Review of targeted treatments in fragile X syndrome
Andrew Ligsay1, Randi J Hagerman2
1Medical Investigation of Neurodevelopmental Disorders (MIND) Institute, University of California, Davis Medical Center, Sacramento, CA, USA; University of California, Davis School of Medicine, Sacramento, CA, USA.
Abstract:
Fragile X syndrome (FXS) is the most common inherited form of intellectual disability, and is the leading single-gene cause of autism spectrum disorders. It is due to a loss of the fragile X mental retardation protein, which leads to molecular, behavioral, and cognitive deficits in these patients. Improvements in our understanding of its pathophysiology have led to the development of numerous targeted treatments in FXS as highlighted by metabotropic glutamate receptor antagonists and gamma-Aminobutyric acid receptor modulators. This review will summarize relevant pre-clinical data and results from clinical trials in human subjects with FXS. It will also highlight upcoming studies and future directions for clinical trials as well.
Insights
Fragile X syndrome (FXS), a common cause of intellectual disability and autism, results from a loss of the fragile X mental retardation protein. Treatments targeting its pathophysiology are advancing, with ongoing clinical trials showing promise.
Area of Science:
- Neurogenetics
- Developmental Neuroscience
- Pharmacology
Background:
- Fragile X syndrome (FXS) is the most prevalent inherited intellectual disability and a primary single-gene cause of autism spectrum disorders.
- Pathophysiology involves the loss of the fragile X mental retardation protein, leading to molecular, behavioral, and cognitive impairments.
Purpose of the Study:
- To review current pre-clinical and clinical trial data for FXS treatments.
- To outline future directions for FXS clinical research and therapeutic development.
Main Methods:
- Literature review of pre-clinical studies.
- Analysis of published clinical trial results in human subjects with FXS.
- Synthesis of data on targeted therapies, including metabotropic glutamate receptor antagonists and GABA receptor modulators.
Main Results:
- Numerous targeted treatments have been developed based on improved understanding of FXS pathophysiology.
- Pre-clinical and clinical data support the efficacy of novel therapeutic strategies.
Conclusions:
- Advances in understanding FXS pathophysiology have spurred the development of effective targeted treatments.
- Ongoing and future clinical trials are crucial for advancing therapeutic options for individuals with FXS.
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