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Rett Syndrome: Reaching for Clinical Trials
Lucas Pozzo-Miller1, Sandipan Pati, Alan K Percy
1Department of Neurobiology, Civitan International Research Center, The University of Alabama at Birmingham, Birmingham, AL, USA.
Abstract:
Rett syndrome (RTT) is a syndromic autism spectrum disorder caused by loss-of-function mutations in MECP2. The methyl CpG binding protein 2 binds methylcytosine and 5-hydroxymethycytosine at CpG sites in promoter regions of target genes, controlling their transcription by recruiting co-repressors and co-activators. Several preclinical studies in mouse models have identified rational molecular targets for drug therapies aimed at correcting the underlying neural dysfunction. These targeted therapies are increasingly translating into human clinical trials. In this review, we present an overview of RTT and describe the current state of preclinical studies in methyl CpG binding protein 2-based mouse models, as well as current clinical trials in individuals with RTT.
Insights
Rett syndrome, a neurodevelopmental disorder caused by MECP2 mutations, is being targeted by new therapies. Preclinical studies in mouse models are informing current clinical trials for individuals with Rett syndrome.
Area of Science:
- Neuroscience
- Genetics
- Developmental Biology
Background:
- Rett syndrome (RTT) is a syndromic autism spectrum disorder.
- It is caused by loss-of-function mutations in the MECP2 gene.
- Methyl CpG binding protein 2 (MECP2) regulates gene transcription by binding to DNA methylation patterns.
Purpose of the Study:
- To provide an overview of Rett syndrome.
- To summarize preclinical studies in MECP2-based mouse models.
- To describe the current status of clinical trials for RTT.
Main Methods:
- Review of preclinical studies in MECP2 mouse models.
- Analysis of current human clinical trials for RTT.
Main Results:
- Identification of rational molecular targets for RTT drug therapies in preclinical studies.
- Translation of targeted therapies from preclinical models to human clinical trials.
Conclusions:
- MECP2-based mouse models are crucial for understanding RTT pathogenesis.
- Targeted therapies show promise for treating neural dysfunction in RTT.
- Clinical trials are advancing treatment options for individuals with Rett syndrome.
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