临床儿科杂志 ›› 2016, Vol. 34 ›› Issue (12): 949-.doi: 10.3969/j.issn.1000-3606.2016.12.016

• 文献综述 • 上一篇    下一篇

Citrin 蛋白缺乏致新生儿肝内胆汁淤积症:更新的认识

刘晶莹, 苗静琨, 花媛媛, 刘辉娟, 马倩, 李春, 余加林 综述 陈启雄 审校   

  1. 重庆医科大学附属儿童医院新生儿科(重庆 400014)
  • 收稿日期:2016-12-15 出版日期:2016-12-15 发布日期:2016-12-15

Neonatal intrahepatic cholestasis caused by citrin deficiency: updated understanding

Reviewer: LIU Jingying, MIAO Jingkun, HUA Yuanyuan, LIU Huijuan, MA Qian, LI Chun, YU Jialin, Reviser: CHEN Qixiong   

  1. Department of Neonates, Children’s Hospital of Chongqing Medical University, Chongqing 400014 , China
  • Received:2016-12-15 Online:2016-12-15 Published:2016-12-15

摘要: Citrin蛋白缺乏所致新生儿肝内胆汁淤积症是由SLC25A13基因突变导致的常染色体隐性遗传病,主要表现 为黄疸消退延迟、肝功能异常及高氨基酸血症,确诊依赖基因分析。Citrin蛋白缺乏是中国新生儿肝内胆汁淤积症的重要 病因之一,近年来对该病的报道越来越多。文章综述Citrin蛋白缺乏所致新生儿肝内胆汁淤积症的流行病学、发病机制、 临床特点、诊治进展等。

Abstract:  Neonatal intrahepatic cholestasis caused by citrin deficiency (NICCD) is an autosomal recessive disease caused by SLC25A13 gene mutations, and is characterized by delayed jaundice clearance, liver dysfunction, and elevated aminoacidemia. The confirmed diagnosis depends on gene analysis. Citrin deficiency is one of the important causes of neonatal intrahepatic cholestasis in China. Recently more and more researches about NICCD were reported. The paper summarized the epidemiology, pathogenesis, clinical characteristics, and progresses in diagnosis and treatment of NICCD.