组织工程与重建外科杂志 ›› 2025, Vol. 21 ›› Issue (4): 401-.

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PIK3CA基因相关过度生长疾病谱的研究现况及进展

  

  • 出版日期:2025-08-01 发布日期:2025-09-08

Research status and progress of PIK3CA-related overgrowth spectrum

  • Online:2025-08-01 Published:2025-09-08

摘要:

PIK3CA基因相关过度生长疾病谱(PROS),是指一类由于PIK3CA基因激活突变导致的包含多部位过度生长表现,且具有高度临床变异性的疾病。随着研究不断扩大深入,其疾病谱仍在扩大增加。PROS交叉重叠性高,其常见表型主要分为三类:节段性过度生长、脉管畸形以及非血管病变。与胚胎发育过程中PIK3CA基因突变时间、位置等都密切相关。目前该疾病诊断较为困难,主要依靠临床表现及基因分子检测两个方面,同时还需要与多种具有重叠相似表型的疾病进行鉴别。传统治疗方式仅能改善疾病导致的局部畸形,缓解症状。靶向药物的研发为当前研究热点,有望成为提高PROS患者治疗效果、改善预后的有力手段。

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Abstract:

PIK3CA-related overgrowth spectrum (PROS) is characterized by multi-site overgrowth manifestations caused
by activating mutations in the PIK3CA gene, resulting in high phenotypic variability. With the expansion and deepening of research, the disease spectrum is still expanding. PROS's phenotype is highly overlapping and commonly includes segmental overgrowth, vascular malformations, and nonvascular lesions. It is closely linked to the timing and location of mutations in the PIK3CA gene during embryonic development. Diagnosis of PROS remains challenging and requires confirmation through clinical manifestations, genetic and molecular testing, and differentiation from similar clinical diseases. Traditional treatment strategies primarily aim to correct local deformities and manage symptoms associated with the disease. Ongoing research focuses on developing targeted therapeutic interventions to enhance treatment effectiveness and improve the prognosis of PROS patients.

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