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Erschienen in: InFo Neurologie + Psychiatrie 5/2018

15.05.2018 | Spinale Muskelatrophien | zertifizierte fortbildung

Alpha-Motoneuron-Erkrankung

Vorteil durch frühen Therapiebeginn bei proximaler spinaler Muskelatrophie

verfasst von: Dr. med. Heike Köelbel, Andrea Gangfuß, Katrin Rupprich, Barbara Andres, Adela Della Marina, Prof. Dr. med. Ulrike Schara

Erschienen in: InFo Neurologie + Psychiatrie | Ausgabe 5/2018

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Zusammenfassung

Neue Therapieansätze haben den Übergang vom theoretischen Konzept zu randomisierten, kontrollierten Studien und nun erstmals zu einer medikamentösen Behandlung der proximalen spinalen Muskelatrophie (SMA) bei Patienten vollzogen. Maßgebend für den Therapieerfolg sind der frühzeitige Einsatz der medikamentösen Behandlung und damit die Entdeckung der Erkrankung in einem frühen Stadium, sodass die Einführung eines flächendeckenden Neugeborenenscreenings für die SMA notwendig erscheint.
Literatur
1.
Zurück zum Zitat Sugarman EA, Nagan N, Zhu H, Akmaev VR, Zhou Z, Rohlfs EM, Flynn K, Hendrickson BC, Scholl T, Sirko-Osadsa DA et al. Pan-ethnic carrier screening and prenatal diagnosis for spinal muscular atrophy: clinical laboratory analysis of >72,400 specimens. Eur J Hum Genet 2012; 20(1):27–32CrossRefPubMed Sugarman EA, Nagan N, Zhu H, Akmaev VR, Zhou Z, Rohlfs EM, Flynn K, Hendrickson BC, Scholl T, Sirko-Osadsa DA et al. Pan-ethnic carrier screening and prenatal diagnosis for spinal muscular atrophy: clinical laboratory analysis of >72,400 specimens. Eur J Hum Genet 2012; 20(1):27–32CrossRefPubMed
2.
Zurück zum Zitat Lefebvre S, Burlet P, Liu Q, Bertrandy S, Clermont O, Munnich A, Dreyfuss G, Melki J. Correlation between severity and SMN protein level in spinal muscular atrophy Nat Genet 1997; 16(3):265–69PubMed Lefebvre S, Burlet P, Liu Q, Bertrandy S, Clermont O, Munnich A, Dreyfuss G, Melki J. Correlation between severity and SMN protein level in spinal muscular atrophy Nat Genet 1997; 16(3):265–69PubMed
3.
Zurück zum Zitat Monani UR, Pastore MT, Gavrilina TO, Jablonka S, Le TT, Andreassi C, DiCocco JM, Lorson C, Androphy EJ, Sendtner M et al. A transgene carrying an A2G missense mutation in the SMN gene modulates phenotypic severity in mice with severe (type I) spinal muscular atrophy J Cell Biol 2003; 160(1):41–52PubMed Monani UR, Pastore MT, Gavrilina TO, Jablonka S, Le TT, Andreassi C, DiCocco JM, Lorson C, Androphy EJ, Sendtner M et al. A transgene carrying an A2G missense mutation in the SMN gene modulates phenotypic severity in mice with severe (type I) spinal muscular atrophy J Cell Biol 2003; 160(1):41–52PubMed
4.
Zurück zum Zitat Lorson CL, Rindt H, Shababi M. Spinal muscular atrophy: mechanisms and therapeutic strategies Hum Mol Genet 2010; 19(R1):R111–118PubMed Lorson CL, Rindt H, Shababi M. Spinal muscular atrophy: mechanisms and therapeutic strategies Hum Mol Genet 2010; 19(R1):R111–118PubMed
5.
Zurück zum Zitat Wirth B. An update of the mutation spectrum of the survival motor neuron gene (SMN1) in autosomal recessive spinal muscular atrophy (SMA). Hum Mutat 2000; 15(3):228–37CrossRefPubMed Wirth B. An update of the mutation spectrum of the survival motor neuron gene (SMN1) in autosomal recessive spinal muscular atrophy (SMA). Hum Mutat 2000; 15(3):228–37CrossRefPubMed
