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脆性 X 综合征:支持性治疗、未满足的需求,以及新型干预措施和针对疾病的治疗方法的探索。

Fragile X Syndrome: Supportive Treatment, Unmet Needs, and Paths to Novel Interventions and Disease-Targeted Therapies.

机构信息

Elizabeth Berry-Kravis, Rush University Medical Center.

出版信息

Am J Intellect Dev Disabil. 2022 Mar 1;127(2):90-94. doi: 10.1352/1944-7558-127.2.90.

Abstract

Fragile X syndrome (FXS), as a monogenic cause of intellectual disability and autism spectrum disorder, has been one of the first neurodevelopmental disorders in which molecular and neuronal mechanisms of disease have been identified, leading to the concept of targeting the underlying disease to reverse symptoms. Translating findings in basic science and animal models to humans with FXS has proven difficult. These challenges have prompted the FXS field to organize to build interlocking projects to support initiatives to improve supportive care, make clinical research accessible to families, generate collaborative research on natural history and outcome measures, and create clinical trial consortia and novel trial designs.

摘要

脆性 X 综合征 (FXS) 作为一种导致智力障碍和自闭症谱系障碍的单基因病因,是最早确定疾病分子和神经元机制的神经发育障碍之一,这导致了针对潜在疾病以逆转症状的治疗概念。将基础科学和动物模型中的发现转化为 FXS 患者,事实证明具有挑战性。这些挑战促使 FXS 领域组织相互关联的项目,以支持改善支持性护理、使家庭能够获得临床研究、开展关于自然病史和结果测量的合作研究以及建立临床试验联盟和新型试验设计的倡议。

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