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过度生长-智力障碍疾病:生物学、患者权益倡导及创新疗法的进展

Overgrowth-intellectual disability disorders: progress in biology, patient advocacy and innovative therapies.

作者信息

Atterton Cooper, Trew Isabella, Cale Jessica M, Aung-Htut May T, Grens Kerry, Kiernan Jill, Delagrammatikas Christal G, Piper Michael

机构信息

The School of Biomedical Sciences, The University of Queensland, Brisbane, QLD 4072, Australia.

Personalised Medicine Centre, Health Futures Institute, Murdoch University, Murdoch, WA 6150, Australia.

出版信息

Dis Model Mech. 2025 May 1;18(5). doi: 10.1242/dmm.052300. Epub 2025 May 12.

DOI:10.1242/dmm.052300
PMID:40353642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12091874/
Abstract

Overgrowth-intellectual disability (OGID) syndromes encompass a group of rare neurodevelopmental disorders that frequently share common clinical presentations. Although the genetic causes of many OGID syndromes are now known, we lack a clear mechanistic understanding of how such variants disrupt developmental processes and ultimately culminate in overgrowth and neurological symptoms. Patient advocacy groups, such as the Overgrowth Syndromes Alliance (OSA), are mobilising patients, families, clinicians and researchers to work together towards a deeper understanding of the clinical needs of patients with OGID, as well as to understand the fundamental biology of the relevant genes, with the goal of developing treatments. In this Review, we summarise three OGID syndromes encompassed by the OSA, namely Sotos syndrome, Malan syndrome and Tatton-Brown-Rahman syndrome. We discuss similarities and differences in the biology behind each disorder and explore future approaches that could potentially provide a way to ameliorate some of the unmet clinical needs of patients with OGID.

摘要

过度生长-智力障碍(OGID)综合征是一组罕见的神经发育障碍,通常具有共同的临床表现。尽管现在已知许多OGID综合征的遗传原因,但我们对这些变异如何破坏发育过程并最终导致过度生长和神经症状缺乏清晰的机制理解。患者倡导组织,如过度生长综合征联盟(OSA),正在动员患者、家庭、临床医生和研究人员共同努力,以更深入地了解OGID患者的临床需求,并了解相关基因的基础生物学,目标是开发治疗方法。在本综述中,我们总结了OSA涵盖的三种OGID综合征,即索托斯综合征、马兰综合征和塔顿-布朗-拉赫曼综合征。我们讨论了每种疾病背后生物学的异同,并探索未来可能为改善OGID患者一些未满足的临床需求提供途径的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b5/12091874/6b54ddb04269/dmm-18-052300-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b5/12091874/5cdabf4ab2fa/dmm-18-052300-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b5/12091874/9117593f77a8/dmm-18-052300-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b5/12091874/6b54ddb04269/dmm-18-052300-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b5/12091874/5cdabf4ab2fa/dmm-18-052300-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b5/12091874/9117593f77a8/dmm-18-052300-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c8b5/12091874/6b54ddb04269/dmm-18-052300-g3.jpg

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本文引用的文献

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A Patient Case of Malan Syndrome Involving 19p13.2 Deletion of with Longitudinal Follow-Up and Future Prospectives.一例涉及19p13.2缺失的马兰综合征患者病例及长期随访与未来展望
J Clin Med. 2024 Nov 1;13(21):6575. doi: 10.3390/jcm13216575.
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Natural history in Malan syndrome: survey of 28 adults and literature review.Malan 综合征的自然病史:28 例成人患者的调查及文献复习。
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Arterial aneurysm and dissection: toward the evolving phenotype of Tatton-Brown-Rahman syndrome.
动脉瘤和夹层:塔顿-布朗-拉赫曼综合征的表型演变。
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Epilepsy and overgrowth-intellectual disability syndromes: a patient organization perspective on collaborating to accelerate pathways to treatment.癫痫与过度生长-智力残疾综合征:患者组织对合作加速治疗途径的观点
Ther Adv Rare Dis. 2024 May 31;5:26330040241254123. doi: 10.1177/26330040241254123. eCollection 2024 Jan-Dec.
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Neuropsychiatric Aspects of Sotos Syndrome: Explorative Review Building Multidisciplinary Bridges in Clinical Practice.索托斯综合征的神经精神方面:探索性综述,在临床实践中搭建多学科桥梁
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Histone methylation mediated by NSD1 is required for the establishment and maintenance of neuronal identities.由NSD1介导的组蛋白甲基化对于神经元身份的建立和维持是必需的。
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Distinct disease mutations in DNMT3A result in a spectrum of behavioral, epigenetic, and transcriptional deficits.DNMT3A 中的不同疾病突变导致一系列行为、表观遗传和转录缺陷。
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