Myology research highlights

Daytime mouthpiece ventilation is a useful adjunct to nocturnal noninvasive ventilation (NIV) in patients with neuromuscular disease. The aims of the study were to analyze the practice of mouthpiece ventilation and to evaluate the performance of ventilators for mouthpiece ventilation. Practice of mouthpiece ventilation was assessed by a questionnaire, and the performance of 6 home … [Read more]

In this study, genome-wide homozygosity mapping was used to map a novel myopathic phenotype to chromosomal region 1q25 in a consanguineous family: three individuals manifesting proximal and distal weakness and atrophy were affected, with rigid spine and contractures of the proximal and distal interphalangeal hand joints. Additionally, cardiomyopathy and respiratory involvement were noted. DNA sequencing … [Read more]

Myostatin regulates skeletal muscle size via the activin receptor IIB (ActRIIB). However, its effect on muscle energy metabolism and energy dependent muscle function remains largely unexplored. This question needs to be solved urgently since various therapies for neuromuscular diseases based on blockade of ActRIIB signaling are being developed. Here, the authors show that four months … [Read more]

Natural history studies in sporadic inclusion body myositis are of fundamental interest for future therapeutic trials. Previous studies have demonstrated the particular relevance of knee extension strength in the follow-up of this disease. Here, the authors aimed to extend an earlier 9-month natural history study to a four-year period. Thirteen patients were assessed using clinical … [Read more]

Clinically amyopathic dermatomyositis (CADM) is characterized by the presence of specific cutaneous manifestations of dermatomyositis (DM) without clinical signs of muscular involvement. The aim of this study was to examine the prevalence, clinical characteristics, and outcome of patients with CADM followed at our Rheumatology Unit. Clinical charts of patients diagnosed as DM were retrospectively examined. … [Read more]

Spinal muscular atrophy (SMA) is characterised by loss of motor neurons in the spinal cord that results in muscle denervation and profound weakness in affected patients. Here, the authors sought evidence for primary muscle involvement in the disease during human development by analyzing the expression of several muscle cytoskeletal components (i.e. slow, fast, and developmental … [Read more]

This study aimed to characterise the clinical and genetic features of spinal bulbar muscular atrophy (SBMA), a rare neurodegenerative disorder caused by the expansion of a CAG repeat in the first exon of the androgen receptor gene, in the United Kingdom. The authors created a national register for SBMA in the United Kingdom and recruited … [Read more]

In a May 13, 2014, webcast, Sarepta Therapeutics summarized its plans for eteplirsen and other experimental exon-skipping compounds it has in development to treat Duchenne muscular dystrophy; eteplirsen targets exon 51 of the dystrophin gene and could provide a treatment for 13% of the DMD population. Sarepta will apply to the U.S. Food and Drug … [Read more]

Reversing an earlier negative opinion, the European Medicines Agency (EMA) Committee for Medicinal Products for Human Use (CHMP) gave a qualified endorsement this week to marketing of ataluren (Translarna, PTC Therapeutics) to treat Duchenne muscular dystrophy (DMD). In the drug’s phase IIb and phase III trials, boys with DMD failed to show statistically significant improvements … [Read more]

Autosomal dominant (AD) central core disease (CCD) is a congenital myopathy characterised by the presence of cores in the muscle fibres which correspond to broad areas of myofibrils disorganisation, Z-line streaming and lack of mitochondria. Heterozygous mutations in the RYR1 gene were observed in the large majority of AD-CCD families; however, this gene was excluded … [Read more]