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脆性 X 相关疾病:临床概述。

Fragile X-associated disorders: a clinical overview.

机构信息

Department of Psychiatry, Clinical Science Institute, National University of Ireland Galway, Galway, Ireland.

出版信息

J Neurol. 2012 Mar;259(3):401-13. doi: 10.1007/s00415-011-6161-3. Epub 2011 Jul 12.

DOI:10.1007/s00415-011-6161-3
PMID:21748281
Abstract

Fragile X Syndrome (FraX) is the most common inherited cause of learning disability worldwide. FraX is an X-linked neuro-developmental disorder involving an unstable trinucleotide repeat expansion of cytosine guanine guanine (CGG). Individuals with the full mutation of FraX have >200 GG repeats with premutation carriers having 55-200 GG repeats. A wide spectrum of physical, behavioural, cognitive, psychiatric and medical problems have been associated with both full mutation and premutation carriers of FraX. In this review, we detail the clinical profile and examine the aetiology, epidemiology, neuropathology, neuroimaging findings and possible management strategies for individuals with both the full mutation and premutation of FraX.

摘要

脆性 X 综合征(FraX)是全球最常见的遗传性学习障碍病因。FraX 是一种涉及不稳定三核苷酸重复扩展的 X 连锁神经发育障碍胞嘧啶鸟嘌呤鸟嘌呤(CGG)。FraX 完全突变的个体具有 >200 个 GG 重复,前突变携带者具有 55-200 个 GG 重复。广泛的身体、行为、认知、精神和医学问题与 FraX 的完全突变和前突变携带者有关。在这篇综述中,我们详细描述了临床特征,并检查了 FraX 完全突变和前突变个体的病因、流行病学、神经病理学、神经影像学发现和可能的管理策略。

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本文引用的文献

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Clinical assessment of DSM-IV anxiety disorders in fragile X syndrome: prevalence and characterization.脆性 X 综合征中 DSM-IV 焦虑障碍的临床评估:患病率和特征。
J Neurodev Disord. 2011 Mar;3(1):57-67. doi: 10.1007/s11689-010-9067-y. Epub 2010 Dec 3.
2
Epigenetic modification of the FMR1 gene in fragile X syndrome is associated with differential response to the mGluR5 antagonist AFQ056.脆性 X 综合征中 FMR1 基因的表观遗传修饰与 mGluR5 拮抗剂 AFQ056 的不同反应相关。
Sci Transl Med. 2011 Jan 5;3(64):64ra1. doi: 10.1126/scitranslmed.3001708.
3
Open-label add-on treatment trial of minocycline in fragile X syndrome.
在脆性X综合征大鼠模型中,海马位置细胞序列受损。
J Neurosci. 2025 Apr 9;45(15):e1978242025. doi: 10.1523/JNEUROSCI.1978-24.2025.
4
Hippocampal place cell sequences are impaired in a rat model of Fragile X Syndrome.在脆性X综合征大鼠模型中,海马位置细胞序列受损。
bioRxiv. 2025 Feb 13:2024.10.18.619112. doi: 10.1101/2024.10.18.619112.
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'It's especially good just to know that you're not the only one': a qualitative study exploring experiences with online peer support programmes for the Fragile X community.“仅仅知道自己不是唯一的一个就特别好”:一项探索脆性X综合征群体在线同伴支持项目体验的定性研究
J Intellect Disabil Res. 2025 Jan;69(1):30-43. doi: 10.1111/jir.13188. Epub 2024 Sep 25.
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Calcium-Dependent Regulation of Neuronal Excitability Is Rescued in Fragile X Syndrome by a Tat-Conjugated N-Terminal Fragment of FMRP.钙依赖性调节神经元兴奋性在脆性 X 综合征中通过 FMRP 的 Tat 缀合的 N 端片段得到挽救。
J Neurosci. 2024 May 22;44(21):e0136242024. doi: 10.1523/JNEUROSCI.0136-24.2024.
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Sex Differences in Brain Disorders.脑疾病中的性别差异。
Int J Mol Sci. 2023 Sep 26;24(19):14571. doi: 10.3390/ijms241914571.
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