Blog Archives
Pharmacological and nutritional treatment for McArdle disease
McArdle disease (Glycogen Storage Disease type V) is caused by an absence of muscle phosphorylase leading to exercise intolerance, myoglobinuria rhabdomyolysis and acute renal failure. This update of a review first published in 2004, systematically examined the evidence from randomised controlled trials (RCTs) of pharmacological or nutritional treatments for improving exercise performance and quality of … [Read more]
Isis Pharma initiates pivotal ISIS-SMNRx Phase 3 trial
Isis Pharmaceuticals has opened a second phase 3 trial to test its antisense drug, ISIS-SMNRx, in children with spinal muscular atrophy (SMA) who are 2 to 12 years old, not able to walk, and experienced their first disease symptoms after 6 months of age. ISIS-SMNRx is designed to alter the splicing of a closely related … [Read more]
Development of an assay to identify DNA methylation profiles for FSHD
Facioscapulohumeral muscular dystrophy (FSHD) is linked to chromatin relaxation due to epigenetic changes at the 4q35 D4Z4 macrosatellite array. Molecular diagnostic criteria for FSHD are complex and involve analysis of high molecular weight (HMW) genomic DNA isolated from lymphocytes, followed by multiple restriction digestions, pulse-field gel electrophoresis (PFGE), and Southern blotting. A subject is genetically … [Read more]
Reduced PTEN expression as a potential treatment strategy for SMA
Spinal muscular atrophy (SMA) is the second most common genetic cause of death in childhood. However, no effective treatment is available to halt disease progression. SMA is caused by mutations in the survival motor neuron 1 (SMN1) gene. The authors of the present study have previously reported that PTEN depletion leads to an increase in … [Read more]
Exploring ethical issues realted to non-invasive prenatal testing for autosomal recessive disorders
Prenatal testing based on cell-free fetal DNA in maternal serum is now possible for specific monogenic conditions. Studies have shown that prospective parents and health professionals support the use of non-invasive testing. However, some ethical issues have been raised concerning informed consent and paternal rights. The objective of this study was to explore ethical aspects … [Read more]
Adipose-derived mesenchymal stem cells: an innovative model of SBMA
Spinal and bulbar muscular atrophy (SBMA) or Kennedy’s disease is an X-linked CAG/polyglutamine expansion motoneuron disease, in which an elongated polyglutamine tract (polyQ) in the N-terminal androgen receptor (ARpolyQ) confers toxicity to this protein. Typical markers of SBMA disease are ARpolyQ intranuclear inclusions. These are generated after the ARpolyQ binds to its endogenous ligands, which … [Read more]
The presentation, assessment, pathogenesis, and treatment of calcinosis in juvenile dermatomyositis
Calcinosis is one of the hallmark sequelae of juvenile dermatomyositis (JDM), and despite recent progress in the therapy of JDM, dystrophic calcification still occurs in approximately one third of patients. This review discusses the current, albeit limited, understanding of risk factors for the development of calcinosis in JDM, as well as approaches to assessment, and … [Read more]
Substrate reduction via inhibition of glycogen synthase: A promising therapeutic strategy for Pompe Disease
Pompe disease is an autosomal recessive disorder caused by a deficiency of acid α-glucosidase (GAA; EC 3.2.1.20) and the resultant progressive lysosomal accumulation of glycogen in skeletal and cardiac muscles. Enzyme replacement therapy using recombinant human GAA (rhGAA) has proven beneficial in addressing several aspects of the disease such as cardiomyopathy and aberrant motor function. … [Read more]
Becker muscular dystrophy severity is linked to the structure of dystrophin
In-frame exon deletions of the DMD gene produce internally truncated proteins that typically lead to Becker muscular dystrophy (BMD), a milder allelic disorder of Duchenne muscular dystrophy (DMD). In this study, the suthors hypothesized that differences in the structure of mutant dystrophin may be responsible for the clinical heterogeneity observed in Becker patients and they … [Read more]
Direct interplay between DUX4 and FRG1 contributes to FSHD pathogenesis
Facioscapulohumeral muscular dystrophy (FSHD) is one of the most common neuromuscular disorders. The major form of the disease (FSHD1) is linked to decrease in copy number of a 3.3-kb tandem repeated macrosatellite (D4Z4), located on chromosome 4q35. D4Z4 deletion alters chromatin structure of the locus leading to aberrant expression of nearby 4q35 genes. Given the … [Read more]