Pathogenesis and therapeutic advances of cerebral autosomal- dominant arteriopathy with subcortical infarcts and leukoencephalopathy

Yi Chuan. 2023 Jul 20;45(7):568-579. doi: 10.16288/j.yczz.23-023.

Abstract

Cerebral autosomal-dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is the most common hereditary cerebral small vessel disease in adults. Many CADASIL cases were reported after NOTCH3 was identified as the causative gene of CADASIL. However, there is still no specific and effective therapies for CADASIL. In this review, we summarize recent research progress on disease models, symptomatic treatments and potential therapies for CADASIL, thereby providing a reference for follow-up CADASIL treatment research.

伴皮质下梗死和白质脑病的常染色体显性遗传性脑动脉病(cerebral autosomal-dominant arteriopathy with subcortical infarcts and leukoencephalopathy,CADASIL)是成人最常见的遗传性脑小血管病。自CADASIL的致病基因NOTCH3被鉴定以来,大量CADASIL病例被报道,但迄今仍缺乏有效的治疗药物。本文针对CADASIL的疾病模型和致病机制、对症药物治疗及潜在治疗方案研究进展进行综述,以期为后续CADASIL发病机制和治疗研究提供参考。.

Keywords: CADASIL; pathogenesis.

Publication types

  • Review

MeSH terms

  • Adult
  • CADASIL* / genetics
  • CADASIL* / pathology
  • CADASIL* / therapy
  • Humans
  • Leukoencephalopathies*
  • Magnetic Resonance Imaging
  • Mutation