Von Hippel-Lindau病
Von Hippel-Lindau disease
定义 英文原文(暂无中文)
A familial cancer predisposition syndrome associated with a variety of malignant and benign neoplasms, most frequently retinal, cerebellar, and spinal hemangioblastoma, renal cell carcinoma (RCC), and pheochromocytoma/paraganglioma.
别名
家族性小脑视网膜血管瘤病
基本事实
- 遗传方式
- 常染色体显性
- 发病年龄
- 青少年期、成年期、儿童期
- 患病率
- 1-9 / 100 000(United Kingdom)
相关基因 2
| 基因 | 名称 | 关联类型 |
|---|---|---|
| CCND1 | cyclin D1 | Modifying germline mutation in |
| VHL | von Hippel-Lindau tumor suppressor | Disease-causing germline mutation(s) in |
临床表型 41
极常见 99–80%1
- 眼部异常 HP:0000478
常见 79–30%6
- 肾上腺嗜铬细胞瘤 HP:0006748
- 小脑血管母细胞瘤 HP:0006880
- 尿儿茶酚胺水平升高 HP:0011976
- 高血压 HP:0000822
- 肾细胞癌 HP:0005584
- 视网膜毛细血管瘤 HP:0009711
偶见 29–5%26
- 腹痛 HP:0002027
- 左心室功能异常 HP:0005162
- 焦虑 HP:0000739
- 心律失常 HP:0011675
- 背部疼痛 HP:0003418
- 心肌病 HP:0001638
- 下肢远端肌无力 HP:0009053
- 血儿茶酚胺水平升高 HP:0003334
- 内淋巴囊肿瘤 HP:0030393
- 头痛 HP:0002315
- 多汗症 HP:0000975
- 高血压性视网膜病变 HP:0001095
- 肢体疼痛 HP:0009763
- 黄斑水肿 HP:0040049
- 多发性肾囊肿 HP:0005562
- 苍白圈 HP:0000980
- 心悸 HP:0001962
- 胰腺囊肿 HP:0001737
- 胰腺内分泌肿瘤 HP:0030405
- 胰岛细胞腺瘤 HP:0008261
- 附睾乳头状囊腺瘤 HP:0009715
- 视乳头水肿 HP:0001085
- 卒中 HP:0001297
- 上肢肌无力 HP:0003484
- 眩晕 HP:0002321
- 视力丧失 HP:0000572
罕见 <4–1%8
- 附睾囊肿 HP:0030424
- 颅内压增高 HP:0002516
- 心肌梗死 HP:0001658
- 心肌炎 HP:0012819
- 胰腺肿瘤 HP:0002894
- 副神经节瘤 HP:0002668
- 红细胞增多症 HP:0001901
- 视网膜脱离 HP:0000541
近两年的全球研究 531L2
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。
- 2026-07病例报告Repeated Renal Interventions for Renal Cell Carcinoma in von Hippel-Lindau Disease: Long-Term Outcomes
- 2026-07<i>VHL</i> gene fragment analysis: large inversion detection in <i>Alu</i> region for clinical applications
- 2026-07Epidemiology and clinical outcomes of von Hippel-Lindau disease in Korea: a nationwide cohort study
- 2026-07病例报告Primary Cervicomedullary Hemangioblastoma with Extensive Caudal Cystic Extension into the Cervical Cord: A Case Report and Literature Review
- 2026-07综述FROM DISCOVERY SCIENCE TO THE CLINIC - HERITABLE ENDOCRINE CANCERS AND RELATED DISORDERS: Functional imaging in hereditary endocrine neoplasms: evolving modalities and clinical implications
- 2026-06病例报告Unusual cystic presentation of pheochromocytoma in a case of suspected von Hippel-Lindau disease
- 2026-06综述What should the urologist know on the management of kidney cancer in patients with Von Hippel-Lindau syndrome? Recommendations of the European Association of Urology (EAU) Young Academic Urologists (YAU) Renal Cancer Working Group
- 2026-06Sandwich therapy combining photodynamic therapy and adjunctive anti-VEGF for juxtapapillary retinal capillary hemangioblastoma
- 2026-06Endolymphatic sac tumors in a tertiary referral center: long-term outcomes and management of primary and salvage cases
- 2026-06病例报告Pheochromocytoma and multicentric giant cell tumor of bone
- 2026-06病例报告Jejunal Adenomatous Polyp Presenting as Intussusception in Peutz-Jeghers Syndrome With von Hippel-Lindau (VHL) Mutation Carrier Status
- 2026-06综述开放获取Von Hippel-Lindau disease: pathophysiological and clinical advances
- 2026-06[A case of von Hippel-Lindau disease showing characteristic progressive growth of multiple cerebellar hemangioblastomas]
- 2026-06病例报告Unexpected aggressiveness in VHL-associated clear cell renal cell carcinoma: insights from two patients highlighting biological heterogeneity
- 2026-06综述开放获取Alternative Splicing in Human Viral Oncogenesis and Tumor Progression
- 2026-06开放获取Arterial Spin Labeling Magnetic Resonance Imaging Can Identify Posterior Fossa Hemangioblastoma: Comparison with Dynamic Susceptibility Contrast
