胱氨酸贮积症
Cystinosis
定义 英文原文(暂无中文)
A rare lysosomal disease characterized by an accumulation of cystine inside the lysosomes, causing damage in different organs and tissues, particularly in the kidneys and eyes. Three clinical forms have been described: nephropathic infantile, nephropathic juvenile and ocular.
别名
胱氨酸转运蛋白缺陷症
基本事实
- 遗传方式
- 常染色体隐性
- 发病年龄
- 青少年期、成年期、儿童期、婴儿期
- 患病率
- 1-9 / 1 000 000
相关基因 1来自下位疾病
Orphanet 未在本条目上直接标注致病基因。下表由本组所属的下位疾病汇总而来,「来源条目」列给出基因实际标注在哪一个 ORPHA 条目上。
| 基因 | 名称 | 来源条目 |
|---|---|---|
| CTNS | cystinosin, lysosomal cystine transporter | ORPHA:411641 |
临床表型 56
极常见 99–80%21
- 氨基酸尿 HP:0003355
- 角膜混浊 HP:0007957
- 脱水 HP:0001944
- 青春期发育延迟 HP:0000823
- 发育迟滞 HP:0001508
- 疲乏 HP:0012378
- 低钾血症 HP:0002900
- 低磷血症 HP:0002148
- 甲状腺功能减退症 HP:0000821
- 肌无力 HP:0001324
- 肌病 HP:0003198
- 肾性尿崩症 HP:0009806
- 肾病 HP:0000112
- 畏光 HP:0000613
- 烦渴 HP:0001959
- 蛋白尿 HP:0000093
- 肾范可尼综合征 HP:0001994
- 肾小管功能障碍 HP:0000124
- 身材矮小 HP:0004322
- 1型糖尿病 HP:0100651
- 呕吐 HP:0002013
常见 79–30%18
- 酸性尿 HP:0012072
- 带状角膜病 HP:0000585
- EMG:肌病样异常 HP:0003458
- 碱性磷酸酶升高 HP:0003155
- 喂养困难 HP:0011968
- 糖尿 HP:0003076
- 生长延迟 HP:0001510
- 肝脏肿大 HP:0002240
- 高磷酸盐尿症 HP:0003109
- 低钙血症 HP:0002901
- 性腺功能减退症 HP:0000135
- 肾钙质沉着症 HP:0000121
- 肾结石 HP:0000787
- 软骨病。 HP:0002749
- 肾功能不全 HP:0000083
- 视网膜病变 HP:0000488
- 佝偻病 HP:0002748
- 脾肿大 HP:0001744
偶见 29–5%17
- 胰腺内分泌生理功能异常 HP:0012093
- 失语症 HP:0002381
- 无精症 HP:0000027
- 便秘 HP:0002019
- 颅神经麻痹 HP:0006824
- 循环肉碱浓度降低 HP:0003234
- 胰腺外分泌功能不全 HP:0001738
- 发热 HP:0001945
- 步态异常 HP:0001288
- 糖耐量异常 HP:0001952
- 低钠血症 HP:0002902
- 肌张力减退 HP:0001252
- 轻度智力障碍 HP:0001256
- 吸收不良 HP:0002024
- 代谢性酸中毒 HP:0001942
- 门脉高压 HP:0001409
- 视觉障碍 HP:0000505
近两年的全球研究 499L2
2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。
- 2026-08Developing consensus on rare disease care pathways and ERN integration across Europe: insights from stakeholder workshops and a Delphi study
- 2026-07Atlas of lysosomal aging reveals a metabolite signature shared with lysosomal storage disorders
- 2026-07综述Reno-ocular syndromes: pathophysiological mechanisms linking kidney and ocular disorders
- 2026-07Unraveling the dual roles of MICAL2 in skeletal muscle physiology and fusion negative rhabdomyosarcoma tumor progression
- 2026-07Renal Transplant Outcomes in Pediatric Cystinosis Patients: A Comparative Analysis with Non-Cystinosis Controls
- 2026-07Practicability and Effectiveness of Anterior Segment Optical Coherence Tomography (AS-OCT) of the Feline Iris as a Potential Biomarker for Iris Melanoma: A Study of 76 Cases
- 2026-06Lysosome-derived methylated arginine is a signalling metabolite controlling the lipidome
- 2026-06综述Clinical practice recommendations for the diagnosis and management of nephropathic cystinosis
- 2026-06综述Soluble Guanylate Cyclase Modulators in Glaucoma and Ocular Fibrosis: Mechanisms, Translational Evidence, and Therapeutic Challenges
- 2026-06开放获取Nanoparticle-mediated inhibition of Yes-associated protein prevents corneal scarring after traumatic injury
- 2026-06Prevalence and clinical impact of gastrointestinal symptoms in patients with cystinosis
- 2026-06综述开放获取Importance of Recognizing Renal Tubular Disorders as a Cause of Bone Hypomineralization and Fractures in Adults
- 2026-06Abstract
- 2026-06病例报告Silent but Severe: Transplant Renal Artery Stenosis Causing Acute Graft Dysfunction in a Child With Cystinosis
