Factors associated with lymphangioleiomyomatosis progression and mortality
10.16352/j.issn.1001-6325.2024.07.1044
- VernacularTitle:淋巴管肌瘤病进展及死亡风险相关因素
- Author:
Luyi WANG
1
;
Kaifeng XU
Author Information
1. 中国医学科学院 北京协和医学院 临床医学专业试点班,北京 100730
- Keywords:
lymphangioleiomyomatosis;
pulmonary function;
vascular endothelial growth factor D(VEGF-D);
sirolimus
- From:
Basic & Clinical Medicine
2024;44(7):1044-1048
- CountryChina
- Language:Chinese
-
Abstract:
Lymphangioleiomyomatosis(LAM)is a rare progressive lung disease characterized by diffuse cystic le-sions that primarily affects women of reproductive ages and leads to respiratory failure at the end stage of the dis-ease,and significantly impacts patients'quality of life.The clinical use of mammalian target of rapamycin(mTOR)inhibitors(e.g.sirolimus)has moderated the rate of disease progression and significantly improved the survival in LAM patients.During the clinical diagnosis,treatment,and follow-up of LAM disease,the clinical characteristics and the course of the disease of different LAM patients are heterogeneous which might suggest differences in disease progression and long-term prognosis.The present review summarizes the progress of research on risk factors for LAM progression and mortality in order to optimize individualized intervention protocols in clinical practice and to improve long-term prognosis of patients.