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Charcot-Marie-Tooth 遗传性神经病的新兴治疗方法。

Emerging Therapies for Charcot-Marie-Tooth Inherited Neuropathies.

机构信息

Neuroscience Department, The Cyprus Institute of Neurology and Genetics, Cyprus School of Molecular Medicine, Nicosia 2371, Cyprus.

Center for Neuromuscular Diseases, The Cyprus Institute of Neurology and Genetics, Cyprus School of Molecular Medicine, Nicosia 2371, Cyprus.

出版信息

Int J Mol Sci. 2021 Jun 3;22(11):6048. doi: 10.3390/ijms22116048.

Abstract

Inherited neuropathies known as Charcot-Marie-Tooth (CMT) disease are genetically heterogeneous disorders affecting the peripheral nerves, causing significant and slowly progressive disability over the lifespan. The discovery of their diverse molecular genetic mechanisms over the past three decades has provided the basis for developing a wide range of therapeutics, leading to an exciting era of finding treatments for this, until now, incurable group of diseases. Many treatment approaches, including gene silencing and gene replacement therapies, as well as small molecule treatments are currently in preclinical testing while several have also reached clinical trial stage. Some of the treatment approaches are disease-specific targeted to the unique disease mechanism of each CMT form, while other therapeutics target common pathways shared by several or all CMT types. As promising treatments reach the stage of clinical translation, optimal outcome measures, novel biomarkers and appropriate trial designs are crucial in order to facilitate successful testing and validation of novel treatments for CMT patients.

摘要

遗传性周围神经病,又称夏科-马里-图什病(Charcot-Marie-Tooth,CMT),是一种遗传异质性疾病,影响外周神经,导致患者在整个生命周期中出现显著且进行性的残疾。在过去的三十年中,对其多种分子遗传机制的发现为开发广泛的治疗方法提供了基础,从而开创了治疗这些迄今为止无法治愈的疾病的激动人心的时代。目前,许多治疗方法,包括基因沉默和基因替代疗法,以及小分子治疗方法,都处于临床前测试阶段,其中一些已经进入临床试验阶段。一些治疗方法针对每种 CMT 形式的独特疾病机制进行了疾病特异性靶向治疗,而其他治疗方法则针对几种或所有 CMT 类型共有的共同途径。随着有前途的治疗方法进入临床转化阶段,最佳的疗效评估指标、新型生物标志物和适当的试验设计对于促进新型 CMT 治疗方法的成功测试和验证至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/943d/8199910/1364b8712058/ijms-22-06048-g001.jpg

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