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Yıl:2020; Cilt: 57; Sayı: 4>> Özet
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Nöropsikiyatri Arşivi; 2020;57(4):270-273
Friedreich Ataksisi Tedavisinde İnterferon Gama Etkinliği ve Tolerabilitesi: Retrospektif Çalışma
MF Yetkin, M Gültekin
Erciyes Üniversitesi, Kayseri
Friedreich Ataksisi (FRDA) en yaygın otozomal resesif ataksidir. Hastalık, hastaların %97’sine yakınında FXN geninde GAA trinükleotid tekrar artışından kaynaklanır. Klinik prezentasyon yaklaşık 5 ile 15 yaşları arasında başlar. FRDA’nın başlıca klinik bulguları progresif ekstremite ve yürüyüş ataksisidir. Hastalığın hedef dokulardaki düşük fonksiyonel protein düzeylerinden kaynaklandığı bilinmesine rağmen, bu patoloji için etkili bir tedavi yoktur. Bununla birlikte, son yıllarda FRDA için farmakolojik tedavilerle ilgili araştırmalarda önemli gelişmeler sağlanmıştır. İnterferongama (IFN-γ)’nın birçok hücre tipinde frataksin üretimini indüklediği gösterilmiştir. Bu çalışmada bir üniversite hastanesinde IFN-γ uygulanan FRDA’lı bireylerin klinik özellikleri, toleransı ve prognozu retrospektif olarak değerlendirilmiş ve sonuçlar tartışılmıştır. Bildiğimiz kadarıyla bu çalışma ülkemizde IFN-γ’nın bu hasta grubu üzerindeki etkisini değerlendirmek için yapılan ilk çalışmadır
Efficacy and Tolerability of Interferon Gamma in Treatment of Friedreich’s Ataxia: Retrospective Study
Friedreich’s Ataxia (FRDA) is the most common form of autosomal recessive ataxia. The disease primarily results from a GAA trinucleotide repeat expansion within the FXN gene in up to 97% of patients. The clinical presentation begins approximately between the ages of 5 and 15. The major clinical findings of FRDA are progressive extremity and gait ataxia. Although it is known that the disease is caused by low levels of functional protein in the target tissues, there is no effective treatment available for this pathology. However, significant improvements have been achieved in the research into pharmacological treatments for FRDA in recent years. Interferon-gamma (IFN-?) has been shown to induce frataxin production in many cell types. In this study, the clinical features, tolerability, and the prognosis of individuals with FRDA to whom IFN-? was administered in a university hospital were evaluated retrospectively and the results were discussed. To the best of our knowledge, this is the first study conducted in our country to evaluate the effect of IFN gamma on this patient group.

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