Capirci O, Queyras A, Alleva E, Volterra V
Istituto di Psicologia, Consiglio Nazionale delle Ricerche, Roma.
Ann Ist Super Sanita. 1997;33(2):259-66.
Williams syndrome (SW) is a rare (2-5/100,000) genetic human disorder characterised by a typical facies and mental retardation with a deficit in the visuo-spatial cognitive function and a relative preservation of linguistic abilities. This syndrome also includes morphological anomalies and metabolic-functional impairments, likely deficits in the pattern of brain ontogenesis. Neuropsychological and somatic features of the SW individuals are illustrated, and the correspondent genetic bases, recently identified, are presented. The possible role of NGF (nerve growth factor), a particular neurotrophin involved in the development of brain cholinergic system and the associated behavioural functions, in the aetiology of the typical mental retardation of SW patients, is critically discussed. Prospect of researches, including the identification of potential neurobiological markers and the definition of appropriate cognitive profiles of the SW, in order to precociously diagnose this syndrome, and a more thorough investigation of factors affecting phenotypic expression of this genetically determined pathological condition, are reviewed.
威廉姆斯综合征(SW)是一种罕见的(每10万人中有2 - 5例)人类遗传性疾病,其特征为典型面容、智力迟钝,伴有视觉空间认知功能缺陷以及语言能力相对保留。该综合征还包括形态异常和代谢功能障碍,可能存在脑发育模式的缺陷。文中阐述了SW患者的神经心理学和躯体特征,并介绍了最近确定的相应基因基础。文中批判性地讨论了神经生长因子(NGF)在SW患者典型智力迟钝病因学中的可能作用,NGF是一种参与脑胆碱能系统发育及相关行为功能的特殊神经营养因子。本文还综述了研究前景,包括识别潜在的神经生物学标志物以及定义SW患者合适的认知特征,以便早期诊断该综合征,并更深入地研究影响这种基因决定的病理状况表型表达的因素。