The prospect of molecular therapy for Angelman syndrome and other monogenic neurologic disorders

Barbara J. Bailus, David Segal

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Background: Angelman syndrome is a monogenic neurologic disorder that affects 1 in 15,000 children, and is characterized by ataxia, intellectual disability, speech impairment, sleep disorders, and seizures. The disorder is caused by loss of central nervous system expression of UBE3A, a gene encoding a ubiquitin ligase. Current treatments focus on the management of symptoms, as there have not been therapies to treat the underlying molecular cause of the disease. However, this outlook is evolving with advances in molecular therapies, including artificial transcription factors a class of engineered DNA-binding proteins that have the potential to target a specific site in the genome.Results: Here we review the recent progress and prospect of targeted gene expression therapies. Three main issues that must be addressed to advance toward human clinical trials are specificity, toxicity, and delivery.Conclusions: Artificial transcription factors have the potential to address these concerns on a level that meets and in some cases exceeds current small molecule therapies. We examine the possibilities of such approaches in the context of Angelman syndrome, as a template for other single-gene, neurologic disorders.

Original languageEnglish (US)
Article number76
JournalBMC Neuroscience
Volume15
DOIs
StatePublished - Jun 19 2014

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Keywords

  • Angelman syndrome
  • Artificial transcription factor
  • Autism spectrum disorders
  • Blood-brain barrier
  • CRISPR
  • Engineered zinc finger
  • Gene regulation
  • Gene therapy
  • TALE

ASJC Scopus subject areas

  • Cellular and Molecular Neuroscience
  • Neuroscience(all)

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