- 2026-06综述开放获取Hypophosphatemic rickets: diagnosis and treatment
- 2026-05综述开放获取Next-Generation Sequencing and Variant Cataloguing for Screening and Diagnosis of Mucolipidoses and Other Lysosome-Related Organelle Disorders, Including Lysosomal Membrane or Transport Disorders
- 2026-05开放获取The molecular architecture of tunneling nanotubes
- 2026-05开放获取Beyond Identifier Matching: An Empirical Characterization of Failure Modes in Biomedical Knowledge Graph Integration
- 2026-05Phenotypic Spectrum of HNF4α-Associated Fanconi Renotubular Syndrome
- 2026-05综述开放获取Renal Tubular Epithelial Cells as Central Hubs of Kidney Disease
境外已获批用于本病的药物 5L2
欧盟 2 项、美国 3 项。同一药物在两地各批一次的,会分别列出。
「境外已获批」不等于「在中国能用」。中间隔着进口注册、临床急需境外新药通道、海南博鳌乐城国际医疗旅游先行区等几条路径,各有各的条件与费用。这一节能确定地告诉你的只有一件事:这个病在世界范围内已经有获得批准的药物,它叫什么名字。拿这个名字去问主治医生,是下一步最省力的做法。
药名一律保留英文原文,不作翻译——中国的药品通用名与英文名的音译经常不一致,译错会让人去找一个不存在的药。
- Cystagon欧盟1997-06-23mercaptamine bitartrate官方记录
- Procysbi欧盟2013-09-05mercaptamine官方记录
- Cystagon美国1994-08-15Cysteamine官方记录
- Cystaran美国2012-10-02Cysteamine hydrochloride官方记录
- PROCYSBI美国2013-04-30cysteamine enteric coated官方记录
已获孤儿药资格、尚未获批的在研药物(7 项)
孤儿药资格只是一种监管身份——它意味着监管机构认可这是罕见病用药并给予研发激励,不代表这个药已被证明有效,也不代表将来一定能上市。绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。
- cysteamine bitartrate (gastroresistant) (mercaptamine)欧盟2010-09-20Treatment of cystinosis官方记录
- Dropcys欧盟2014-10-15cysteamine hydrochlorideTreatment of cystinosis官方记录
- autologous CD34+ cells transduced with a lentiviral RNA vector that re欧盟2021-02-19Treatment of cystinosis官方记录
- Cysteamine美国1986-05-01Treatment of nephropathic cystinosis.官方记录
- 6'-(R)-methyl-5-O-(5-amino-5,6-dideoxy-alpha-L-talofuranosyl)-paromami美国2018-04-26Treatment of Cystinosis官方记录
- autologous CD34+ enriched cells transduced with a lentiviral vector co美国2020-03-04Treatment of cystinosis官方记录
- N-acetylcysteine amide美国2021-09-07Treatment of cystinosis官方记录
数据来自欧洲药品管理局(EMA)的药品与孤儿药资格公开导出表,以及美国 FDA 孤儿药资格数据库。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。
中国境外的在招试验 12L2
这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。
共 12 项。
- 尚未开始招募NCT07680751European Cystinosis Cohort 2法国
- 尚未开始招募NCT07242261Non-invasive Characterisation of Oral Carcinomas in Patients With Fanconi Anaemia
- 招募中NCT07319091Cystinosis and Mitochondrial Metabolism法国
- 招募中NCT06910813DFT383 in Pediatric Participants With Nephropathic Cystinosis美国
- 招募中NCT05508009Early Trial of Allogeneic Hematopoietic Stem Cell Transplantation for Patients Who Will Receive a Kidney Transplant From the Same Donor美国
- 招募中NCT05959668Development of Health-related Quality of Life Instrument for Patients With Cystinosis德国
- 招募中NCT06213402RADeep Multicenter European Epidemiological Platform for Patients Diagnosed With Rare Anemia Disorders (RADs)西班牙
- 招募中NCT03919981CYSTEA-BONE Clinical Study法国、德国、意大利、土耳其
- 招募中NCT05901077European Cystinosis Cohort法国
- 招募中NCT01793168Rare Disease Patient Registry & Natural History Study - Coordination of Rare Diseases at Sanford澳大利亚、美国
- 招募中NCT06065852National Registry of Rare Kidney Diseases英国
- 招募中NCT00359684Use of Cysteamine in the Treatment of Cystinosis美国
外部标识与链接
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本页数据来源
- 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
- 中文病名:Orphanet 中文包,冻结于 2020-06-01
- 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)