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强直性肌营养不良:中枢神经系统新治疗进展的现状

Myotonic Dystrophies: State of the Art of New Therapeutic Developments for the CNS.

作者信息

Gourdon Genevieve, Meola Giovanni

机构信息

Institut National de la Santé et de la Recherche Médicale UMR1163Paris, France.

Laboratory CTGDM, Institut Imagine, Université Paris Descartes-Sorbonne Paris CitéParis, France.

出版信息

Front Cell Neurosci. 2017 Apr 20;11:101. doi: 10.3389/fncel.2017.00101. eCollection 2017.

Abstract

Myotonic dystrophies are multisystemic diseases characterized not only by muscle and heart dysfunction but also by CNS alteration. They are now recognized as brain diseases affecting newborns and children for myotonic dystrophy type 1 and adults for both myotonic dystrophy type 1 and type 2. In the past two decades, much progress has been made in understanding the mechanisms underlying the DM symptoms allowing development of new molecular therapeutic tools with the ultimate aim of curing the disease. This review describes the state of the art for the characterization of CNS related symptoms, the development of molecular strategies to target the CNS as well as the available tools for screening and testing new possible treatments.

摘要

强直性肌营养不良是多系统疾病,其特征不仅在于肌肉和心脏功能障碍,还在于中枢神经系统改变。现在人们认识到,1型强直性肌营养不良会影响新生儿和儿童,而1型和2型强直性肌营养不良都会影响成年人,它们都属于脑部疾病。在过去二十年中,我们在理解强直性肌营养不良症状背后的机制方面取得了很大进展,从而开发出了新的分子治疗工具,最终目标是治愈该疾病。本综述描述了中枢神经系统相关症状的特征描述、针对中枢神经系统的分子策略的发展以及用于筛选和测试新的可能治疗方法的现有工具的最新情况。

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