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Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts

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Resumo:Polyglutamine (PolyQ) diseases are a group of neurodegenerative disorders caused by the expansion of cytosine-adenine-guanine (CAG) trinucleotide repeats in the coding region of specific genes. This leads to the production of pathogenic proteins containing critically expanded tracts of glutamines. Although polyQ diseases are individually rare, the fact that these nine diseases are irreversibly progressive over 10 to 30 years, severely impairing and ultimately fatal, usually implicating the full-time patient support by a caregiver for long time periods, makes their economic and social impact quite significant. This has led several researchers worldwide to investigate the pathogenic mechanism(s) and therapeutic strategies for polyQ diseases. Although research in the field has grown notably in the last decades, we are still far from having an effective treatment to offer patients, and the decision of which compounds should be translated to the clinics may be very challenging. In this review, we provide a comprehensive and critical overview of the most recent drug discovery efforts in the field of polyQ diseases, including the most relevant findings emerging from two different types of approaches-hypothesis-based candidate molecule testing and hypothesis-free unbiased drug screenings. We hereby summarize and reflect on the preclinical studies as well as all the clinical trials performed to date, aiming to provide a useful framework for increasingly successful future drug discovery and development efforts.
Autores principais:Esteves, Sofia
Outros Autores:Silva, Sara Carina Duarte; Maciel, P.
Assunto:polyglutamine diseases therapeutic strategies preclinical trials clinical trials Ciências Médicas::Medicina Clínica
Ano:2017
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade do Minho
Idioma:inglês
Origem:RepositóriUM - Universidade do Minho
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author Esteves, Sofia
author2 Silva, Sara Carina Duarte
Maciel, P.
author2_role author
author
author_facet Esteves, Sofia
Silva, Sara Carina Duarte
Maciel, P.
author_role author
contributor_name_str_mv RepositóriUM - Universidade do Minho
country_str PT
creators_json_txt [{\"Person.name\":\"Esteves, Sofia\"},{\"Person.name\":\"Silva, Sara Carina Duarte\"},{\"Person.name\":\"Maciel, P.\"}]
datacite.contributors.contributor.contributorName.fl_str_mv RepositóriUM - Universidade do Minho
datacite.creators.creator.creatorName.fl_str_mv Esteves, Sofia
Silva, Sara Carina Duarte
Maciel, P.
datacite.date.Accepted.fl_str_mv 2017-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2018-03-05T12:03:21Z
datacite.date.embargoed.fl_str_mv 2018-03-05T12:03:21Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv polyglutamine diseases
therapeutic strategies
preclinical trials
clinical trials
Ciências Médicas::Medicina Clínica
datacite.titles.title.fl_str_mv Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
dc.contributor.none.fl_str_mv RepositóriUM - Universidade do Minho
dc.creator.none.fl_str_mv Esteves, Sofia
Silva, Sara Carina Duarte
Maciel, P.
dc.date.Accepted.fl_str_mv 2017-01-01T00:00:00Z
dc.date.available.fl_str_mv 2018-03-05T12:03:21Z
dc.date.embargoed.fl_str_mv 2018-03-05T12:03:21Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://hdl.handle.net/1822/51513
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Wiley
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv polyglutamine diseases
therapeutic strategies
preclinical trials
clinical trials
Ciências Médicas::Medicina Clínica
dc.title.fl_str_mv Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Polyglutamine (PolyQ) diseases are a group of neurodegenerative disorders caused by the expansion of cytosine-adenine-guanine (CAG) trinucleotide repeats in the coding region of specific genes. This leads to the production of pathogenic proteins containing critically expanded tracts of glutamines. Although polyQ diseases are individually rare, the fact that these nine diseases are irreversibly progressive over 10 to 30 years, severely impairing and ultimately fatal, usually implicating the full-time patient support by a caregiver for long time periods, makes their economic and social impact quite significant. This has led several researchers worldwide to investigate the pathogenic mechanism(s) and therapeutic strategies for polyQ diseases. Although research in the field has grown notably in the last decades, we are still far from having an effective treatment to offer patients, and the decision of which compounds should be translated to the clinics may be very challenging. In this review, we provide a comprehensive and critical overview of the most recent drug discovery efforts in the field of polyQ diseases, including the most relevant findings emerging from two different types of approaches-hypothesis-based candidate molecule testing and hypothesis-free unbiased drug screenings. We hereby summarize and reflect on the preclinical studies as well as all the clinical trials performed to date, aiming to provide a useful framework for increasingly successful future drug discovery and development efforts.
