小脑疾病的进展:临床前模型、治疗靶点和挑战。

IF 4.6 2区 医学 Q1 PHARMACOLOGY & PHARMACY
Expert Opinion on Therapeutic Targets Pub Date : 2023-07-01 Epub Date: 2023-10-30 DOI:10.1080/14728222.2023.2263911
Mario Manto, Jan Cendelin, Michael Strupp, Hiroshi Mitoma
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引用次数: 0

摘要

引言:小脑共济失调(CA)是一种具有多种病因和高表型变异性的神经系统疾病。尽管在对发病机制的理解方面取得了进展,但到目前为止,几乎没有可用的治疗方法。鉴于CAs对患者健康的影响以及小脑在多个领域的作用,关闭临床前研究和治疗试验之间的循环很重要。由于CA研究进展迅速,有必要总结主要发现并讨论未来的方向。涵盖的领域:我们重点讨论临床前模型、小脑储备、CAs的治疗管理和合适的替代标志物。我们使用与小脑疾病、治疗和临床前模型相关的关键词搜索了Web of Science和PubMed。专家意见:有许多症状和/或疾病改变的治疗方法正在研究中。对于治疗开发,临床前研究、疾病评估标准化、安全性评估和临床改进证明至关重要。疾病的阶段和小脑储备水平决定了治疗的目标。CA的多类别缺陷和异质性可能需要疾病、阶段和症状特异性治疗。需要更多的研究来阐明针对小脑的治疗如何影响基底节和大脑皮层,这是CA中研究较少的领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advances in cerebellar disorders: pre-clinical models, therapeutic targets, and challenges.

Introduction: Cerebellar ataxias (CAs) represent neurological disorders with multiple etiologies and a high phenotypic variability. Despite progress in the understanding of pathogenesis, few therapies are available so far. Closing the loop between preclinical studies and therapeutic trials is important, given the impact of CAs upon patients' health and the roles of the cerebellum in multiple domains. Because of a rapid advance in research on CAs, it is necessary to summarize the main findings and discuss future directions.

Areas covered: We focus our discussion on preclinical models, cerebellar reserve, the therapeutic management of CAs, and suitable surrogate markers. We searched Web of Science and PubMed using keywords relevant to cerebellar diseases, therapy, and preclinical models.

Expert opinion: There are many symptomatic and/or disease-modifying therapeutic approaches under investigation. For therapy development, preclinical studies, standardization of disease evaluation, safety assessment, and demonstration of clinical improvements are essential. Stage of the disease and the level of the cerebellar reserve determine the goals of the therapy. Deficits in multiple categories and heterogeneity of CAs may require disease-, stage-, and symptom-specific therapies. More research is needed to clarify how therapies targeting the cerebellum influence both basal ganglia and the cerebral cortex, poorly explored domains in CAs.

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来源期刊
CiteScore
8.90
自引率
1.70%
发文量
58
审稿时长
3 months
期刊介绍: The journal evaluates molecules, signalling pathways, receptors and other therapeutic targets and their potential as candidates for drug development. Articles in this journal focus on the molecular level and early preclinical studies. Articles should not include clinical information including specific drugs and clinical trials. The Editors welcome: Reviews covering novel disease targets at the molecular level and information on early preclinical studies and their implications for future drug development. Articles should not include clinical information including specific drugs and clinical trials. Original research papers reporting results of target selection and validation studies and basic mechanism of action studies for investigative and marketed drugs. The audience consists of scientists, managers and decision makers in the pharmaceutical industry, academic researchers working in the field of molecular medicine and others closely involved in R&D.
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