面阔肱肌营养不良症 (FSHD) 的最新进展

IF 2 4区 医学 Q1 Medicine
Amanda X. Y. Chin, Zhi Xuan Quak, Yee Cheun Chan, Amy M. L. Quek, Kay W. P. Ng
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引用次数: 0

摘要

综述目的本综述旨在概述面岬肱肌营养不良症(FSHD)的病理生理学、临床表现和治疗方案。我们讨论了当前的治疗方案,并深入探讨了靶向治疗的最新进展。最新研究结果FSHD研究的新突破使人们进一步了解了DUX4蛋白的异常表达在FSHD潜在病理生理学中的作用。这为开发针对 DUX4 表达或其下游效应的靶向疗法铺平了道路。前列腺增生症的治疗策略主要通过三种途径靶向 DUX4:小分子药物、反义寡核苷酸疗法和基于 CRISPR 的方法。本综述将进一步讨论这些策略。目前,除了正在进行3期临床试验的losmapimod外,所有前瞻性靶向疗法均处于临床前阶段。摘要鉴于FSHD尚无获批的疾病改变疗法,目前的主要治疗方法包括多学科支持性措施,但这些措施效果有限。靶向疗法和FSHD确切治疗策略的最新进展预示着一个充满希望的时代即将到来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Updates on Facioscapulohumeral Muscular Dystrophy (FSHD)

Purpose of review

This review aims to provide a summary of the pathophysiology, clinical presentation and management options for facioscapulohumeral dystrophy (FSHD). We discuss current management options and delve into updates about developments in targeted therapy.

Recent findings

New breakthroughs in FSHD research have led to a further understanding of aberrant DUX4 protein expression in the underlying pathophysiology of FSHD. This has paved the way for the development of targeted therapies aimed at targeting DUX4 expression or its downstream effects. Therapeutic strategies for FSHD primarily target DUX4 through three main avenues: small molecules, antisense oligonucleotide therapeutics and CRISPR-based approaches. This review discusses these strategies further. Presently, all prospective targeted therapies are in the pre-clinical phase, except for losmapimod, which is currently undergoing a phase 3 clinical trial.

Summary

Given the absence of approved disease-modifying treatments for FSHD, the primary approach for management currently involves multidisciplinary supportive measures which are limited. Recent developments in the form of targeted therapies and strategies for the definitive treatment of FSHD indicate a promising era.

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来源期刊
CiteScore
4.00
自引率
0.00%
发文量
40
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published treatment option advances in the field of neurology. By presenting clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to the treatment of neurologic conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as epilepsy, headache, neurologic ophthalmology and otology, neuromuscular disorders, psychiatric manifestations of neurologic disease, and sleep disorders. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known neurologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.
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