Blog Archives
Celecoxib ameliorates symptoms in SMA mouse model
The loss of functional Survival Motor Neuron (SMN) protein due to mutations or deletion in the SMN1 gene causes autosomal recessive neurodegenerative spinal muscle atrophy (SMA). A potential treatment strategy for SMA is to upregulate the amount of SMN protein originating from the highly homologous SMN2 gene, compensating in part for the absence of the … [Read more]
Characterisation of sleep disturbances in myotonic dystrophy type 2
Although sleep disturbances are common in myotonic dystrophy type 1 (DM1), sleep disturbances in myotonic dystrophy type 2 (DM2) have not been well-characterised. In this study describing the frequency of sleep disturbances in DM2, a case-control study of 54 genetically confirmed DM2 subjects and 104 medical controls without DM1 or DM2 was conducted and common … [Read more]
Swiss national guideline for reimbursement of enzyme replacement therapy in late-onset Pompe disease
Glycogen storage disease type II is a rare multi-systemic disorder characterised by an intracellular accumulation of glycogen due to a mutation in the acid alpha glucosidase (GAA) gene. The level of residual enzyme activity, the genotype and other yet unknown factors account for the broad variation of the clinical phenotype. The classical infantile form is … [Read more]
Myasthenia in pregnancy: best practice guidelines from a UK multispecialty working group
A national UK workshop to discuss practical clinical management issues related to pregnancy in women with myasthenia gravis was held in May 2011. The purpose was to develop recommendations to guide general neurologists and obstetricians and facilitate best practice before, during and after pregnancy. The main conclusions were (1) planning should be instituted well in … [Read more]
KLHL40 mutations frequently cause severe autosomal-recessive nemaline myopathy
Nemaline myopathy (NEM) is a common congenital myopathy. At the very severe end of the NEM clinical spectrum are genetically unresolved cases of autosomal-recessive foetal akinesia sequence. Herein, the authors studied a multinational cohort of 143 severe-NEM-affected families lacking genetic diagnosis. Whole-exome sequencing of six families and targeted gene sequencing of additional families were performed: … [Read more]
Rituximab: effective treatment in a case of seronegative non-paraneoplastic Lambert-Eaton myasthenic syndrome
Lambert-Eaton myasthenic syndrome is a rare and autoimmune presynaptic disorder of the neuromuscular junction, due in 85% of cases to autoantibodies directed against voltage-gated calcium channels. It is a paraneoplastic disorder in 50 to 60% of cases. Diagnosis involves a proximal muscle weakness and areflexia, associated with a significant increment after post-exercise stimulation in electrophysiological … [Read more]
Targeted genome editing shows promise in DMD
Genome editing with engineered nucleases has recently emerged as an approach to correct genetic mutations by enhancing homologous recombination with a DNA repair template. However, many genetic diseases, such as Duchenne muscular dystrophy (DMD), can be treated simply by correcting a disrupted reading frame. In this study, the authors show that genome editing with transcription … [Read more]
The candidate drug RG3039 provides benefit in SMA animal models
Spinal muscular atrophy (SMA) is caused by mutations of the survival motor neuron 1 (SMN1) gene, retention of the survival motor neuron 2 (SMN2) gene, and insufficient expression of full-length survival motor neuron (SMN) protein. Since SMA patients have at least one copy of SMN2, drug discovery campaigns have sought to identify SMN2 inducers. C5-substituted … [Read more]
Exome sequencing identifies MARS as a novel cause of late-onset CMT2
Charcot-Marie-Tooth (CMT) disease is a genetically heterogeneous condition with >50 genes now being identified. Thanks to new technological developments, namely, exome sequencing, the ability to identify additional rare genes in CMT has been drastically improved. In this short report, the authors present data suggesting that MARS is a very rare novel cause of late-onset CMT2. … [Read more]
Myoblast transplantation between symptomatic and asymptomatic monozygotic twin sisters: 20 year follow-up
Duchenne muscular dystrophy is due to a mutation on the X-chromosome, therefore it rarely affects women, unless there is an unequal lyonisation of the X-chromosome containing the normal dystrophin gene. This study reports the unique situation of a symptomatic Duchenne muscular dystrophy woman who was transplanted with myoblasts received from her asymptomatic monozygotic twin sister … [Read more]