6.
Zurück zum Zitat Rudnik-Schoneborn S, Eggermann T, Kress W, Lemmink HH, Cobben JM, Zerres K. Clinical utility gene card for: proximal spinal muscular atrophy. Eur J Hum Genet 2012; 20(6), doi: 10.1038/ejhg.2012.62 Rudnik-Schoneborn S, Eggermann T, Kress W, Lemmink HH, Cobben JM, Zerres K. Clinical utility gene card for: proximal spinal muscular atrophy. Eur J Hum Genet 2012; 20(6), doi: 10.1038/ejhg.2012.62
7.
Zurück zum Zitat Wirth B, Herz M, Wetter A, Moskau S, Hahnen E, Rudnik-Schoneborn S, Wienker T, Zerres K. Quantitative analysis of survival motor neuron copies: identification of subtle SMN1 mutations in patients with spinal muscular atrophy, genotype-phenotype correlation, and implications for genetic counseling. Am J Hum Genet 1999; 64(5):1340–56CrossRefPubMedPubMedCentral Wirth B, Herz M, Wetter A, Moskau S, Hahnen E, Rudnik-Schoneborn S, Wienker T, Zerres K. Quantitative analysis of survival motor neuron copies: identification of subtle SMN1 mutations in patients with spinal muscular atrophy, genotype-phenotype correlation, and implications for genetic counseling. Am J Hum Genet 1999; 64(5):1340–56CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Workman E, Kolb SJ, Battle DJ. Spliceosomal small nuclear ribonucleoprotein biogenesis defects and motor neuron selectivity in spinal muscular atrophy. Brain Res 2012; 1462:93–9CrossRefPubMedPubMedCentral Workman E, Kolb SJ, Battle DJ. Spliceosomal small nuclear ribonucleoprotein biogenesis defects and motor neuron selectivity in spinal muscular atrophy. Brain Res 2012; 1462:93–9CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Beattie CE, Kolb SJ: Spinal muscular atrophy: Selective motor neuron loss and global defect in the assembly of ribonucleoproteins. Brain Res 2018; doi: 10.1016/j.brainres.2018.02.022 Beattie CE, Kolb SJ: Spinal muscular atrophy: Selective motor neuron loss and global defect in the assembly of ribonucleoproteins. Brain Res 2018; doi: 10.1016/j.brainres.2018.02.022
10.
Zurück zum Zitat Boulisfane N, Choleza M, Rage F, Neel H, Soret J, Bordonne R. Impaired minor tri-snRNP assembly generates differential splicing defects of U12-type introns in lymphoblasts derived from a type I SMA patient. Hum Mol Genet 2011; 20(4):641–8CrossRefPubMed Boulisfane N, Choleza M, Rage F, Neel H, Soret J, Bordonne R. Impaired minor tri-snRNP assembly generates differential splicing defects of U12-type introns in lymphoblasts derived from a type I SMA patient. Hum Mol Genet 2011; 20(4):641–8CrossRefPubMed
11.
Zurück zum Zitat Rage F, Boulisfane N, Rihan K, Neel H, Gostan T, Bertrand E, Bordonne R, Soret J. Genome-wide identification of mRNAs associated with the protein SMN whose depletion decreases their axonal localization. RNA (New York, NY) 2013; 19(12):1755–66CrossRef Rage F, Boulisfane N, Rihan K, Neel H, Gostan T, Bertrand E, Bordonne R, Soret J. Genome-wide identification of mRNAs associated with the protein SMN whose depletion decreases their axonal localization. RNA (New York, NY) 2013; 19(12):1755–66CrossRef
13.
