Challenges and Opportunities for Translation of Therapies to Improve Cognition in Down Syndrome

被引:18
作者
Lee, Sarah E. [1 ]
Duran-Martinez, Monica [1 ]
Khantsis, Sabina [1 ]
Bianchi, Diana W. [1 ,2 ]
Guedj, Faycal [1 ]
机构
[1] NHGRI, Med Genet Branch, Prenatal Genom & Therapy Sect, NIH, Bethesda, MD 20892 USA
[2] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, NIH, Bethesda, MD 20892 USA
基金
美国国家卫生研究院;
关键词
PLURIPOTENT STEM-CELLS; TS65DN MOUSE MODEL; DOUBLE-BLIND; PHARMACOLOGICAL INTERVENTIONS; MITOCHONDRIAL DYSFUNCTION; NEUROGENESIS IMPAIRMENT; BRAIN TRANSCRIPTOME; OXIDATIVE STRESS; AMNIOTIC-FLUID; YOUNG-ADULTS;
D O I
10.1016/j.molmed.2019.10.001
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
While preclinical studies have reported improvement of behavioral deficits in the Ts65Dn mouse model of Down syndrome (DS), translation to human clinical trials to improve cognition in individuals with DS has had a poor success record. Timing of the intervention, choke of animal models, strategy for drug selection, and lack of translational endpoints between animals and humans contributed to prior failures of human clinical trials. Here, we focus on in vitro cell models from humans with DS to identify the molecular mechanisms underlying the brain phenotype associated with DS. We emphasize the importance of using these cell models to screen for therapeutic molecules, followed by validating them in the most suitable animal models prior to initiating human clinical trials.
引用
收藏
页码:150 / 169
页数:20
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