%0期刊论文%A利维Marilyne%A Eyries,梅拉妮%A Szezepanski,伊莎贝尔%A Ladouceur,马加莉%A Nadaud,柔%A阀盖,达明%A Soubrier,Florent的%T遗传与肺儿童的队列分析高血压%d 2016%R 10.1183 / 13993003.00211-2016%Ĵ欧洲呼吸杂志%P 1118年至1126年%V 48%N 4%X的种系突变的儿科肺动脉高压(PH)患病记录不当。本研究的目的是确定在儿科队列在PH基因突变频率和描述突变carriers.The研究的临床特征涉及66指数例PH:35名儿童特发性肺动脉高压(IPAH);五个孩子与家族性PAH(FPAH);三个孩子与肺静脉闭塞性疾病(PVOD);而在23名儿童与APAH-CHD发现23名儿童有PAH与先天性心脏疾病(APAH-CHD)相关。无突变。在40名儿童IPAH或FPAH中,发现12个突变:五张BMPR2;四国ACVRL1;三上TBX4。在这三个PVOD情况下,两个携带EIF2AK4突变。 Mutation carriers had a more severe disease at diagnosis and more aggressive first-line therapy was required. The three patients with PVOD had a very severe disease at diagnosis and required a lung transplantation.The genetic architecture of paediatric PAH is enriched in ACVRL1 and TBX4 mutations compared to adult PAH, but further studies are required to confirm these results. Childhood-onset PAH in children carrying a mutation in one of the genes tested has a more severe presentation at diagnosis but a similar outcome to that observed in non-carriers.Paediatric pulmonary hypertension has a specific genetic architecture http://ow.ly/54yP301hCQi %U //www.qdcxjkg.com/content/erj/48/4/1118.full.pdf