低血磷性佝偻病的遗传分型及研究进展
Genetic Classification and Research Progress of Hypophosphatemic Rickets
DOI: 10.12677/acm.2026.162648, PDF,   
作者: 刘金陵:重庆医科大学附属儿童医院内分泌科,重庆;国家儿童健康与疾病临床医学研究中心,重庆;儿童发育疾病研究教育部重点实验室,重庆;儿童发育重大疾病国家国际科技合作基地,重庆;儿童代谢与炎症性疾病重庆市重点实验室,重庆;资中县人民医院儿科,四川 内江;罗雁红*:重庆医科大学附属儿童医院内分泌科,重庆;国家儿童健康与疾病临床医学研究中心,重庆;儿童发育疾病研究教育部重点实验室,重庆;儿童发育重大疾病国家国际科技合作基地,重庆;儿童代谢与炎症性疾病重庆市重点实验室,重庆
关键词: 低血磷性佝偻病遗传分型FGF23研究进展Hypophosphatemic Rickets Genetic Classification FGF23 Research Progress
摘要: 低血磷性佝偻病作为一类遗传性骨代谢疾病,是遗传性骨代谢病领域研究的重点课题之一,其也被称作“家族性低磷血症或肾性低血磷性佝偻病”,以低血磷、骨矿化不良、骨骼畸形等为主要表现。近年来,随着基因组学和分子生物学技术的发展,针对该病遗传机制、分型及其临床表现的研究取得了一定进展,为后续治疗提供了全新思路。鉴于此,本文就低血磷性佝偻病的遗传分型及研究进展进行分析,探讨了相关基因突变、发病机制以及未来治疗策略,以期为临床相关工作的开展提供参考。
Abstract: Hypophosphatemic rickets, as a type of hereditary bone metabolic disease, is one of the key re-search topics in the field of hereditary bone metabolic diseases. Also referred to as “familial hypo-phosphatemia or renal hypophosphatemic rickets”, it is mainly characterized by hypophos-phatemia, impaired bone mineralization, skeletal deformities, and other manifestations. In recent years, with advancements in genomics and molecular biology, research on the genetic mechanisms, classification, and clinical manifestations of this disease has made certain progress, providing new insights for subsequent treatment. In light of this, this paper analyzes the genetic classification and research progress of hypophosphatemic rickets and explores related gene mutations, pathogenesis, and future treatment strategies, aiming to provide references for clinical practice.
文章引用:刘金陵, 罗雁红. 低血磷性佝偻病的遗传分型及研究进展[J]. 临床医学进展, 2026, 16(2): 2437-2444. https://doi.org/10.12677/acm.2026.162648

参考文献

[1] 中华医学会儿科学分会内分泌遗传代谢学组, 中国罕见病联盟, 中华儿科杂志编辑委员会. 儿童X连锁低磷性佝偻病诊治与管理专家共识[J]. 中华儿科杂志, 2022, 60(6): 501-506.
[2] 李娜, 王琳, 金春华. 低血磷抗维生素D佝偻病的遗传分型及研究进展[J]. 中国儿童保健杂志, 2020, 28(12): 1355-1359.
[3] Francis, F., Hennig, S., Korn, B., Reinhardt, R., de Jong, P., Poustka, A., et al. (1995) A Gene (PEX) with Homologies to Endopeptidases Is Mutated in Patients with X-Linked Hypophosphatemic Rickets. Nature Genetics, 11, 130-136. [Google Scholar] [CrossRef
[4] 魏丽亚, 巩纯秀, 曹冰燕, 等. 儿童X连锁显性遗传性低磷血症性佝偻病临床及基因分析[J]. 中华儿科杂志, 2021, 59(8): 678-683.
