EXPLORING THE LINK BETWEEN EARLY DETECTION AND SURVIVAL OUTCOMES IN SPINAL MUSCULAR ATROPHY PATIENTS

Main Article Content

Paras Ali
Iliya Petkov
Muhammad Zulkifal
Hammad Hassan
Essa Samuel
Dr. Michael Rutalira Koko
Dr. E.N.Ganesh
Dr. Saja Khalid Ahmed Al-Abbasi

Keywords

Spinal muscular atrophy, SMN1, SMN2, diagnosis, survival, gene therapy

Abstract

Introduction: Spinal Muscular Atrophy (SMA) is a recessive neurodegenerative disorder characterized by the homozygous deletion or mutation of the SMN1 gene, responsible for producing the motor neuron survival protein (SMN). This genetic anomaly results in a deficiency of SMN production, leading to alpha (α) motor neuron degeneration, causing progressive muscle weakness and paralysis.


Objective: This study aims to explore the pathophysiology of spinal muscular atrophy, discuss potential treatments, and highlight recent advancements in our understanding of the disease.


Method: Data for this review was collected from articles available on SciELO, PubMed, and MEDLINE, providing a comprehensive overview of the current state of knowledge on spinal muscular atrophy.


Results: Treatment strategies for SMA encompass a multidisciplinary approach, including nutritional interventions, physical therapy, respiratory care, and cutting-edge gene therapy. Recent studies have contributed valuable insights into these treatment modalities, offering hope for improved outcomes.


Conclusion: Patients with spinal muscular atrophy often contend with a spectrum of conditions, necessitating comprehensive and individualized care. This review underscores the importance of ongoing research, multidimensional treatment approaches, and patient-centric care to enhance the quality of life for individuals affected by SMA.

