理反应和发育障碍的风险相关,如支气管肺发育不良。这种发育障碍是早产中最常见的慢性肺部并发症。本病的发病机制涉及多种因素,包括异常氧气条件和机械通气介导的肺损伤,感染/炎症,和表观遗传/遗传风险因素。本文就宫内缺氧和表观遗传编程在肺发育和疾病相关的各个方面进行综述。总结了我们目前对缺氧诱导的表观遗传编程的认识,并讨论了对肺部疾病的潜在治疗干预措施。
    Clinically, intrauterine hypoxia is the foremost cause of perinatal morbidity and developmental plasticity in the fetus and newborn infant. Under hypoxia, deviations occur in the lung cell epigenome. Epigenetic mechanisms (e.g., DNA methylation, histone modification, and miRNA expression) control phenotypic programming and are associated with physiological responses and the risk of developmental disorders, such as bronchopulmonary dysplasia. This developmental disorder is the most frequent chronic pulmonary complication in preterm labor. The pathogenesis of this disease involves many factors, including aberrant oxygen conditions and mechanical ventilation-mediated lung injury, infection/inflammation, and epigenetic/genetic risk factors. This review is focused on various aspects related to intrauterine hypoxia and epigenetic programming in lung development and disease, summarizes our current knowledge of hypoxia-induced epigenetic programming and discusses potential therapeutic interventions for lung disease.
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