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团队合作成就梦想:家庭、科学家和医疗保健提供者之间的功能性合作,推动 Leigh 综合征治疗的进展。

Teamwork makes the dream work: functional collaborations between families, scientists, and healthcare providers to drive progress in the treatment of Leigh Syndrome.

机构信息

Evans Department of Medicine, Whitaker Cardiovascular Institute, Boston University Chobanian and Avedisian School of Medicine, 02118, Boston, MA, USA.

Cure Mito Foundation, 6808 Old Glory Ct., 75071, McKinney, TX, USA.

出版信息

Orphanet J Rare Dis. 2023 Nov 16;18(1):355. doi: 10.1186/s13023-023-02871-7.

Abstract

BACKGROUND

Leigh syndrome, an inherited neurometabolic disorder, is estimated to be the most common pediatric manifestation of mitochondrial disease. No treatments are currently available for Leigh syndrome due to many hurdles in drug discovery efforts. Leigh syndrome causal variants span over 110 different genes and likely lead to both unique and shared biochemical alterations, often resulting in overlapping phenotypic features. The mechanisms by which pathogenic variants in mitochondrial genes alter cellular phenotype to promote disease remain poorly understood. The rarity of cases of specific causal variants creates barriers to drug discovery and adequately sized clinical trials. BODY: To address the current challenges in drug discovery and facilitate communication between researchers, healthcare providers, patients, and families, the Boston University integrative Cardiovascular Metabolism and Pathophysiology (iCAMP) Lab and Cure Mito Foundation hosted a Leigh Syndrome Symposium. This symposium brought together expert scientists and providers to highlight the current successes in drug discovery and novel models of mitochondrial disease, and to connect patients to providers and scientists to foster community and communication.

CONCLUSION

In this symposium review, we describe the research presented, the hurdles ahead, and strategies to better connect the Leigh syndrome community members to advance treatments for Leigh syndrome.

摘要

背景

Leigh 综合征是一种遗传性神经代谢疾病,据估计是儿童中最常见的线粒体疾病表现形式。由于药物发现工作中的许多障碍,目前尚无治疗 Leigh 综合征的方法。 Leigh 综合征的致病变异跨越了 110 多个不同的基因,可能导致独特和共同的生化改变,通常导致重叠的表型特征。导致细胞表型改变以促进疾病的线粒体基因致病性变异的机制仍知之甚少。特定致病变异病例的罕见性给药物发现和足够规模的临床试验带来了障碍。

正文

为了解决药物发现方面的当前挑战,并促进研究人员、医疗保健提供者、患者和家属之间的沟通,波士顿大学综合心血管代谢与病理生理学(iCAMP)实验室和 Cure Mito 基金会举办了 Leigh 综合征研讨会。本次研讨会汇集了专家科学家和提供者,重点介绍了药物发现方面的当前成功和线粒体疾病的新型模型,并将患者与提供者和科学家联系起来,以促进社区和交流。

结论

在本次研讨会综述中,我们描述了所呈现的研究、未来的障碍以及更好地将 Leigh 综合征社区成员联系起来以推进 Leigh 综合征治疗的策略。

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