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person_str_mv Esteves, Sofia
Silva, Sara Carina Duarte
Maciel, P.
publishDate 2017
publisher.none.fl_str_mv Wiley
reponame_str RepositóriUM - Universidade do Minho
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spelling engWileyporPolyglutamine (PolyQ) diseases are a group of neurodegenerative disorders caused by the expansion of cytosine-adenine-guanine (CAG) trinucleotide repeats in the coding region of specific genes. This leads to the production of pathogenic proteins containing critically expanded tracts of glutamines. Although polyQ diseases are individually rare, the fact that these nine diseases are irreversibly progressive over 10 to 30 years, severely impairing and ultimately fatal, usually implicating the full-time patient support by a caregiver for long time periods, makes their economic and social impact quite significant. This has led several researchers worldwide to investigate the pathogenic mechanism(s) and therapeutic strategies for polyQ diseases. Although research in the field has grown notably in the last decades, we are still far from having an effective treatment to offer patients, and the decision of which compounds should be translated to the clinics may be very challenging. In this review, we provide a comprehensive and critical overview of the most recent drug discovery efforts in the field of polyQ diseases, including the most relevant findings emerging from two different types of approaches-hypothesis-based candidate molecule testing and hypothesis-free unbiased drug screenings. We hereby summarize and reflect on the preclinical studies as well as all the clinical trials performed to date, aiming to provide a useful framework for increasingly successful future drug discovery and development efforts.application/pdfporDiscovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent EffortsEsteves, SofiaSilva, Sara Carina DuarteMaciel, P.HostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptCITATIONEsteves, S., Duarte‐Silva, S., & Maciel, P. (2017). Discovery of therapeutic approaches for polyglutamine diseases: a summary of recent efforts. Medicinal research reviews, 37(4), 860-906PMID27870126ISSNIsPartOf0198-6325EISSNIsPartOf1098-1128DOIIsPartOf10.1002/med.214252018-03-05T12:03:21Z20172018-01-26T09:20:17Z2017-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/51513http://purl.org/coar/access_right/c_abf2open accesspolyglutamine diseasestherapeutic strategiespreclinical trialsclinical trialshttp://www.oecd.org/science/inno/38235147.pdfFields of Science and Technology (FOS)Ciências Médicas::Medicina Clínica1146748 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorium.uminho.pt/bitstreams/1c157a56-284b-45c0-b9a2-29db9be48101/download
spellingShingle Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
Esteves, Sofia
polyglutamine diseases
therapeutic strategies
preclinical trials
clinical trials
Ciências Médicas::Medicina Clínica
status SINGLETON
subject.fl_str_mv polyglutamine diseases
therapeutic strategies
preclinical trials
clinical trials
subject.other.fl_str_mv Ciências Médicas::Medicina Clínica
title Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
title_full Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
title_fullStr Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
title_full_unstemmed Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
title_short Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
title_sort Discovery of Therapeutic Approaches for Polyglutamine Diseases: A Summary of Recent Efforts
topic polyglutamine diseases
therapeutic strategies
preclinical trials
clinical trials
Ciências Médicas::Medicina Clínica
topic_facet polyglutamine diseases
therapeutic strategies
preclinical trials
clinical trials
Ciências Médicas::Medicina Clínica
url https://hdl.handle.net/1822/51513
visible 1