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推动神经肌肉疾病研究向前发展:从新型模型到临床研究。

Moving neuromuscular disorders research forward: from novel models to clinical studies.

作者信息

van Putten Maaike, Hmeljak Julija, Aartsma-Rus Annemieke, Dowling James J

机构信息

Department of Human Genetics, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands

Disease Models & Mechanisms, The Company of Biologists, Bidder Building, Station Road, Histon, Cambridge CB24 9LF, UK.

出版信息

Dis Model Mech. 2020 Feb 25;13(2):dmm044370. doi: 10.1242/dmm.044370.

Abstract

Neuromuscular disorders (NMDs) encompass a diverse group of genetic diseases characterized by loss of muscle functionality. Despite extensive efforts to develop therapies, no curative treatment exists for any of the NMDs. For multiple disorders, however, therapeutic strategies are currently being tested in clinical settings, and the first successful treatments have now entered clinical practice (e.g. spinraza for spinal muscular atrophy). Successful clinical translation depends on the quality and translatability of preclinical findings and on the predictive value of the experimental models used in their initial development. This Special Issue of Disease Models & Mechanisms has a particular focus on translational research for NMDs. The collection includes original research focusing on advances in the development of novel and models, broader understanding of disease pathology and progression, and approaches to modify the disease course in these models. We also present a series of special articles and reviews that highlight our understanding of cellular mechanisms, biomarkers to tract disease pathology, the diversity of mouse models for NMDs, the importance of high-quality preclinical studies and data validation, and the pitfalls of successfully moving a potential therapeutic strategy to the clinic. In this Editorial, we summarize the highlights of these articles and place their findings in the broader context of the NMD research field.

摘要

神经肌肉疾病(NMDs)涵盖了一组多样的遗传性疾病,其特征是肌肉功能丧失。尽管人们为开发治疗方法付出了巨大努力,但目前尚无针对任何一种NMD的治愈性疗法。然而,对于多种疾病,目前正在临床环境中测试治疗策略,并且首批成功的治疗方法现已进入临床实践(例如用于脊髓性肌萎缩症的Spinraza)。成功的临床转化取决于临床前研究结果的质量和可转化性,以及在其初步开发中使用的实验模型的预测价值。《疾病模型与机制》的这一特刊特别关注NMDs的转化研究。该文集包括原创研究,重点关注新型模型开发的进展、对疾病病理和进展的更广泛理解,以及在这些模型中改变疾病进程的方法。我们还发表了一系列专题文章和综述,突出了我们对细胞机制的理解、追踪疾病病理的生物标志物、NMDs小鼠模型的多样性、高质量临床前研究和数据验证的重要性,以及将潜在治疗策略成功推进到临床的陷阱。在这篇社论中,我们总结了这些文章的要点,并将它们的研究结果置于NMD研究领域更广泛的背景中。

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