Perspective on Similarities and Possible Overlaps of Congenital Disease Formation-Exemplified on a Case of Congenital Diaphragmatic Hernia and Neuroblastoma in a Neonate
| Autor: | Nicolas von der Weid, Stephanie J. Gros, Remo Bilang, Zihe Huo, Benedikt Brantner, Stefan Holland-Cunz |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Cellular differentiation
Retinoic acid retinoic acid pathway rare disease Disease Bioinformatics Article chemistry.chemical_compound neuroblastoma Neuroblastoma medicine pediatric surgery orphan disease business.industry NMYC hypoxia lcsh:RJ1-570 Congenital diaphragmatic hernia Congenital malformations lcsh:Pediatrics AQP1 differentiation medicine.disease chemistry Pediatrics Perinatology and Child Health CDH Congenital disease business Rare disease |
| Zdroj: | Children, Vol 8, Iss 163, p 163 (2021) Children Volume 8 Issue 2 |
| ISSN: | 2227-9067 |
| Popis: | The coincidence of two rare diseases such as congenital diaphragmatic hernia (CDH) and neuroblastoma is exceptional. With an incidence of around 2–3:10,000 and 1:8000 for either disease occurring on its own, the chance of simultaneous presentation of both pathologies at birth is extremely low. Unfortunately, the underlying processes leading to congenital malformation and neonatal tumors are not yet thoroughly understood. There are several hypotheses revolving around the formation of CDH and neuroblastoma. The aim of our study was to put the respective hypotheses of disease formation as well as known factors in this process into perspective regarding their similarities and possible overlaps of congenital disease formation. We present the joint occurrence of these two rare diseases based on a patient presentation and immunochemical prognostic marker evaluation. The aim of this manuscript is to elucidate possible similarities in the pathogeneses of both disease entities. Discussed are the role of toxins, cell differentiation, the influence of retinoic acid and NMYC as well as of hypoxia. The detailed discussion reveals that some of the proposed pathophysiological mechanisms of both malformations have common aspects. Especially disturbances of the retinoic acid pathway and NMYC expression can influence and disrupt cell differentiation in either disease. Due to the rarity of both diseases, interdisciplinary efforts and multi-center studies are needed to investigate the reasons for congenital malformations and their interlinkage with neonatal tumor disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|