Blog Archives
A South Korean natural history study of Kennedy syndrome
Kennedy syndrome or bulbospinal muscular atrophy affects mainly an adult population. Clinicians in South Korea have collected clinical and genetic data from 157 patients with this X-linked recessive neuromuscular disorder: with a median age of 56.9 years, their cohort is mainly composed of adults (33-83 years); a fine tremor of the fingers is very often … [Read more]
A rare but formidable complication of gene therapy in SMA
Gene therapy for spinal muscular atrophy (SMA) has involved some 40 French infants to date. The onesamnogene abeparvovec (Zolgensma®) was administered in a single intravenous injection. Clinicians in Paris and Nantes report the occurrence in one of them of thrombotic microangiopathy (TMA), a serious and potentially lethal complication directly related to the treatment: this child, … [Read more]
Longitudinal cardio-MRI follow-up shows early myocardial damage in DMD
Duchenne muscular dystrophy (DMD) is invariably accompanied by cardiomyopathy, the most frequent cause of death. An American team looked at the kinetics of cardiac involvement by longitudinally analysing cardio-MRI images of 59 children with DMD with a median age of 5.6 years. Compared to images from a control group of healthy subjects, it appears that … [Read more]
Results of the SPR1NT trial: Zolgensma under study in presymptomatic
This trial was conducted worldwide (but not in France) in 14 infants with presymptomatic SMN1-related proximal spinal muscular atrophy (SMA) with two copies of SMN2 over 18 months, and in 15 infants with three copies of SMN2 over 24 months. The data from these two follow-up periods show that : For the 14 infants with … [Read more]
The predisposition to myasthenia gravis is becoming better known
Myasthenia gravis is a multifactorial disease that is thought to be caused by environmental factors in people with a genetic predisposition. A new international study confirms this hypothesis. Based on genome-wide association study (GWAS) and pantranscriptomic (TWAS) explorations of 1,873 patients with myasthenia gravis with autoantibodies to acetylcholine receptors (AChR) and 36,370 disease-free individuals, this … [Read more]
A majority of patients with neuromuscular disease are comfortable with telemedicine, but half prefer face-to-face consultations
A telephone survey of 520 patients with neuromuscular disease (including 42.9% myasthenia gravis, 21.5% neuropathy, 18.1% myopathy, 8.3% motor neuron disease) followed at 10 North American specialty centers between May and August 2020 shows that: 50% prefer in-person consultations, 26% prefer virtual consultations, and the rest have no preference; 64% consider physical interaction “very important”; … [Read more]
First clinical and genetic description of a large cohort of patients with sarcoglycanopathy in India
A retrospective study included 68 Indian patients (37 males and 31 females) with SGCA-related LGMD R3 (22), SGCB-related LGMD R4 (34), SGCG-related LGMD R5 (7) or SGCD-related LGMD R6 (5). The patients have the following characteristics: Onset of the disease is at an average age of seven years. In addition to weakness of the thighs, … [Read more]
DM2: targeting mechanisms disrupted by marketed molecules
Two articles published in the last 12 months present new therapeutic avenues in myotonic dystrophy type 2 (DM2) with encouraging results in Drosophila models of the disease. On the one hand, a screening of 3140 molecules on the market has identified 10 of them for their benefits on the survival and motor capacities of flies … [Read more]
DM1: an oligonucleotide administered in the brain of model mice
IONIS 486178, an antisense oligonucleotide optimised to target muscle cells (through coupling to an antibody) injected systemically, improves muscle damage in mice with DM1. Intracerebroventricular injection reduces behavioural impairment in treated mice. These results open up the possibility of intrathecal treatment in DM1. Antisense oligonucleotides as a potential treatment for brain deficits observed in … [Read more]
Identification of sensitive outcome measures / evaluation tools for clinical trials in LGMDR12
A Belgian natural history study evaluated the sensitivity of walking tests, MRC score and isokinetic dynamometer in 24 walking patients with ANO5-related LGMD R12 over two years. These results are compared with quantitative MRI examination of the thigh muscles. The investigators show that : Possible muscle changes in patients with early or late stage muscle … [Read more]