肌醇代谢关键基因与神经管畸形关系的研究进展

摘要

Neural tube defect (NTD) is a complex and serious birth defect in the central nervous system.The etiology of NTD is multifactorial,involving the combined action of both genetic and environmental factors.Maternal nutrition is a significant environmental factor in NTD etiology,including vitamin B,folic acid,choline,and so on.Inositol,a substance of vitamin B,is closely related to embryonic development and NTD.Studies have found out that inositol supplement can prevent folic acid-resistant NTD and the key genes in its metabolic pathways play an important role in NTD occurrence.Therefore,this article reviews the inositol metabolic pathways and the relationship between its key genes and NTD,providing references for the depth study of NTD pathogenesis and prevention.%神经管畸形(neural tube defect,NTD)是一种复杂的、严重的中枢神经系统出生缺陷,由遗传与环境因素共同影响.母体营养物质是NTD病因中一个重要的环境因素,包括维生素B族物质、叶酸及胆碱等.肌醇作为一种维生素B族物质,与胚胎发育及NTD发生密切相关.研究发现,肌醇补充可预防叶酸抵抗型NTD,且其代谢通路关键基因在NTD发生过程中起着重要的作用.该文就肌醇代谢通路及其关键基因与NTD发生的关系进行综述,以期为NTD发病机制的深入研究及防治提供参考.