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Last Posted: Nov 29, 2023
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Down Syndrome in a New Era for Alzheimer Disease.
Michael S Rafii et al. JAMA 2023 11

From the paper: "Despite the ultra-high risk for Alzheimer disease and its effect of a shortened life expectancy, persons with Down syndrome who are experiencing Alzheimer disease–related cognitive decline have limited access to expert clinical evaluation for dementia, let alone these newly approved therapeutics. At the same time, because of the genetic basis for lifelong amyloid accumulation, there are also significant concerns related to cerebral amyloid angiopathy and the risk of adverse events related to amyloid-related imaging abnormalities (ARIA). This requires careful assessment of safety and tolerability in individuals with Down syndrome to be done before these drugs can be widely prescribed in this vulnerable population. "

Management of Down Syndrome-Associated Leukemias: A Review.
Anupam Verma et al. JAMA Oncol 2023 7

Optimal management of DS-AL requires specific molecular testing, meticulous supportive care, and tailored therapy to reduce TRM while optimizing survival. There is no standard approach to treatment of relapsed disease. Future work should include identification of biomarkers predictive of toxic effects; enhanced clinical and scientific collaborations; promotion of access to novel agents through innovative clinical trial design; and dedicated studies of late effects of treatment.

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Disclaimer: Articles listed in the Public Health Genomics and Precision Health Knowledge Base are selected by the CDC Office of Public Health Genomics to provide current awareness of the literature and news. Inclusion in the update does not necessarily represent the views of the Centers for Disease Control and Prevention nor does it imply endorsement of the article's methods or findings. CDC and DHHS assume no responsibility for the factual accuracy of the items presented. The selection, omission, or content of items does not imply any endorsement or other position taken by CDC or DHHS. Opinion, findings and conclusions expressed by the original authors of items included in the update, or persons quoted therein, are strictly their own and are in no way meant to represent the opinion or views of CDC or DHHS. References to publications, news sources, and non-CDC Websites are provided solely for informational purposes and do not imply endorsement by CDC or DHHS.

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