Blog Archives
Treatment with nusinersen: challenges regarding the indication for children with SMA Type 1
The natural history of patients with spinal muscular atrophy (SMA) has changed due to advances in standard care and development of targeted treatments. Nusinersen was the first drug approved for the treatment of all SMA patients. The transfer of clinical trial data into a real-life environment is challenging, especially regarding the advice of patients and … [Read more]
Inflammatory myopathies in adults: a review of the literature makes it possible to update the vaccine recommendations
The aims of this study were to update the evidence on the incidence and prevalence rates of vaccine preventable infections (VPI) in patients with autoimmune inflammatory rheumatic diseases (AIIRD) and compare the data to the general population when available. A litterature search was performed using Medline, Embase and Cochrane library (October 2009 to August 2018). … [Read more]
MYO-MRI diagnostic protocols in genetic myopathies
Whole-body magnetic resonance imaging has emerged as a useful imaging tool in diagnosing and characterizing the progression of myopathies and muscular dystrophies. Whole-body MRI indications and diagnostic efficacy are becoming better defined with the increasing number of cases, publications and discussions within multidisciplinary working groups. Advanced Whole-body MRI protocols are rapid, lower cost, and well-tolerated … [Read more]
Predicting daytime sleepiness and fatigue: a 9-year prospective study in DM1
Daytime sleepiness and fatigue are prominent symptoms of myotonic dystrophy type I (DM1) that exact a heavy toll on patients’ quality of life, but information is scarce on their predictive factors. This study aimed to determine factors that may influence levels of daytime sleepiness and fatigue in a large cohort of DM1 patients followed for … [Read more]
Granulomatosis-associated myositis: high prevalence of s-IBM
In this study, the team of Belgian and French researchers including researchers from the Institute of Myology aimed to refine the predictive significance of muscle granuloma in patients with myositis. A group of 23 patients with myositis and granuloma on muscle biopsy (granuloma-myositis) from 8 French and Belgian centers was analyzed and compared with (1) … [Read more]
Sitting position acquired in patients with SMA type 1 treated with nusinersen
The aim of this study was to determine factors associated with acquisition of a sitting position in patients with spinal muscular atrophy type 1 (SMA1) treated with nusinersen. Using data from the registry of patients with SMA1 treated with nusinersen, a team of European researchers including clinicians from I-Motion compared the subgroups of sitters and … [Read more]
The muscle is not a passive target in Myasthenia Gravis
Myasthenia gravis (MG) is a rare autoimmune disease mediated by pathogenic antibodies (Ab) directed against components of the neuromuscular junction (NMJ), mainly the acetylcholine receptor (AChR). The etiological mechanisms are not totally elucidated, but they include a combination of genetic predisposition, triggering event(s), and hormonal components. MG disease is associated with defective immune regulation, chronic … [Read more]
Motor activity and BMD: lights and shadows
Becker’s disease is an inherited muscular dystrophy caused by mutations in the gene coding for the dystrophin protein that leads to quantitative and/or qualitative protein dysfunction and consequent muscle degeneration. Studies in animal models demonstrate that, while eccentric or high-intensity training are deleterious for dystrophic muscles, low-intensity aerobic training may slowdown the disease process and … [Read more]
Titin splicing regulates cardiotoxicity associated with calpain 3 gene therapy for LGMD2A
Limb-girdle muscular dystrophy type 2A (LGMD2A or LGMDR1) is a neuromuscular disorder caused by mutations in the calpain 3 gene (CAPN3). Previous experiments using adeno-associated viral (AAV) vector-mediated calpain 3 gene transfer in mice indicated cardiac toxicity associated with the ectopic expression of the calpain 3 transgene. Here, the researchers, led by Isabelle Richard (Genethon), … [Read more]
SRP-4053 (VYONDYS 53) is the second antisense oligonucleotide to be authorised in the US by the FDA for DMD
On 12 December 2019, Sarepta Therapeutics announced, in a press release, that it had obtained conditional marketing authorisation from the FDA for the antisense oligonucleotide, SRP-4053, now referred to as VYONDYS 53. SRP-4053 targets DMD gene exon 53 skipping, an abnormality that affects approximately 8% of boys with Duchenne muscular dystrophy (DMD). This is the … [Read more]