» Articles » PMID: 23055475

Treatment of Neurodevelopmental Disorders in Adulthood

Overview
Journal J Neurosci
Specialty Neurology
Date 2012 Oct 12
PMID 23055475
Citations 30
Authors
Affiliations
Soon will be listed here.
Abstract

Brain development in neurodevelopmental disorders has been considered to comprise a sequence of critical periods, and abnormalities occurring during early development have been considered irreversible in adulthood. However, findings in mouse models of neurodevelopmental disorders, including fragile X, Rett syndrome, Down syndrome, and neurofibromatosis type I suggest that it is possible to reverse certain molecular, electrophysiological, and behavioral deficits associated with these disorders in adults by genetic or pharmacological manipulations. Furthermore, recent studies have suggested that critical period-like plasticity can be reactivated in the adult brain by environmental manipulations or by pharmacotherapy. These studies open up a tantalizing possibility that targeted pharmacological treatments in combination with regimes of training or rehabilitation might alleviate or reverse the symptoms of neurodevelopmental disorders even after the end of critical developmental periods. Even though translation from animal experimentation to clinical practice is challenging, these results suggest a rational basis for treatment of neurodevelopmental disorders in adulthood.

Citing Articles

PROs for RARE: protocol for development of a core patient reported outcome set for individuals with genetic intellectual disability.

van Silfhout N, van Muilekom M, van Karnebeek C, Haverman L, Van Eeghen A Orphanet J Rare Dis. 2024; 19(1):354.

PMID: 39334201 PMC: 11428331. DOI: 10.1186/s13023-024-03264-0.


Navigating the outcome maze: a scoping review of outcomes and instruments in clinical trials in genetic neurodevelopmental disorders and intellectual disability.

Muller A, van Silfhout N, den Hollander B, Kampman D, Bakkum L, Brands M Ther Adv Rare Dis. 2024; 5:26330040241245721.

PMID: 38681798 PMC: 11047260. DOI: 10.1177/26330040241245721.


Beyond Diagnosis: Preliminary Study of Impact on Children and Parents in Neurodevelopmental Disorders and Juvenile Idiopathic Arthritis-Associated Uveitis.

Palmieri R, Albano V, Guerriero S, Craig F, La Torre F, Filoni S Diagnostics (Basel). 2024; 14(3).

PMID: 38337791 PMC: 10855410. DOI: 10.3390/diagnostics14030275.


Possibilities and limitations of antisense oligonucleotide therapies for the treatment of monogenic disorders.

Lauffer M, van Roon-Mom W, Aartsma-Rus A Commun Med (Lond). 2024; 4(1):6.

PMID: 38182878 PMC: 10770028. DOI: 10.1038/s43856-023-00419-1.


Long-term effects of early treatment with SSRIs on cognition and brain development in individuals with 22q11.2 deletion syndrome.

Mancini V, Maeder J, Bortolin K, Schneider M, Schaer M, Eliez S Transl Psychiatry. 2021; 11(1):336.

PMID: 34052829 PMC: 8164636. DOI: 10.1038/s41398-021-01456-x.


References
1.
Heulens I, DHulst C, Van Dam D, De Deyn P, Kooy R . Pharmacological treatment of fragile X syndrome with GABAergic drugs in a knockout mouse model. Behav Brain Res. 2012; 229(1):244-9. DOI: 10.1016/j.bbr.2012.01.031. View

2.
Cui Y, Costa R, Murphy G, Elgersma Y, Zhu Y, Gutmann D . Neurofibromin regulation of ERK signaling modulates GABA release and learning. Cell. 2008; 135(3):549-60. PMC: 2673196. DOI: 10.1016/j.cell.2008.09.060. View

3.
Pizzorusso T, Medini P, Berardi N, Chierzi S, Fawcett J, Maffei L . Reactivation of ocular dominance plasticity in the adult visual cortex. Science. 2002; 298(5596):1248-51. DOI: 10.1126/science.1072699. View

4.
Bhakar A, Dolen G, Bear M . The pathophysiology of fragile X (and what it teaches us about synapses). Annu Rev Neurosci. 2012; 35:417-43. PMC: 4327822. DOI: 10.1146/annurev-neuro-060909-153138. View

5.
Mainardi M, Scabia G, Vottari T, Santini F, Pinchera A, Maffei L . A sensitive period for environmental regulation of eating behavior and leptin sensitivity. Proc Natl Acad Sci U S A. 2010; 107(38):16673-8. PMC: 2944733. DOI: 10.1073/pnas.0911832107. View