Advances in the treatment of fragile X syndrome.

Advances in the treatment of fragile X syndrome.
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DOI:
10.1542/peds.2008-0317
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发表时间:
2009-01
期刊:
影响因子:
8
通讯作者:
Tranfaglia M
Tranfaglia M
中科院分区:
医学2区
文献类型:
--
作者:
Hagerman RJ;Berry-Kravis E;Kaufmann WE;Ono MY;Tartaglia N;Lachiewicz A;Kronk R;Delahunty C;Hessl D;Visootsak J;Picker J;Gane L;Tranfaglia M

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FMR 1突变可导致具有完全突变形式(脆性X综合征)和明显困难(包括原发性卵巢功能不全)的个体出现各种残疾,包括认知缺陷、注意力缺陷/多动障碍、自闭症和其他社会情感问题,包括原发性卵巢功能不全、神经病变和脆性X相关震颤/共济失调综合征,在一些老年前突变携带者中。因此,当先证者被确定为FMR 1突变时,通常会遇到多代家庭参与。在脆性X综合征动物模型中,代谢型谷氨酸受体5通路拮抗剂的研究已证明其在减少癫痫发作、改善行为和增强认知方面的益处。代谢型谷氨酸受体5拮抗剂的试验开始于脆性X综合征患者。有针对性的治疗,医疗和行为干预,遗传咨询和家庭支持在这里进行审查。
The FMR1 mutations can cause a variety of disabilities, including cognitive deficits, attention-deficit/hyperactivity disorder, autism, and other socioemotional problems, in individuals with the full mutation form (fragile X syndrome) and distinct difficulties, including primary ovarian insufficiency, neuropathy and the fragile X-associated tremor/ataxia syndrome, in some older premutation carriers. Therefore, multigenerational family involvement is commonly encountered when a proband is identified with a FMR1 mutation. Studies of metabotropic glutamate receptor 5 pathway antagonists in animal models of fragile X syndrome have demonstrated benefits in reducing seizures, improving behavior, and enhancing cognition. Trials of metabotropic glutamate receptor 5 antagonists are beginning with individuals with fragile X syndrome. Targeted treatments, medical and behavioral interventions, genetic counseling, and family supports are reviewed here.
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