Fragile X Syndrome: From Molecular Aspect to Clinical Treatment
Dragana D Protic1, Ramkumar Aishworiya2,3, Maria Jimena Salcedo-Arellano2,4,5
1Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade, 11129 Belgrade, Serbia.
Insights
Early diagnosis and intervention are key for Fragile X syndrome (FXS), a genetic neurodevelopmental disorder. Combining non-pharmacological approaches with targeted therapies improves behavioral symptoms and outcomes.
Area of Science:
- Genetics and Neurodevelopmental Disorders
- Clinical Interventions in Pediatrics
- Fragile X Syndrome Research
Background:
- Fragile X syndrome (FXS) is a genetic neurodevelopmental disorder linked to the FMR1 gene.
- FXS often presents with co-occurring conditions like Autism Spectrum Disorder and behavioral issues.
- Early interventions have shown promise in managing FXS-related behavioral symptoms.
Purpose of the Study:
- To review the clinical interventions for Fragile X syndrome.
- To emphasize the importance of early diagnosis and treatment strategies.
- To provide an overview of current and emerging therapeutic approaches for FXS.
Main Methods:
- Literature search of MEDLINE (1990-2021) and ClinicalTrials.gov.
- Inclusion of original articles, review articles, clinical trial data, and book chapters.
- Focus on clinical interventions, alongside biological importance, phenotype, and diagnosis.
Main Results:
- Current mainstream treatment involves early non-pharmacological interventions combined with pharmacotherapy.
- Targeted treatments aim to correct dysregulated brain pathways in FXS.
- Early diagnosis and intervention are crucial for optimal clinical outcomes.
Conclusions:
- Early diagnosis and comprehensive interventions are fundamental for managing FXS.
- A combination of non-pharmacological, pharmacological, and targeted therapies offers the most effective treatment approach.
- Continued research into interventions is vital for improving the lives of individuals with FXS.
Abstract:
Fragile X syndrome (FXS) is a neurodevelopmental disorder caused by the full mutation as well as highly localized methylation of the fragile X mental retardation 1 (FMR1) gene on the long arm of the X chromosome. Children with FXS are commonly co-diagnosed with Autism Spectrum Disorder, attention and learning problems, anxiety, aggressive behavior and sleep disorder, and early interventions have improved many behavior symptoms associated with FXS. In this review, we performed a literature search of original and review articles data of clinical trials and book chapters using MEDLINE (1990-2021) and ClinicalTrials.gov. While we have reviewed the biological importance of the fragile X mental retardation protein (FMRP), the FXS phenotype, and current diagnosis techniques, the emphasis of this review is on clinical interventions. Early non-pharmacological interventions in combination with pharmacotherapy and targeted treatments aiming to reverse dysregulated brain pathways are the mainstream of treatment in FXS. Overall, early diagnosis and interventions are fundamental to achieve optimal clinical outcomes in FXS.
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