- 2026-06开放获取The seventh kidney cancer research summit: progress in accelerating cures
- 2026-06开放获取Belzutifan efficacy in von Hippel-Lindau disease-associated renal cell carcinoma versus natural history control arm
- 2026-05综述开放获取Cancer Genetic Predisposition and Clinical Applications—A Narrative Review on Germline Genetic Testing, High-Risk Cancer Surveillance and Management
- 2026-05开放获取Magnetic Resonance Imaging Features in Intramedullary Tumors: A Pictorial Review
境外已获批用于本病的药物 2L2
欧盟 1 项、美国 1 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。
已获孤儿药资格、尚未获批的在研药物(2 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。
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。
在中国开展的临床试验 8L2
按病名在 ClinicalTrials.gov 检索、并校验研究中心含中国大陆而来。登记状态不等于现在真的能入组——务必按 NCT 号到原站核实,并与主治医生商量。
登记为可入组 3
- 招募中NCT04924075Belzutifan/MK-6482 for the Treatment of Advanced Pheochromocytoma/Paraganglioma (PPGL), Pancreatic Neuroendocrine Tumor (pNET), Von Hippel-Lindau (VHL) Disease-Associated Tumors, Advanced Gastrointestinal Stromal Tumor (wt GIST), or Solid Tumors With HIF-2α Related Genetic Alterations (MK-6482-015)中国研究中心 4 个:Beijing、Chengdu、Guangzhou、Shanghai
- 招募中NCT06553339A Study of HS-10516 in Patients With VHL Syndrome Associated Tumors中国研究中心 1 个:Beijing
- 招募中NCT0755722518F-T2 PET/CT Imaging for CAIX Positive Solid Tumors中国研究中心 1 个:Beijing
其他状态的试验(5 项)
- 已完成NCT07327164Precision Medicine for Neurocutaneous Syndromes in Western China中国研究中心 1 个:Chengdu
- 状态未知NCT05534854Frequency, Clinical Phenotype and Genetic Analysis of Heritable Kidney Cancer Syndromes中国研究中心 1 个:Shanghai
- 状态未知NCT05843305A Study of BPI-452080 in Subjects With Solid Tumors中国研究中心 5 个:Chengdu、Hangzhou、Hunan、Shanghai、Wuhan
- 状态未知NCT0581024668Ga-NY104 PET/CT in Von Hippel-Lindau Disease中国研究中心 1 个:Beijing
- 状态未知NCT06391879Establishment of a Multidimensional Prediction Model for the Natural Course of VHL Disease-related Renal Cell Carcinoma中国研究中心 1 个:Beijing
中国境外的在招试验 19L2
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。
CT.gov 报告命中 19 项,此处取回并展示最近的 15 项。
- 尚未开始招募NCT07705529Pediatric Von Hippel-Lindau Disease: Natural History, Predictive Factors, and Long-Term Functional Outcomes of Central Nervous System Hemangioblastomas法国
- 尚未开始招募NCT07554508Belzutifan VHL RCC HK Prospective Registry中国香港
- 招募中NCT07405164Extension Study for Participants in Studies That Include Belzutifan (MK-6482-043/LITESPARK-043)澳大利亚、比利时、巴西、智利、捷克、丹麦、芬兰、法国 等 21 国
- 招募中NCT07171905CAT-VHL Exploring the Role of Carbonic Anhydrase IX as Diagnostic and Theranostic Target in Von-Hippel Lindau Disease意大利
- 招募中NCT06573723Institutional Registry of Rare Diseases阿根廷
- 招募中NCT07167329Real-World Effectiveness and Pharmacogenetics of Belzutifan in VHL Syndrome: The BELIEVE-VHL Trial巴西
- 招募中NCT05955014Data Collection Protocol for Patients With Von Hippel Lindau Disease美国
- 招募中NCT06194669Mechanisms of Somatic Mutation and Tumor Initiation in Pre-malignant Kidney Tubule Cells意大利
- 招募中NCT05424016Propranolol and Von Hippel-Lindau Disease法国
- 招募中NCT06523582Genetic Bases of Neuroendocrine Neoplasms in Mexican Patients墨西哥
- 招募中NCT04074135Natural History and Management of Von Hippel-Lindau (VHL) Associated Pancreatic Neuroendocrine Tumors美国
- 招募中NCT03050268Familial Investigations of Childhood Cancer Predisposition美国
- 招募中NCT01496625National Eye Institute Biorepository for Retinal Diseases美国
- 招募中NCT03749980MyVHL: Patient Natural History Study美国
- 招募中NCT02420067Screening for Endolymphatic Sac Tumours (ELSTs) in Von Hippel-Lindau (vHL) Patients丹麦
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)