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额颞叶痴呆和肌萎缩侧索硬化症——将小鼠研究转化为临床试验。

FTD and ALS--translating mouse studies into clinical trials.

机构信息

Dementia Research Unit, School of Medical Sciences, Wallace Wurth Building East, The University of New South Wales, Sydney, NSW 2052, Australia.

The University of New South Wales and Neuroscience Research Australia, Margarete Ainsworth Building, Barker Street, Sydney, NSW 2031, Australia.

出版信息

Nat Rev Neurol. 2015 Jun;11(6):360-6. doi: 10.1038/nrneurol.2015.65. Epub 2015 May 5.

Abstract

Frontotemporal dementia (FTD) and amyotrophic lateral sclerosis (ALS) are related neurodegenerative disorders, which are characterized by a rapid decline in cognitive and motor functions, and short survival. Although the clinical and neuropathological characterization of these diseases has progressed--in part--through animal studies of pathogenetic mechanisms, the translation of findings from rodent models to clinical practice has generally not been successful. This article discusses the gap between preclinical animal studies in mice and clinical trials in patients with FTD or ALS. We outline how to better design preclinical studies, and present strategies to improve mouse models to overcome the translational shortfall. This new approach could help identify drugs that are more likely to achieve a therapeutic benefit for patients.

摘要

额颞叶痴呆(FTD)和肌萎缩侧索硬化症(ALS)是相关的神经退行性疾病,其特征是认知和运动功能迅速下降,存活时间短。尽管通过对发病机制的动物研究在一定程度上推进了这些疾病的临床和神经病理学特征的研究,但从啮齿动物模型到临床实践的研究结果的转化通常并不成功。本文讨论了 FTD 或 ALS 患者的临床前动物研究与临床试验之间的差距。我们概述了如何更好地设计临床前研究,并提出了改善小鼠模型的策略,以克服转化不足。这种新方法可以帮助确定更有可能为患者带来治疗益处的药物。

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