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MYH7 在心肌病和骨骼肌肌病中的作用。

MYH7 in cardiomyopathy and skeletal muscle myopathy.

机构信息

Department of Pediatrics, Qilu Hospital of Shandong University, Jinan, 250012, China.

出版信息

Mol Cell Biochem. 2024 Feb;479(2):393-417. doi: 10.1007/s11010-023-04735-x. Epub 2023 Apr 20.

Abstract

Myosin heavy chain gene 7 (MYH7), a sarcomeric gene encoding the myosin heavy chain (myosin-7), has attracted considerable interest as a result of its fundamental functions in cardiac and skeletal muscle contraction and numerous nucleotide variations of MYH7 are closely related to cardiomyopathy and skeletal muscle myopathy. These disorders display significantly inter- and intra-familial variability, sometimes developing complex phenotypes, including both cardiomyopathy and skeletal myopathy. Here, we review the current understanding on MYH7 with the aim to better clarify how mutations in MYH7 affect the structure and physiologic function of sarcomere, thus resulting in cardiomyopathy and skeletal muscle myopathy. Importantly, the latest advances on diagnosis, research models in vivo and in vitro and therapy for precise clinical application have made great progress and have epoch-making significance. All the great advance is discussed here.

摘要

肌球蛋白重链基因 7(MYH7)是一种肌节基因,编码肌球蛋白重链(肌球蛋白-7),由于其在心肌和骨骼肌收缩中的基本功能而引起了相当大的关注,并且 MYH7 的许多核苷酸变异与心肌病和骨骼肌肌病密切相关。这些疾病表现出明显的家族内和家族间变异性,有时会出现复杂的表型,包括心肌病和骨骼肌肌病。在这里,我们回顾了目前对 MYH7 的理解,旨在更好地阐明 MYH7 中的突变如何影响肌节的结构和生理功能,从而导致心肌病和骨骼肌肌病。重要的是,最新的诊断进展、体内和体外研究模型以及精确临床应用的治疗方法都取得了巨大的进展,具有划时代的意义。这里讨论了所有的重大进展。

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