Molecular basis for prospective pharmacological treatment strategies in intellectual disability syndromes

Dev Neurobiol. 2014 Feb;74(2):197-206. doi: 10.1002/dneu.22093. Epub 2013 Jul 19.

Abstract

A number of mutated genes that code for proteins concerned with brain synapse function and circuit formation have been identified in patients affected by intellectual disability (ID) syndromes over the past 15 years. These genes are involved in synapse formation and plasticity, the regulation of dendritic spine morphology, the regulation of the synaptic cytoskeleton, the synthesis and degradation of specific synapse proteins, and the control of correct balance between excitatory and inhibitory synapses. In most of the cases, even mild alterations in synapse morphology, function, and balance give rise to mild or severe IDs. These studies provided a rationale for the development of pharmacological agents that are able to counteract functional synaptic anomalies and potentially improve the symptoms of some of these conditions. This review summarizes recent findings on the functions of some of the genes responsible for ID syndromes and some of the new potential pharmacological treatments for these diseases.

Keywords: autism; intellectual disability; synapses.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Genetic Diseases, X-Linked / drug therapy
  • Genetic Diseases, X-Linked / genetics
  • Genetic Diseases, X-Linked / metabolism
  • Humans
  • Intellectual Disability / drug therapy*
  • Intellectual Disability / genetics
  • Intellectual Disability / metabolism*
  • Neurons / drug effects
  • Neurons / metabolism
  • Synapses / drug effects
  • Synapses / genetics
  • Synapses / metabolism*
  • Synaptic Transmission / drug effects
  • Synaptic Transmission / genetics
  • Syndrome