Cognitive Dysfunction in Repeat Expansion Diseases: A Review
With the development of the sequencing technique, more than 40 repeat expansion diseases (REDs) have been identified during the past two decades. Moreover, the clinical features of these diseases show some commonality, and the nervous system, especially the cognitive function was affected in part by...
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Frontiers Media S.A.
2022-04-01
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Series: | Frontiers in Aging Neuroscience |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fnagi.2022.841711/full |
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author | Sizhe Zhang Lu Shen Lu Shen Lu Shen Lu Shen Lu Shen Bin Jiao Bin Jiao Bin Jiao Bin Jiao Bin Jiao |
author_facet | Sizhe Zhang Lu Shen Lu Shen Lu Shen Lu Shen Lu Shen Bin Jiao Bin Jiao Bin Jiao Bin Jiao Bin Jiao |
author_sort | Sizhe Zhang |
collection | DOAJ |
description | With the development of the sequencing technique, more than 40 repeat expansion diseases (REDs) have been identified during the past two decades. Moreover, the clinical features of these diseases show some commonality, and the nervous system, especially the cognitive function was affected in part by these diseases. However, the specific cognitive domains impaired in different diseases were inconsistent. Here, we survey literature on the cognitive consequences of the following disorders presenting cognitive dysfunction and summarizing the pathogenic genes, epidemiology, and different domains affected by these diseases. We found that the cognitive domains affected in neuronal intranuclear inclusion disease (NIID) were widespread including the executive function, memory, information processing speed, attention, visuospatial function, and language. Patients with C9ORF72-frontotemporal dementia (FTD) showed impairment in executive function, memory, language, and visuospatial function. While in Huntington's disease (HD), the executive function, memory, and information processing speed were affected, in the fragile X-associated tremor/ataxia syndrome (FXTAS), executive function, memory, information processing speed, and attention were impaired. Moreover, the spinocerebellar ataxias showed broad damage in almost all the cognitive domains except for the relatively intact language ability. Some other diseases with relatively rare clinical data also indicated cognitive dysfunction, such as myotonic dystrophy type 1 (DM1), progressive myoclonus epilepsy (PME), Friedreich ataxia (FRDA), Huntington disease like-2 (HDL2), and cerebellar ataxia, neuropathy, vestibular areflexia syndrome (CANVAS). We drew a cognitive function landscape of the related REDs that might provide an aspect for differential diagnosis through cognitive domains and effective non-specific interventions for these diseases. |
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language | English |
last_indexed | 2024-04-13T04:13:38Z |
publishDate | 2022-04-01 |
publisher | Frontiers Media S.A. |
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series | Frontiers in Aging Neuroscience |
spelling | doaj.art-c578cf21317248c5a529da53ee91b9432022-12-22T03:03:02ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652022-04-011410.3389/fnagi.2022.841711841711Cognitive Dysfunction in Repeat Expansion Diseases: A ReviewSizhe Zhang0Lu Shen1Lu Shen2Lu Shen3Lu Shen4Lu Shen5Bin Jiao6Bin Jiao7Bin Jiao8Bin Jiao9Bin Jiao10Department of Neurology, Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Central South University, Changsha, ChinaEngineering Research Center of Hunan Province in Cognitive Impairment Disorders, Central South University, Changsha, ChinaHunan International Scientific and Technological Cooperation Base of Neurodegenerative and Neurogenetic Diseases, Changsha, ChinaKey Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, ChinaDepartment of Neurology, Xiangya Hospital, Central South University, Changsha, ChinaNational Clinical Research Center for Geriatric Disorders, Central South University, Changsha, ChinaEngineering Research Center of Hunan Province in Cognitive Impairment Disorders, Central South University, Changsha, ChinaHunan International Scientific and Technological Cooperation Base of Neurodegenerative and Neurogenetic Diseases, Changsha, ChinaKey Laboratory of Hunan Province in Neurodegenerative Disorders, Central South University, Changsha, ChinaWith the development of the sequencing technique, more than 40 repeat expansion diseases (REDs) have been identified during the past two decades. Moreover, the clinical features of these diseases show some commonality, and the nervous system, especially the cognitive function was affected in part by these diseases. However, the specific cognitive domains impaired in different diseases were inconsistent. Here, we survey literature on the cognitive consequences of the following disorders presenting cognitive dysfunction and summarizing the pathogenic genes, epidemiology, and different domains affected by these diseases. We found that the cognitive domains affected in neuronal intranuclear inclusion disease (NIID) were widespread including the executive function, memory, information processing speed, attention, visuospatial function, and language. Patients with C9ORF72-frontotemporal dementia (FTD) showed impairment in executive function, memory, language, and visuospatial function. While in Huntington's disease (HD), the executive function, memory, and information processing speed were affected, in the fragile X-associated tremor/ataxia syndrome (FXTAS), executive function, memory, information processing speed, and attention were impaired. Moreover, the spinocerebellar ataxias showed broad damage in almost all the cognitive domains except for the relatively intact language ability. Some other diseases with relatively rare clinical data also indicated cognitive dysfunction, such as myotonic dystrophy type 1 (DM1), progressive myoclonus epilepsy (PME), Friedreich ataxia (FRDA), Huntington disease like-2 (HDL2), and cerebellar ataxia, neuropathy, vestibular areflexia syndrome (CANVAS). We drew a cognitive function landscape of the related REDs that might provide an aspect for differential diagnosis through cognitive domains and effective non-specific interventions for these diseases.https://www.frontiersin.org/articles/10.3389/fnagi.2022.841711/fullcognitive dysfunctionrepeat expansion diseasesNIIDC9FTDHDFXTAS |
spellingShingle | Sizhe Zhang Lu Shen Lu Shen Lu Shen Lu Shen Lu Shen Bin Jiao Bin Jiao Bin Jiao Bin Jiao Bin Jiao Cognitive Dysfunction in Repeat Expansion Diseases: A Review Frontiers in Aging Neuroscience cognitive dysfunction repeat expansion diseases NIID C9FTD HD FXTAS |
title | Cognitive Dysfunction in Repeat Expansion Diseases: A Review |
title_full | Cognitive Dysfunction in Repeat Expansion Diseases: A Review |
title_fullStr | Cognitive Dysfunction in Repeat Expansion Diseases: A Review |
title_full_unstemmed | Cognitive Dysfunction in Repeat Expansion Diseases: A Review |
title_short | Cognitive Dysfunction in Repeat Expansion Diseases: A Review |
title_sort | cognitive dysfunction in repeat expansion diseases a review |
topic | cognitive dysfunction repeat expansion diseases NIID C9FTD HD FXTAS |
url | https://www.frontiersin.org/articles/10.3389/fnagi.2022.841711/full |
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