» Articles » PMID: 39135718

Drug Repurposing in Rett and Rett-like Syndromes: a Promising Yet Underrated Opportunity?

Overview
Specialty General Medicine
Date 2024 Aug 13
PMID 39135718
Authors
Affiliations
Soon will be listed here.
Abstract

Rett syndrome (RTT) and Rett-like syndromes [i.e., CDKL5 deficiency disorder (CDD) and FOXG1-syndrome] represent rare yet profoundly impactful neurodevelopmental disorders (NDDs). The severity and complexity of symptoms associated with these disorders, including cognitive impairment, motor dysfunction, seizures and other neurological features significantly affect the quality of life of patients and families. Despite ongoing research efforts to identify potential therapeutic targets and develop novel treatments, current therapeutic options remain limited. Here the potential of drug repurposing (DR) as a promising avenue for addressing the unmet medical needs of individuals with RTT and related disorders is explored. Leveraging existing drugs for new therapeutic purposes, DR presents an attractive strategy, particularly suited for neurological disorders given the complexities of the central nervous system (CNS) and the challenges in blood-brain barrier penetration. The current landscape of DR efforts in these syndromes is thoroughly examined, with partiuclar focus on shared molecular pathways and potential common drug targets across these conditions.

References
1.
Zhu Z, Li Y, Xu J, Xue H, Feng X, Zhu Y . CDKL5 deficiency in adult glutamatergic neurons alters synaptic activity and causes spontaneous seizures via TrkB signaling. Cell Rep. 2023; 42(10):113202. DOI: 10.1016/j.celrep.2023.113202. View

2.
Dichtel L, Nyer M, Dording C, Fisher L, Cusin C, Shapero B . Effects of Open-Label, Adjunctive Ganaxolone on Persistent Depression Despite Adequate Antidepressant Treatment in Postmenopausal Women: A Pilot Study. J Clin Psychiatry. 2020; 81(4). PMC: 7738196. DOI: 10.4088/JCP.19m12887. View

3.
Persico A, Ricciardello A, Cucinotta F . The psychopharmacology of autism spectrum disorder and Rett syndrome. Handb Clin Neurol. 2019; 165:391-414. DOI: 10.1016/B978-0-444-64012-3.00024-1. View

4.
Vossler D . Ganaxolone: A New Treatment for CDKL5 Deficiency Disorder. Epilepsy Curr. 2022; 22(6):348-350. PMC: 9661611. DOI: 10.1177/15357597221125238. View

5.
Jonker A, OConnor D, Cavaller-Bellaubi M, Fetro C, Gogou M, t Hoen P . Drug repurposing for rare: progress and opportunities for the rare disease community. Front Med (Lausanne). 2024; 11:1352803. PMC: 10828010. DOI: 10.3389/fmed.2024.1352803. View