Mason Sarah L, Barker Roger A
John van Geest Centre for Brain Repair,
Department of Clinical Neuroscience, University of Cambridge, Cambridge, UK.
Degener Neurol Neuromuscul Dis. 2016 May 4;6:25-36. doi: 10.2147/DNND.S83808. eCollection 2016.
Huntington's disease (HD) is an incurable, inherited, progressive, neurodegenerative disorder that is characterized by a triad of motor, cognitive, and psychiatric problems. Despite the noticeable increase in therapeutic trials in HD in the last 20 years, there have, to date, been very few significant advances. The main hope for new and emerging therapeutics for HD is to develop a neuroprotective compound capable of slowing down or even stopping the progression of the disease and ultimately prevent the subtle early signs from developing into manifest disease. Recently, there has been a noticeable shift away from symptomatic therapies in favor of more mechanistic-based interventions, a change driven by a better understanding of the pathogenesis of this disorder. In this review, we discuss the status of, and supporting evidence for, potential novel treatments of HD that are currently under development or have reached the level of early Phase I/II clinical trials.
亨廷顿舞蹈症(HD)是一种无法治愈的、遗传性的、进行性的神经退行性疾病,其特征为运动、认知和精神方面的三联征问题。尽管在过去20年里针对HD的治疗试验显著增加,但迄今为止,几乎没有取得重大进展。HD新型疗法的主要希望在于开发一种神经保护化合物,能够减缓甚至阻止疾病进展,并最终防止细微的早期症状发展为明显的疾病。最近,治疗明显从对症治疗转向更基于机制的干预,这种转变是由于对该疾病发病机制有了更好的理解。在这篇综述中,我们讨论了目前正在研发或已进入早期I/II期临床试验阶段的HD潜在新疗法的现状及支持证据。