Souza Paulo Victor Sgobbi de, Pinto Wladimir Bocca Vieira de Rezende, Chieia Marco Antônio Troccoli, Oliveira Acary Souza Bulle
Departamento de Neurologia e Neurocirurgia, Universidade Federal de São Paulo, Sao Paulo, SP, Brazil.
Arq Neuropsiquiatr. 2015 Dec;73(12):1026-37. doi: 10.1590/0004-282X20150161. Epub 2015 Oct 13.
Amyotrophic lateral sclerosis represents the most common neurodegenerative disease leading to upper and lower motor neuron compromise. Although the vast majority of cases are sporadic, substantial gain has been observed in the knowledge of the genetic forms of the disease, especially of familial forms. There is a direct correlation between the profile of the mutated genes in sporadic and familial forms, highlighting the main role of C9orf72 gene in the clinical forms associated with frontotemporal dementia spectrum. The different genes related to familial and sporadic forms represent an important advance on the pathophysiology of the disease and genetic therapeutic perspectives, such as antisense therapy. The objective of this review is to signal and summarize clinical and genetic data related to familial forms of amyotrophic lateral sclerosis.
肌萎缩侧索硬化症是导致上、下运动神经元受损的最常见神经退行性疾病。尽管绝大多数病例是散发性的,但在该疾病的遗传形式,尤其是家族性形式的认识方面取得了显著进展。散发性和家族性形式中突变基因的情况存在直接关联,突出了C9orf72基因在与额颞叶痴呆谱系相关的临床形式中的主要作用。与家族性和散发性形式相关的不同基因代表了该疾病病理生理学以及基因治疗前景(如反义疗法)方面的重要进展。本综述的目的是指出并总结与家族性肌萎缩侧索硬化症相关的临床和遗传数据。