[5] Baroncelli, G.I. and Mora, S. (2021) X-Linked Hypophosphatemic Rickets: Multisystemic Disorder in Children Requiring Multidisciplinary Management. Frontiers in Endocrinology, 12, Article 688309. [Google Scholar] [CrossRef
[6] White, K.E., Evans, W.E., O’Riordan, J.L.H., Speer, M.C., Econs, M.J., Lorenz-Depiereux, B., et al. (2000) Autosomal Dominant Hypophosphataemic Rickets Is Associated with Muta-tions in FGF23. Nature Genetics, 26, 345-348. [Google Scholar] [CrossRef
[7] Lorenz-Depiereux, B., Bastepe, M., Benet-Pagès, A., Amyere, M., Wagenstaller, J., Müller-Barth, U., et al. (2006) DMP1 Mutations in Autosomal Recessive Hypophosphatemia Implicate a Bone Matrix Protein in the Regulation of Phosphate Homeostasis. Nature Genetics, 38, 1248-1250. [Google Scholar] [CrossRef
[8] Alizadeh Naderi, A.S. and Reilly, R.F. (2010) Hereditary Disorders of Renal Phosphate Wasting. Nature Reviews Nephrology, 6, 657-665. [Google Scholar] [CrossRef
[9] Carpenter, T.O., Imel, E.A., Holm, I.A., Jan de Beur, S.M. and In-sogna, K.L. (2011) A Clinician’s Guide to X-Linked Hypophosphatemia. Journal of Bone and Mineral Research, 26, 1381-1388. [Google Scholar] [CrossRef
[10] Imel, E.A. and Econs, M.J. (2012) Approach to the Hypophos-phatemic Patient. The Journal of Clinical Endocrinology & Metabolism, 97, 696-706. [Google Scholar] [CrossRef
[11] Linglart, A., Biosse-Duplan, M., Briot, K., Chaussain, C., Esterle, L., Guillaume-Czitrom, S., et al. (2014) Therapeutic Management of Hypophosphatemic Rickets from Infancy to Adulthood. Endocrine Connections, 3, R13-R30. [Google Scholar] [CrossRef
[12] 中华医学会内分泌学分会, 中国内分泌代谢病专科联盟. 低磷性佝偻病/骨软化症诊治实践指南(2024) [J]. 中华内分泌代谢杂志, 2024, 40(6): 462-469.
[13] 中国研究型医院学会罕见病分会, 中国罕见病联盟, 北京罕见病诊疗与保障学会, Gitelman综合征中国专家组. Gitelman综合征诊疗中国专家共识(2021版) [J]. 协和医学杂志, 2021, 12(6): 902-912.
[14] 中华医学会骨质疏松和骨矿盐疾病分会. 维生素D及其类似物的临床应用共识(2025版) [J]. 中华骨质疏松和骨矿盐疾病杂志, 2025, 18(5): 497-517.
[15] 莫小兰, 邓后亮, 崇静, 等. 口服中性磷酸盐溶液治疗低血磷性佝偻病/骨软化症的管理和使用专家共识[J]. 今日药学, 2025, 35(2): 81-86.
[16] Haffner, D., Emma, F., Eastwood, D.M., Biosse Duplan, M., Bacchetta, J., Schnabel, D., et al. (2019) Clinical Practice Recommendations for the Diagnosis and Management of X-Linked Hypophosphataemia. Nature Reviews Nephrology, 15, 435-455. [Google Scholar] [CrossRef
[17] Insogna, K.L., Briot, K., Imel, E.A., Kamenický, P., Ruppe, M.D., Portale, A.A., et al. (2018) A Randomized, Double-Blind, Placebo-Controlled, Phase 3 Trial Evaluating the Efficacy of Burosumab, an Anti-FGF23 Antibody, in Adults with X-Linked Hypophos-phatemia: Week 24 Primary Analysis. Journal of Bone and Mineral Research, 33, 1383-1393. [Google Scholar] [CrossRef
[18] 刘清扬, 后子靖, 杨紫霞, 等. 布罗索尤单抗治疗儿童及成人X-连锁低磷性佝偻病的疗效观察[J]. 罕见病研究, 2024, 3(1): 108-113.
[19] Zhukouskaya, V.V., Jauze, L., Charles, S., Leborgne, C., Hilliquin, S., Sadoine, J., et al. (2021) A Novel Therapeutic Strategy for Skeletal Disorders: Proof of Concept of Gene Therapy for X-Linked Hypophosphatemia. Science Advances, 7, eabj5018. [Google Scholar] [CrossRef
[20] 巩琦凡, 郑晓飞, 付汉江. CRISPR基因编辑技术在遗传性骨代谢疾病中的研究进展[J]. 中国生物化学与分子生物学报, 2023, 39(3): 433-446.
[21] Trombetti, A., Al-Daghri, N., Brandi, M.L., Cannata-Andía, J.B., Cavalier, E., Chandran, M., et al. (2022) Interdisciplinary Management of FGF23-Related Phosphate Wasting Syndromes: A Consensus Statement on the Evaluation, Diagnosis and Care of Pa-tients with X-Linked Hypophosphataemia. Nature Reviews Endocrinology, 18, 366-384. [Google Scholar] [CrossRef
[22] Stamnitz, S. and Klimczak, A. (2021) Mesenchymal Stem Cells, Bioactive Factors, and Scaffolds in Bone Repair: From Research Perspectives to Clinical Practice. Cells, 10, Article 1925. [Google Scholar] [CrossRef