Zampatti Stefania, Peconi Cristina, Campopiano Rosa, Gambardella Stefano, Caltagirone Carlo, Giardina Emiliano
Genomic Medicine Laboratory UILDM, IRCCS Fondazione Santa Lucia, Rome, Italy.
IRCCS Neuromed, Pozzilli, Italy.
Front Aging Neurosci. 2022 Jun 10;14:907122. doi: 10.3389/fnagi.2022.907122. eCollection 2022.
Hexanucleotide expansion in has been related to several phenotypes to date, complicating the clinical recognition of these neurodegenerative disorders. An early diagnosis can improve the management of patients, promoting early administration of therapeutic supportive strategies. Here, we report known clinical presentations of -related neurodegenerative disorders, pointing out suggestive phenotypes that can benefit the genetic characterization of patients. Considering the high variability of -related disorder, frequent and rare manifestations are described, with detailed clinical, instrumental evaluation, and supportive therapeutical approaches. Furthermore, to improve the understanding of molecular pathways of the disease and potential therapeutical targets, a detailed description of the cellular mechanisms related to the pathological effect of is reported. New promising therapeutical strategies and ongoing studies are reported highlighting their molecular role in cellular pathological pathways of . These therapeutic approaches are particularly promising because they seem to stop the disease before neuronal damage. The knowledge of clinical and molecular features of -related neurodegenerative disorders improves the therapeutical application of known strategies and will lay the basis for the development of new potential therapies.
迄今为止,[某种疾病名称]中的六核苷酸扩增已与多种表型相关,这使得这些神经退行性疾病的临床识别变得复杂。早期诊断可以改善患者的管理,促进治疗支持策略的早期应用。在这里,我们报告了与[某种疾病名称]相关的神经退行性疾病的已知临床表现,指出了有助于患者基因特征分析的提示性表型。考虑到与[某种疾病名称]相关疾病的高度变异性,我们描述了常见和罕见的表现,并详细介绍了临床、仪器评估和支持性治疗方法。此外,为了增进对该疾病分子途径和潜在治疗靶点的理解,我们报告了与[某种疾病名称]病理效应相关的细胞机制的详细描述。我们还报告了新的有前景的治疗策略和正在进行的研究,强调了它们在[某种疾病名称]细胞病理途径中的分子作用。这些治疗方法特别有前景,因为它们似乎在神经元损伤之前就能阻止疾病发展。了解与[某种疾病名称]相关的神经退行性疾病的临床和分子特征,有助于改进已知策略的治疗应用,并将为开发新的潜在疗法奠定基础。