Myology research highlights
RSS feedTowards a broadening of the phenotype spectrum of the NOTCH2NL gene mutation
Oculopharyngodistal myopathy (OPDM) is a very rare form of myopathy with a late onset, the clinical phenotype of which shares certain traits with oculopharyngeal muscular dystrophy (OPMD). First described in Japan, OPDM has a higher prevalence in Asia than in the rest of the world. The molecular cause was an enigma until 2019, but has … [Read more]
Tamoxifen is well tolerated in DMD and has a modest impact on motor function and breathing: results of a phase 1, open-label clinical trial in Israel
Tamoxifen is an anti-oestrogen used to treat certain forms of cancer, such as breast cancer. Its anti-inflammatory and anti-fibrotic properties have led research teams to consider it as a therapeutic avenue to be explored in Duchenne muscular dystrophy (DMD). In mdx mice modelling DMD, tamoxifen treatment has led to an improvement in muscle strength and … [Read more]
Hydrocephalus and SMA : an american study tends to show nusinersen is not involved
SMA is a degenerative motor neuron disease causing paralysis of varying occurrence and intensity. It is classified into four types, type I, of early onset in infants being the largest group. In the last few years, innovative therapies arrived on the market including nusinersen (or Spinraza®), a product based on antisense oligonucleotides. A few cases … [Read more]
CMT : when the NGS comes to both simplify and complicate things
Charcot-Marie-Tooth (or CMT) type hereditary sensory-motor neuropathies are clinically and genetically heterogeneous pathologies affecting all ages and all sexes. Relatively frequent in the general population, they have in common that they result in a variable scalability deficit in the muscles of limbs extremities (hands, feet) and sometimes very discreet sensory disorders. More than 80 genes … [Read more]
A study of genotype/phenotype discordance in the SMAs is very informative
SMA is a degenerative disease of the lower motor neurons, responsible for paralysis of varying severity. A distinction is made between four types (I to IV) depending on the age of onset of the deficit and the maximum motor ability achieved by the patient. In the large majority of cases, one identifies, in the patient, … [Read more]
Strengthening exercise can be beneficial for DMD patients in the medium term
Duchenne muscular dystrophy (DMD) is the most common myopathy in children. It results in a progressive muscle deficit predominantly at the root of the limbs and is accompanied by cardio-respiratory complications leading to death at an early age. According to an old dogma and based only on a few scientific studies in animals, physical exercise … [Read more]
A new form of mixed neuromuscular disease identified using molecular biology
The neuromuscular diseases consist of a group of pathologies that are heterogeneous, both clinically and aetiologically. The element they have in common is involvement of a constituent part of a motor unit. The boundary between purely myopathic disease and neuropathy is sometimes blurred, as demonstrated by the work of an international consortium of researchers in … [Read more]
Buprenorphine: a therapeutic alternative in paramyotonia congenita?
The paramyotonia congenita belongs to non-dystrophic myotonic syndromes. It is characterized by myotonia which paradoxically worsens during exercise and which can, if necessary, be disabling, especially in cold weather conditions. In the very large majority of cases, it is related to dominant mutations in the SNC4A gene encoding a voltage-gated sodium channel. Treatment remains symptomatic … [Read more]
Domagrozumab (PF-06252616) is not more efficacious than FKRP-related LGMDR9
While the anti-myostatin agents appear to be a tempting approach to restoring muscle in neuromuscular patients, of all the clinical trials in humans involving different drug molecules exercising this action (anti-myostatin antibodies, folliculin, drug molecules blocking or deceiving the myostatin receptors, etc.), none has demonstrated its efficacy, despite encouraging results in animal models, in particular … [Read more]
An overview of non-invasive ventilation in children with NMD
A significant number of neuromuscular diseases, foremost among them spinal muscular atrophy, Duchenne muscular dystrophy and certain congenital myopathies, are accompanied by restrictive respiratory disorders. Children suffering from these disorders are at-risk to develop hypoventilation, and possibly chest deformities. Over the years, non-invasive ventilation (NIV) stood out as an effective, and relatively easy to implement, … [Read more]