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脊髓性肌萎缩症:治疗策略的文献综述

Spinal muscular atrophy disease: a literature review for therapeutic strategies.

作者信息

Stavarachi M, Apostol P, Toma M, Cimponeriu D, Gavrila L

机构信息

Human Genetics and Molecular Diagnosis Department, Institute of Genetics, 1-3 Portocalelor Street, District 6, postal code 060101, Bucharest, Romania.

出版信息

J Med Life. 2010 Jan-Mar;3(1):3-9.

PMID:20302191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3019038/
Abstract

Currently, there is no cure for the treatment of spinal muscular atrophy (SMA). Based on the available clinical and molecular findings, different therapeutic strategies were tested in vitro and in vivo and clinical trials are ongoing. The main therapeutic direction is focused on the enhancement of SMN expression by increasing the full-length (fl) SMN2 transcript levels, preventing the SMN exon 7 from skipping or from protein stabilizing. In addition, the action of neurotrophic, neuroprotective or anabolic agents is tested and stem cell and gene therapy approaches are in a promising development.

摘要

目前,脊髓性肌萎缩症(SMA)尚无治愈方法。基于现有的临床和分子研究结果,不同的治疗策略在体外和体内进行了测试,临床试验正在进行中。主要的治疗方向集中在通过提高全长(fl)SMN2转录水平、防止SMN外显子7跳跃或蛋白质稳定来增强SMN表达。此外,神经营养、神经保护或合成代谢药物的作用也在进行测试,干细胞和基因治疗方法正处于有前景的发展阶段。

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Spinal muscular atrophy disease: a literature review for therapeutic strategies.脊髓性肌萎缩症:治疗策略的文献综述
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本文引用的文献

1
Gene table of monogenic neuromuscular disorders (nuclear genome only) Vol 19. No 1 January 2009.单基因神经肌肉疾病基因表(仅核基因组) 第19卷,2009年1月第1期
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Regulation of SMN protein stability.运动神经元存活蛋白(SMN)稳定性的调控。
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Delivery of recombinant follistatin lessens disease severity in a mouse model of spinal muscular atrophy.重组卵泡抑素的递送可减轻脊髓性肌萎缩小鼠模型中的疾病严重程度。
Hum Mol Genet. 2009 Mar 15;18(6):997-1005. doi: 10.1093/hmg/ddn426. Epub 2008 Dec 12.
4
Development of a single vector system that enhances trans-splicing of SMN2 transcripts.一种增强SMN2转录本反式剪接的单一载体系统的开发。
PLoS One. 2008;3(10):e3468. doi: 10.1371/journal.pone.0003468. Epub 2008 Oct 22.
5
Neural stem cell transplantation can ameliorate the phenotype of a mouse model of spinal muscular atrophy.神经干细胞移植可改善脊髓性肌萎缩小鼠模型的表型。
J Clin Invest. 2008 Oct;118(10):3316-30. doi: 10.1172/JCI35432.
6
Multiple therapeutic effects of valproic acid in spinal muscular atrophy model mice.丙戊酸对脊髓性肌萎缩模型小鼠的多种治疗作用。
J Mol Med (Berl). 2008 Nov;86(11):1243-54. doi: 10.1007/s00109-008-0388-1. Epub 2008 Jul 23.
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Exercise-induced activation of NMDA receptor promotes motor unit development and survival in a type 2 spinal muscular atrophy model mouse.运动诱导的NMDA受体激活促进2型脊髓性肌萎缩模型小鼠的运动单位发育和存活。
J Neurosci. 2008 Jan 23;28(4):953-62. doi: 10.1523/JNEUROSCI.3237-07.2008.
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Induction of full-length survival motor neuron by polyphenol botanical compounds.多酚植物化合物诱导全长生存运动神经元
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Salbutamol increases SMN mRNA and protein levels in spinal muscular atrophy cells.沙丁胺醇可提高脊髓性肌萎缩症细胞中生存运动神经元(SMN)的信使核糖核酸(mRNA)和蛋白质水平。
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