Zurück zum Zitat Baumer D, Lee S, Nicholson G, Davies JL, Parkinson NJ, Murray LM, Gillingwater TH, Ansorge O, Davies KE, Talbot K. Alternative splicing events are a late feature of pathology in a mouse model of spinal muscular atrophy. PLoS Genet 2009; 5(12):e1000773CrossRefPubMedPubMedCentral Baumer D, Lee S, Nicholson G, Davies JL, Parkinson NJ, Murray LM, Gillingwater TH, Ansorge O, Davies KE, Talbot K. Alternative splicing events are a late feature of pathology in a mouse model of spinal muscular atrophy. PLoS Genet 2009; 5(12):e1000773CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Bernabo P, Tebaldi T, Groen EJN, Lane FM, Perenthaler E, Mattedi F, Newbery HJ, Zhou H, Zuccotti P, Potrich V et al. In Vivo Translatome Profiling in Spinal Muscular Atrophy Reveals a Role for SMN Protein in Ribosome Biology. Cell Rep 2017; 21(4):953–65CrossRefPubMedPubMedCentral Bernabo P, Tebaldi T, Groen EJN, Lane FM, Perenthaler E, Mattedi F, Newbery HJ, Zhou H, Zuccotti P, Potrich V et al. In Vivo Translatome Profiling in Spinal Muscular Atrophy Reveals a Role for SMN Protein in Ribosome Biology. Cell Rep 2017; 21(4):953–65CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Hua Y, Sahashi K, Rigo F, Hung G, Horev G, Bennett CF, Krainer AR. Peripheral SMN restoration is essential for long-term rescue of a severe spinal muscular atrophy mouse model Nature 2011; 478(7367):123–6PubMed Hua Y, Sahashi K, Rigo F, Hung G, Horev G, Bennett CF, Krainer AR. Peripheral SMN restoration is essential for long-term rescue of a severe spinal muscular atrophy mouse model Nature 2011; 478(7367):123–6PubMed
16.
Zurück zum Zitat Rudnik-Schoneborn S, Vogelgesang S, Armbrust S, Graul-Neumann L, Fusch C, Zerres K. Digital necroses and vascular thrombosis in severe spinal muscular atrophy. Muscle Nerve 2010; 42(1):144–7CrossRefPubMed Rudnik-Schoneborn S, Vogelgesang S, Armbrust S, Graul-Neumann L, Fusch C, Zerres K. Digital necroses and vascular thrombosis in severe spinal muscular atrophy. Muscle Nerve 2010; 42(1):144–7CrossRefPubMed
17.
Zurück zum Zitat Rudnik-Schoneborn S, Heller R, Berg C, Betzler C, Grimm T, Eggermann T, Eggermann K, Wirth R, Wirth B, Zerres K. Congenital heart disease is a feature of severe infantile spinal muscular atrophy. J Med Genet 2008; 45(10):635–8CrossRefPubMed Rudnik-Schoneborn S, Heller R, Berg C, Betzler C, Grimm T, Eggermann T, Eggermann K, Wirth R, Wirth B, Zerres K. Congenital heart disease is a feature of severe infantile spinal muscular atrophy. J Med Genet 2008; 45(10):635–8CrossRefPubMed
18.
Zurück zum Zitat Araujo A, Araujo M, Swoboda KJ: Vascular perfusion abnormalities in infants with spinal muscular atrophy. The Journal of Pediatrics 2009; 155(2):292–4CrossRefPubMedPubMedCentral Araujo A, Araujo M, Swoboda KJ: Vascular perfusion abnormalities in infants with spinal muscular atrophy. The Journal of Pediatrics 2009; 155(2):292–4CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Bowerman M, Swoboda KJ, Michalski JP, Wang GS, Reeks C, Beauvais A, Murphy K, Woulfe J, Screaton RA, Scott FW et al. Glucose metabolism and pancreatic defects in spinal muscular atrophy. Ann Neurol 2012; 72(2):256–68CrossRefPubMedPubMedCentral Bowerman M, Swoboda KJ, Michalski JP, Wang GS, Reeks C, Beauvais A, Murphy K, Woulfe J, Screaton RA, Scott FW et al. Glucose metabolism and pancreatic defects in spinal muscular atrophy. Ann Neurol 2012; 72(2):256–68CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Wood MJA, Talbot K, Bowerman M. Spinal muscular atrophy: antisense oligonucleotide therapy opens the door to an integrated therapeutic landscape Hum Mol Genet 2017; 26(R2):R151–R159 Wood MJA, Talbot K, Bowerman M. Spinal muscular atrophy: antisense oligonucleotide therapy opens the door to an integrated therapeutic landscape Hum Mol Genet 2017; 26(R2):R151–R159
