C9orf72-Related Neurodegenerative Diseases: From Clinical Diagnosis to Therapeutic Strategies

Hexanucleotide expansion in C9orf72 has been related to several phenotypes to date, complicating the clinical recognition of these neurodegenerative disorders. An early diagnosis can improve the management of patients, promoting early administration of therapeutic supportive strategies. Here, we rep...

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Main Authors: Stefania Zampatti, Cristina Peconi, Rosa Campopiano, Stefano Gambardella, Carlo Caltagirone, Emiliano Giardina
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Aging Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2022.907122/full
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author Stefania Zampatti
Cristina Peconi
Rosa Campopiano
Stefano Gambardella
Stefano Gambardella
Carlo Caltagirone
Emiliano Giardina
Emiliano Giardina
author_facet Stefania Zampatti
Cristina Peconi
Rosa Campopiano
Stefano Gambardella
Stefano Gambardella
Carlo Caltagirone
Emiliano Giardina
Emiliano Giardina
author_sort Stefania Zampatti
collection DOAJ
description Hexanucleotide expansion in C9orf72 has been related to several phenotypes to date, complicating the clinical recognition of these neurodegenerative disorders. An early diagnosis can improve the management of patients, promoting early administration of therapeutic supportive strategies. Here, we report known clinical presentations of C9orf72-related neurodegenerative disorders, pointing out suggestive phenotypes that can benefit the genetic characterization of patients. Considering the high variability of C9orf72-related disorder, frequent and rare manifestations are described, with detailed clinical, instrumental evaluation, and supportive therapeutical approaches. Furthermore, to improve the understanding of molecular pathways of the disease and potential therapeutical targets, a detailed description of the cellular mechanisms related to the pathological effect of C9orf72 is reported. New promising therapeutical strategies and ongoing studies are reported highlighting their molecular role in cellular pathological pathways of C9orf72. These therapeutic approaches are particularly promising because they seem to stop the disease before neuronal damage. The knowledge of clinical and molecular features of C9orf72-related neurodegenerative disorders improves the therapeutical application of known strategies and will lay the basis for the development of new potential therapies.
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spelling doaj.art-bf38f77ed82b4db8b2f15fe1bbec45292022-12-22T03:21:52ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652022-06-011410.3389/fnagi.2022.907122907122C9orf72-Related Neurodegenerative Diseases: From Clinical Diagnosis to Therapeutic StrategiesStefania Zampatti0Cristina Peconi1Rosa Campopiano2Stefano Gambardella3Stefano Gambardella4Carlo Caltagirone5Emiliano Giardina6Emiliano Giardina7Genomic Medicine Laboratory UILDM, IRCCS Fondazione Santa Lucia, Rome, ItalyGenomic Medicine Laboratory UILDM, IRCCS Fondazione Santa Lucia, Rome, ItalyIRCCS Neuromed, Pozzilli, ItalyIRCCS Neuromed, Pozzilli, ItalyDepartment of Biomolecular Sciences, University of Urbino “Carlo Bo”, Urbino, ItalyDepartment of Clinical and Behavioral Neurology, IRCCS Fondazione Santa Lucia, Rome, ItalyGenomic Medicine Laboratory UILDM, IRCCS Fondazione Santa Lucia, Rome, ItalyDepartment of Biomedicine and Prevention, Tor Vergata University of Rome, Rome, ItalyHexanucleotide expansion in C9orf72 has been related to several phenotypes to date, complicating the clinical recognition of these neurodegenerative disorders. An early diagnosis can improve the management of patients, promoting early administration of therapeutic supportive strategies. Here, we report known clinical presentations of C9orf72-related neurodegenerative disorders, pointing out suggestive phenotypes that can benefit the genetic characterization of patients. Considering the high variability of C9orf72-related disorder, frequent and rare manifestations are described, with detailed clinical, instrumental evaluation, and supportive therapeutical approaches. Furthermore, to improve the understanding of molecular pathways of the disease and potential therapeutical targets, a detailed description of the cellular mechanisms related to the pathological effect of C9orf72 is reported. New promising therapeutical strategies and ongoing studies are reported highlighting their molecular role in cellular pathological pathways of C9orf72. These therapeutic approaches are particularly promising because they seem to stop the disease before neuronal damage. The knowledge of clinical and molecular features of C9orf72-related neurodegenerative disorders improves the therapeutical application of known strategies and will lay the basis for the development of new potential therapies.https://www.frontiersin.org/articles/10.3389/fnagi.2022.907122/fullneurodegenerationC9orf72ALSFTDtherapeutic strategiesmolecular mechanisms
spellingShingle Stefania Zampatti
Cristina Peconi
Rosa Campopiano
Stefano Gambardella
Stefano Gambardella
Carlo Caltagirone
Emiliano Giardina
Emiliano Giardina
C9orf72-Related Neurodegenerative Diseases: From Clinical Diagnosis to Therapeutic Strategies
Frontiers in Aging Neuroscience
neurodegeneration
C9orf72
ALS
FTD
therapeutic strategies
molecular mechanisms
title C9orf72-Related Neurodegenerative Diseases: From Clinical Diagnosis to Therapeutic Strategies
title_full C9orf72-Related Neurodegenerative Diseases: From Clinical Diagnosis to Therapeutic Strategies
title_fullStr C9orf72-Related Neurodegenerative Diseases: From Clinical Diagnosis to Therapeutic Strategies
title_full_unstemmed C9orf72-Related Neurodegenerative Diseases: From Clinical Diagnosis to Therapeutic Strategies
title_short C9orf72-Related Neurodegenerative Diseases: From Clinical Diagnosis to Therapeutic Strategies
title_sort c9orf72 related neurodegenerative diseases from clinical diagnosis to therapeutic strategies
topic neurodegeneration
C9orf72
ALS
FTD
therapeutic strategies
molecular mechanisms
url https://www.frontiersin.org/articles/10.3389/fnagi.2022.907122/full
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