Myology research highlights

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Identification of a novel mechanism of LGMD 2A

Limb girdle muscular dystrophy 2A is due to loss-of-function mutations in the Calpain 3 (Capn3) gene. Previous data from this group suggest that CAPN3 helps to maintain the integrity of the triad complex in skeletal muscle. In Capn3knock-out mice (C3KO), Ca2+release and Ca2+/calmodulin kinase II (CaMKII) signaling are attenuated. It was hypothesized that calpainopathy may … [Read more]

A mixed methods study to assess efficacy of salbutamol in SMA patients

This longitudinal mixed methods study aimed to assess the perceived effect of salbutamol in adult patients with spinal muscular atrophy (SMA) and to evaluate the usefulness of WHO Disability Assessment Schedule II (WHODAS-II) and Fatigue Severity Scale (FSS) to measure it. Ten patients were interviewed and filled in WHODAS-II and FSS questionnaires to assess disability … [Read more]

Diaphragm pacing: a paradigm shift in the management of respiratory insufficiency for Pompe disease?

Pompe disease is an inherited disorder notable for severe, progressive ventilatory compromise. Although ventilatory failure has been attributed to myofiber dysfunction secondary to diaphragmatic glycogen accumulation, neural involvement of the phrenic motor system is also a prominent feature. Direct diaphragm pacing supplements respiratory function in other disorders of the phrenic motor system. Consequently, the authors … [Read more]

Largest CRISPR/Cas9-mediated deletion relevant to 60% of DMD mutations

Mutations in DMD disrupt the reading frame, prevent dystrophin translation, and cause Duchenne muscular dystrophy (DMD). Here the authors describe a CRISPR/Cas9 platform applicable to 60% of DMD patient mutations. They applied the platform to DMD-derived hiPSCs where successful deletion and non-homologous end joining of up to 725 kb reframed the DMD gene. This is … [Read more]

NMR and functional assessments of upper limbs in DMD

  This study aimed to explore the value of nuclear magnetic resonance (NMR) and functional assessments for follow-up of ambulatory and nonambulatory patients with Duchenne muscular dystrophy (DMD). Twenty-five 53-skippable patients with DMD were included in this study; 15 were nonambulatory at baseline. All patients underwent clinical and functional assessments every 6 months using the … [Read more]

Clinical trials of dichlorphenamide in periodic paralysis

Two multicenter randomised, double-blind, placebo-controlled trials were carried out to determine the short-term and long-term effects of dichlorphenamide (DCP) on attack frequency and quality of life in hyperkalemic (HYP) and hypokalemic (HOP) periodic paralysis. The trials, which included 44 HOP and 21 HYP participants, lasted 9 weeks and were followed by a 1-year extension phase … [Read more]

Positive results with nusinersen in children with SMA

Nusinersen (previously ISIS-SMNRx) is an antisense oligonucleotide designed to bind to the SMN2 pre-mRNA and promote inclusion of exon 7. This first-in-human, open-label, single- ascending dose study was designed to examine safety, tolerability, pharmacokinetics, and preliminary clinical effects of intrathecal nusinersen in medically stable patients (aged 2-14 years) with type 2 and type 3 spinal … [Read more]

Biomarkers for SMA progression identified

In this study, the authors aimed to determine the feasibility and reliability of testing specific putative physiological and molecular spinal muscular atrophy (SMA) biomarkers in infants with SMA (n=26) and in age‐matched healthy control infants (n=27). Recruitment occurred at 14 centers within the NINDS National Network for Excellence in Neuroscience Clinical Trials (NeuroNEXT) Network. Infant … [Read more]

Role of activating signal cointegrator 1 complex in the development of the peripheral nervous system

Transcriptional signal cointegrators associate with transcription factors or nuclear receptors and coregulate tissue-specific gene transcription. This study reports on recessive loss-of-function mutations in two genes (TRIP4 and ASCC1) that encode subunits of the nuclear activating signal cointegrator 1 (ASC-1) complex. Autozygosity mapping and whole-exome sequencing were used to search for pathogenic mutations in four families. … [Read more]

Gender influences DM1 clinical profiles and severity

Myotonic Dystrophy type 1 (DM1), the most frequent adult muscular dystrophy, is one of the most heterogeneous hereditary disease in terms of age of onset, clinical manifestations, and severity, challenging both medical management and clinical trials. The CTG expansion size is the main factor determining the age of onset although no factor can finely predict … [Read more]