Abstract 503 | pdf Downloads 153

References

1. Armengol, V. D., Darras, B. T., Abulaban, A. A., Alshehri, A., Barisic, N., Ben-Omran, T., . . . Farrar, M. A. (2024). Life-Saving Treatments for Spinal Muscular Atrophy: Global Access and Availability. Neurology: Clinical Practice, 14(1), e200224.
2. Baranello, G., Roy, S. Q., Servais, L., Munell, F., Molinero, M. A., de Benito, D. N., . . . Exposito, J. (2024). The emerging spectrum of neurodevelopmental comorbidities in early-onset Spinal Muscular Atrophy. European Journal of Paediatric Neurology.
3. Bayoumy, S., Verberk, I. M., Vermunt, L., Willemse, E., den Dulk, B., van der Ploeg, A. T., . . . van der Post, J. (2024). Neurofilament light protein as a biomarker for spinal muscular atrophy: a review and reference ranges. Clinical Chemistry and Laboratory Medicine (CCLM)(0).
4. Bouman, K., Dittrich, A. T., Groothuis, J. T., van Engelen, B. G., Zweers-van Essen, H., de Baaij-Daalmeyer, A., . . . Voermans, N. C. (2024). Bone quality in LAMA2-related muscular dystrophy and SELENON-related congenital myopathy, a one-year prospective natural history study. Neuromuscular Disorders, 34, 105-113.
5. Careccia, G., Mangiavini, L., & Cirillo, F. (2024). Regulation of Satellite Cells Functions during Skeletal Muscle Regeneration: A Critical Step in Physiological and Pathological Conditions. International Journal of Molecular Sciences, 25(1), 512.
6. Cornell, N., Childs, A.-M., Wraige, E., Munot, P., Ambegaonkar, G., Chow, G., . . . Marini-Bettolo, C. (2024). Risdiplam in Spinal Muscular Atrophy: Safety Profile and Use Through The Early Access to Medicine Scheme for the Paediatric Cohort in Great Britain. Journal of Neuromuscular Diseases(Preprint), 1-8.
7. Dangouloff, T., Thokala, P., Stevenson, M. D., Deconinck, N., D'Amico, A., Daron, A., . . . Hiligsmann, M. (2024). Cost-effectiveness of spinal muscular atrophy newborn screening based on real-world data in Belgium. Neuromuscular Disorders, 34, 61-67.
8. Gök, A., Saygılı, S. K., Kuruğoğlu, S., Saltık, S., & Canpolat, N. (2024). Children With Type 1 Spinal Muscular Atrophy Are at Increased Risk for Nephrolithiasis. Pediatric Neurology, 150, 32-36.
9. Gowda, V., Atherton, M., Murugan, A., Servais, L., Sheehan, J., Standing, E., . . . Munot, P. (2024). Efficacy and safety of onasemnogene abeparvovec in children with spinal muscular atrophy type 1: real-world evidence from 6 infusion centres in the United Kingdom. The Lancet Regional Health–Europe, 37.
10. Henderson, M. L., Zieba, J. K., Li, X., Campbell, D. B., Williams, M. R., Vogt, D. L., . . . Hartog, N. L. (2024). Gene Therapy for Genetic Syndromes: Understanding the Current State to Guide Future Care. BioTech, 13(1), 1.
11. Hill, J., Sanghani, N., & Li, Y. (2024). Features Suggestive of Coexisting Amyotrophic Lateral Sclerosis in Patients With Spinal Stenosis and Influence of Spinal Decompression. Cureus, 16(1).
12. Iida, M., Sahashi, K., Hirunagi, T., Sakakibara, K., Maeda, K., Ogura, Y., . . . Katsuno, M. (2024). Dysregulated synaptic gene expression in oligodendrocytes of spinal and bulbar muscular atrophy. bioRxiv, 2024.2001. 2011.575248.
13. Jiang, Y., Xia, Z., Zhou, Y., Lu, X., Du, X., & Guo, Q. (2024). Comparison of the accuracy of multiplex digital PCR versus multiplex ligation-dependent probe amplification in quantification of the survival of motor neuron genes copy numbers. Clinica Chimica Acta, 553, 117708.
14. King, P. H. (2024). Skeletal muscle as a molecular and cellular biomarker of disease progression in amyotrophic lateral sclerosis: a narrative review. Neural Regeneration Research, 19(4), 747-753.
15. Lashgari, N.-A., Roudsari, N. M., Shayan, M., Eshraghi, S., Momtaz, S., Jamialahamdi, T., . . . Sahebkar, A. (2024). Spinal Muscular Atrophy Treatment: The MTOR Regulatory Intervention. Current Medicinal Chemistry.
16. Lee, S., Marshall, J., Clarke, M., & Smith, C. H. (2024). Feeding and Swallowing Outcomes in Children Who Use Long-Term Ventilation: A Scoping Review. Dysphagia, 1-18.
17. Mendell, J. R., Pozsgai, E. R., Lewis, S., Griffin, D. A., Lowes, L. P., Alfano, L. N., . . . Iammarino, M. A. (2024). Gene therapy with bidridistrogene xeboparvovec for limb-girdle muscular dystrophy type 2E/R4: phase 1/2 trial results. Nature Medicine, 1-8.
18. Newcomb, T., Butterfield, R. J., & Kerr, L. M. (2024). Newborn Screening Cases: Abnormal Newborn Neuromuscular Screening. In Genomics in the Clinic (pp. 183-185): Elsevier.
19. Ottesen, E. W., Seo, J., Luo, D., Singh, N. N., & Singh, R. N. (2024). A super minigene with a short promoter and truncated introns recapitulates essential features of transcription and splicing regulation of the SMN1 and SMN2 genes. Nucleic Acids Research, gkad1259.
20. Pinto, S., Oliveira Santos, M., Gromicho, M., Swash, M., & de Carvalho, M. (2024). Impact of diabetes mellitus on the respiratory function of amyotrophic lateral sclerosis patients. European Journal of Neurology, 31(2), e16129.
21. Price, T. R., Hodgkinson, V., Westbury, G., Korngut, L., Innes, A. M., Marshall, C. R., . . . Mah, J. K. (2024). A study on the incidence and prevalence of 5q spinal muscular atrophy in Canada using multiple data sources. Canadian Journal of Neurological Sciences, 1-29.
22. Ramangoudr-Bhojappa, R., Tryon, R., Lach, F. P., Donovan, F. X., Maxwell, R., Rosenberg, A., . . . Smogorzewska, A. (2024). FANCA c. 3624C> T (p. Ser1208=) is a hypomorphic splice variant associated with delayed onset of Fanconi anemia. Blood Advances.
23. Rashid, S., & Dimitriadi, M. (2024). Autophagy in spinal muscular atrophy: from pathogenic mechanisms to therapeutic approaches. Frontiers in Cellular Neuroscience.
24. Shen, W., Yan, Z., Su, S., Xiang, P., Zhou, Q., Zou, M., . . . Chen, Y. (2024). Gray and white matter abnormalities in children with type 2 and 3 SMA: A morphological assessment. European Journal of Pediatrics, 1-8.
25. Talani, C., Astradsson, T., Farnebo, L., Mäkitie, A., Ehrsson, Y. T., & Laurell, G. (2024). Pretreatment fat‐free mass index correlates with early death in patients with head and neck squamous cell carcinoma. Head & Neck.
26. Toledo, D. M. (2024). Molecular genetics of spinal muscular atrophy. In Diagnostic Molecular Pathology (pp. 283-289): Elsevier.
27. Trimmer, R. E., Mandy, W. P., Muntoni, F., & Maresh, K. E. (2024). Understanding anxiety experienced by young males with Duchenne muscular dystrophy: a qualitative focus group study. Neuromuscular Disorders, 34, 95-104.
28. Umandap, C. H., & Pereira, E. M. (2024). Common Monogenetic Conditions in Newborns. In Principles of Neonatology (pp. 690-698): Elsevier.
29. Wu, Y., Zhu, X., Jiang, W., Li, J., Li, H., Zhang, K., . . . Bai, Y. (2024). LMNA-related muscular dystrophy involving myoblast proliferation and apoptosis through the FOXO1/GADD45A pathway. Biochimica et Biophysica Acta (BBA)-Molecular Basis of Disease, 1870(2), 166943.
30. Zeng, S., Yang, H., Wang, B., Xie, Y., Xu, K., Liu, L., . . . Liu, M. (2024). The MORC2 p. S87L mutation reduces proliferation of pluripotent stem cells derived from a patient with the spinal muscular atrophy-like phenotype by inhibiting proliferation-related signaling pathways. Neural Regeneration Research, 19(1), 205-211.

Most read articles by the same author(s)