ライソゾーム病―最新の病態,診断,治療の進歩― 改訂第2版

出版社: 診断と治療社
著者:
発行日: 2023-10-20
分野: 臨床医学:内科  >  小児科学一般
ISBN: 9784787825971
電子書籍版: 2023-10-20 (電子版)
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多くの遺伝性疾患のなかでも診断法・治療法がもっとも進歩したといわれるライソゾーム病について,早期診断と治療に必要なすべてを,第一線で活躍する専門家が最新情報にアップデート.近年新しい治療法が次々と見出されている酵素補充療法,薬理学的シャペロン療法,基質合成抑制療法などの成果を詳述.また,患者の成長や医療環境の変化に伴って直面する移行期医療,在宅医療の取り組みと今後の展望についても紹介.

目次

  • 第1章 総  論
     A ライソゾーム病の基礎
      1 ライソゾーム病の歴史
      2 ライソゾームの機能と取り込み機序
      3 ライソゾームの生成と膜代謝
      4 ライソゾームの糖脂質代謝
      5 ライソゾームのムコ多糖代謝
      6 糖蛋白質の生合成とライソゾームにおける分解
      7 ライソゾーム膜蛋白と機能異常
      8 オートファジーとライソゾーム病
      9 ライソゾーム病における神経炎症
      10 iPS細胞を用いたライソゾーム病の病態・治療への研究
      11 ライソゾーム酵素の立体構造とライソゾーム病
      12 ライソゾーム病の中枢神経障害の機序と治療
        :BBB通過の機序と治療へのアプローチ
     B ライソゾーム病の臨床
      1 ライソゾーム病の遺伝
      2 ライソゾーム病の臨床
      3 ライソゾーム病の画像診断(X線,MR,CTほか)
      4 ライソゾーム病におけるQOLとADL
     C ライソゾーム病の診断
      1 形態学的診断法
      2 生化学的診断法(酵素診断,化学分析)
      3 分子遺伝学的診断法
     D ライソゾーム病の治療
      1 治療の概説
      2 対症療法(薬物,その他)
      3 リハビリテーション,気道確保法,栄養摂取法
      4 造血幹細胞移植(HSCT)
      5 酵素補充療法(ERT)
      6 基質合成抑制療法(SRT)
      7 薬理学的シャペロン療法(PCT)
      8 細胞治療・再生医療―現状を打破するために
      9 中枢神経障害の治療―神経症状を伴うライソゾーム病の治療
      10 遺伝子治療①―概論
      11 遺伝子治療②―AAV遺伝子治療
      12 遺伝子治療③―レンチウイルス遺伝子治療
     E ライソゾーム病のスクリーニング
      1 総論―先天代謝異常症のスクリーニングの現状
      2 ライソゾーム病の新生児スクリーニング
      3 ライソゾーム病のハイリスクスクリーニング
     F ライソゾーム病の遺伝カウンセリング
      1 ライソゾーム病の遺伝カウンセリング

    第2章 各  論
     A 脂質代謝異常症
      1 ゴーシェ病
      2 ファブリー病
      3 ニーマンピック病A,B型(酸性スフィンゴミエリナーゼ欠損症)
      4 セラミドーシス(ファーバー病)
      5 GM1ガングリオシドーシス,モルキオ症候群B型(β-ガラクトシドーシス)
      6 GM2ガングリオシドーシス
      7 異染性白質ジストロフィー(MLD)
      8 マルチプルスルファターゼ欠損症(MSD)
      9 クラッベ病
      10 サポシン欠損症
      11 ウォルマン病,コレステロールエステル蓄積症(CESD)
     B ムコ多糖症(MPS)
      1 ムコ多糖症(MPS)I型
      2 ムコ多糖症(MPS)II型
      3 ムコ多糖症(MPS)III型
      4 ムコ多糖症(MPS)IV型
      5 ムコ多糖症(MPS)VI型
      6 ムコ多糖症(MPS)VII型
     C 糖蛋白代謝異常症
      1 フコシドーシス
      2 マンノシドーシス(α,β)
      3 アスパルチルグルコサミン尿症
      4 ガラクトシアリドーシス
      5 ムコリピドーシスII,III型
      6 シアリドーシス
      7 神崎病
     D ライソゾーム膜代謝異常症
      1 シスチノーシス
      2 遊離シアル酸蓄積症(サラ病)
      3 カテプシンK欠損症
      4 コバラミン代謝異常症F型(CblF)
      5 ダノン病
     E 糖原病
      1 ポンペ病
     F コレステロールトランスポート代謝異常症
      1 ニーマンピック病C型(NPC)
     G 神経セロイドリポフスチン症(NCL)
      1 神経セロイドリポフスチン症(NCL)
     H ライソゾーム病の医療
      1 移行期医療
      2 在宅治療可能となったライソゾーム病―在宅酵素補充療法の実際
     I ライソゾーム病の診断施設
      1 ライソゾーム病の診断施設
     J ライソゾーム病の特定疾患の申請方法
      1 ライソゾーム病の特定疾患の申請方法
     K ライソゾーム病の患者会
      1 ライソゾーム病の患者会

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第1章 総論

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第2章 各論

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