[Research progress on the pathogenic mechanisms, diagnosis and treatment of McCune-Albright syndrome]

Zhonghua Yu Fang Yi Xue Za Zhi. 2024 Feb 6;58(2):183-190. doi: 10.3760/cma.j.cn112150-20231008-00242.
[Article in Chinese]

Abstract

McCune-Albright syndrome is a rare chimeric disorder due to mutations in the postzygotic GNAS gene. It belongs to the group of guanine nucleotide-binding protein diseases, affecting a wide range of individuals. It is characterized by fibrous dysplasia, café-au-lait skin macules, and precocious puberty with other variable clinical manifestations. At present, there are difficulties in the molecular diagnosis of McCune-Albright syndrome, and there is a lack of effective clinical treatments to halt or reverse the course and regression of the disease. This article summarizes the clinical manifestations, diagnosis, pathogenic molecular mechanisms, treatment and relevant fertility guidelines of McCune-Albright syndrome, with a view to further research and therapy of McCune-Albright syndrome.

McCune-Albright综合征是一种由于合子后GNAS基因突变导致的罕见嵌合体性疾病,属于鸟核苷酸结合蛋白病,影响范围广泛,以骨纤维发育不良、咖啡牛奶斑及性早熟为特征,并伴有其他可变的临床表现。目前针对McCune-Albright综合征,分子诊断存在困难,临床上缺乏有效的治疗方法来阻止或逆转病程及转归。本文分析归纳了McCune-Albright综合征的临床表现、诊断、致病分子机制、治疗现状以及相关的生育指导,以期为McCune-Albright综合征的进一步研究和治疗提供借鉴。.

Publication types

  • English Abstract

MeSH terms

  • Cafe-au-Lait Spots / diagnosis
  • Cafe-au-Lait Spots / genetics
  • Cafe-au-Lait Spots / therapy
  • Fibrous Dysplasia, Polyostotic* / diagnosis
  • Fibrous Dysplasia, Polyostotic* / genetics
  • Fibrous Dysplasia, Polyostotic* / therapy
  • Humans
  • Mutation
  • Puberty, Precocious* / diagnosis
  • Puberty, Precocious* / therapy