Prenatal and Postnatal Pharmacotherapy in Down Syndrome: The Search to Prevent or Ameliorate Neurodevelopmental and Neurodegenerative Disorders

Annu Rev Pharmacol Toxicol. 2022 Jan 6:62:211-233. doi: 10.1146/annurev-pharmtox-041521-103641.

Abstract

Those with Down syndrome (DS)-trisomy for chromosome 21-are routinely impacted by cognitive dysfunction and behavioral challenges in children and adults and Alzheimer's disease in older adults. No proven treatments specifically address these cognitive or behavioral changes. However, advances in the establishment of rodent models and human cell models promise to support development of such treatments. A research agenda that emphasizes the identification of overexpressed genes that contribute demonstrably to abnormalities in cognition and behavior in model systems constitutes a rational next step. Normalizing expression of such genes may usher in an era of successful treatments applicable across the life span for those with DS.

Keywords: Down syndrome; connectivity alterations; intellectual disability; neurodegeneration; neurogenesis alterations; pharmacotherapy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Animals
  • Disease Models, Animal
  • Down Syndrome* / drug therapy
  • Down Syndrome* / genetics
  • Female
  • Humans
  • Neurodegenerative Diseases* / drug therapy
  • Pregnancy