国际眼科纵览 ›› 2021, Vol. 45 ›› Issue (5): 437-442.doi: 10.3760/cma.j.issn.1673-5803.2021.05.013

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Norrie病的临床研究进展

高翔  王雨生   

  1. 空军军医大学西京医院眼科 全军眼科研究所,西安 710032(高翔现在山东省眼科医院工作)
  • 收稿日期:2020-12-16 出版日期:2021-10-22 发布日期:2021-10-25
  • 通讯作者: 王雨生,Email:wangys003@126.com
  • 基金资助:
    国家自然科学基金(81770936)

Research progress in Norrie disease

Gao Xiang, Wang Yusheng   

  1. Department of Ophthalmology, Xijing Hospital of Air Force Military Medical University, Xi’an 710032, China
  • Received:2020-12-16 Online:2021-10-22 Published:2021-10-25
  • Contact: Wang Yusheng, Email: wangys003@126.com
  • Supported by:
    National Natural Science Foundation of China (81770936)

摘要: Norrie病是一种以视网膜发育不良和先天性或婴幼儿视力丧失为特征的X连锁隐性遗传性疾病。位于X染色体上的NDP基因突变可影响其编码的蛋白(norrin)cystine-knot结构域中关键的二硫键形成,从而呈现Norrie病临床表现,包括假神经胶质瘤样视网膜发育不良和晶状体后纤维增生等眼部表现,以及听力丧失、认知行为障碍和癫痫发作等眼外表现。产前诊断、早期视网膜激光光凝及玻璃体切除手术干预可在一定程度上改善Norrie病患者的病程。(国际眼科纵览,2021, 45:437-442)

关键词: Norrie病, NDP基因相关视网膜病变, Norrie病蛋白, 玻璃体切除术

Abstract: Norrie’s disease is an X-linked recessive disorder characterized by retinal dysplasia and congenital or infantile blindness. Mutations in the Norrie’s disease protein (NDP) gene, which located on chromosome Xp11.3 might affect the formation of key disulfide bonds in the cystine-knot motif of norrin protein. The ocular phenotype in Norrie’s disease is typically characterized by a glistening mass known as a “pseudoglioma” behind the lens and thick fibrovascular proliferative vitreoretinopathy attached to the posterior aspect of the lens, and the extra-ocular manifestations of Norrie’s disease include hearing loss, cognitive impairment, behavior disturbance and seizures. Prenatal diagnosis and early retinal laser photocoagulation or vitrectomy intervention can improve the natural course of patients with Norrie’s disease to some extent. (Int Rev Ophthalmol, 2021, 45:437-442)

Key words: Norrie’s disease, NDP gene-related retinopathy, norrin, vitrectomy