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从综合征性自闭症谱系障碍研究中吸取的经验教训。

Lessons learned from studying syndromic autism spectrum disorders.

机构信息

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.

Jan and Dan Duncan Neurological Research Institute at Texas Children's Hospital, Houston, Texas, USA.

出版信息

Nat Neurosci. 2016 Oct 26;19(11):1408-1417. doi: 10.1038/nn.4420.

Abstract

Syndromic autism spectrum disorders represent a group of childhood neurological conditions, typically associated with chromosomal abnormalities or mutations in a single gene. The discovery of their genetic causes has increased our understanding of the molecular pathways critical for normal cognitive and social development. Human studies have revealed that the brain is particularly sensitive to changes in dosage of various proteins from transcriptional and translational regulators to synaptic proteins. Investigations of these disorders in animals have shed light on previously unknown pathogenic mechanisms leading to the identification of potential targets for therapeutic intervention. The demonstration of reversibility of several phenotypes in adult mice is encouraging, and brings hope that with novel therapies, skills and functionality might improve in affected children and young adults. As new research reveals points of convergence between syndromic and nonsyndromic autism spectrum disorders, we believe there will be opportunities for shared therapeutics for this class of conditions.

摘要

综合征自闭症谱系障碍代表了一组儿童神经疾病,通常与染色体异常或单个基因突变有关。对其遗传原因的发现增加了我们对正常认知和社会发展至关重要的分子途径的理解。人类研究表明,大脑对转录和翻译调节剂到突触蛋白等各种蛋白质的剂量变化特别敏感。对这些疾病在动物中的研究揭示了以前未知的致病机制,从而确定了潜在的治疗干预靶点。在成年小鼠中,几种表型的可逆性得到了证实,这令人鼓舞,也带来了希望:通过新的治疗方法,受影响的儿童和青少年的技能和功能可能会得到改善。随着新的研究揭示了综合征自闭症谱系障碍和非综合征自闭症谱系障碍之间的趋同点,我们相信这类疾病有机会共享治疗方法。

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