21.
Zurück zum Zitat Wang CH, Finkel RS, Bertini ES, Schroth M, Simonds A, Wong B, Aloysius A, Morrison L, Main M, Crawford TO et al. Consensus statement for standard of care in spinal muscular atrophy. J Child Neurol 2007; 22(8):1027–49CrossRef Wang CH, Finkel RS, Bertini ES, Schroth M, Simonds A, Wong B, Aloysius A, Morrison L, Main M, Crawford TO et al. Consensus statement for standard of care in spinal muscular atrophy. J Child Neurol 2007; 22(8):1027–49CrossRef
22.
Zurück zum Zitat Mercuri E, Finkel RS, Muntoni F, Wirth B, Montes J, Main M, Mazzone ES, Vitale M, Snyder B, Quijano-Roy S et al. Diagnosis and management of spinal muscular atrophy: Part 1: Recommendations for diagnosis, rehabilitation, orthopedic and nutritional care. Neuromuscul Disord 2018; 28(2):103–15CrossRefPubMed Mercuri E, Finkel RS, Muntoni F, Wirth B, Montes J, Main M, Mazzone ES, Vitale M, Snyder B, Quijano-Roy S et al. Diagnosis and management of spinal muscular atrophy: Part 1: Recommendations for diagnosis, rehabilitation, orthopedic and nutritional care. Neuromuscul Disord 2018; 28(2):103–15CrossRefPubMed
23.
Zurück zum Zitat Dunaway S, Montes J, O’Hagen J, Sproule DM, Vivo DC, Kaufmann P. Independent mobility after early introduction of a power wheelchair in spinal muscular atrophy J Child Neurol 2013; 28(5):576–82PubMed Dunaway S, Montes J, O’Hagen J, Sproule DM, Vivo DC, Kaufmann P. Independent mobility after early introduction of a power wheelchair in spinal muscular atrophy J Child Neurol 2013; 28(5):576–82PubMed
24.
Zurück zum Zitat Catteruccia M, Vuillerot C, Vaugier I, Leclair D, Azzi V, Viollet L, Estournet B, Bertini E, Quijano-Roy S. Orthopedic Management of Scoliosis by Garches Brace and Spinal Fusion in SMA Type 2 Children. J Neuromuscul Dis 2015; 2(4):453–62CrossRefPubMedPubMedCentral Catteruccia M, Vuillerot C, Vaugier I, Leclair D, Azzi V, Viollet L, Estournet B, Bertini E, Quijano-Roy S. Orthopedic Management of Scoliosis by Garches Brace and Spinal Fusion in SMA Type 2 Children. J Neuromuscul Dis 2015; 2(4):453–62CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Hull J, Aniapravan R, Chan E, Chatwin M, Forton J, Gallagher J, Gibson N, Gordon J, Hughes I, McCulloch R et al. British Thoracic Society guideline for respiratory management of children with neuromuscular weakness. Thorax 2012; 67 Suppl 1:i1–40CrossRefPubMed Hull J, Aniapravan R, Chan E, Chatwin M, Forton J, Gallagher J, Gibson N, Gordon J, Hughes I, McCulloch R et al. British Thoracic Society guideline for respiratory management of children with neuromuscular weakness. Thorax 2012; 67 Suppl 1:i1–40CrossRefPubMed
26.
Zurück zum Zitat Sansone VA, Racca F, Ottonello G, Vianello A, Berardinelli A, Crescimanno G, Casiraghi JL. 1st Italian SMA Family Association Consensus Meeting: Management and recommendations for respiratory involvement in spinal muscular atrophy (SMA) types I-III, Rome, Italy, 30-31 January 2015. Neuromuscul Disord 2015; 25(12):979–89CrossRefPubMed Sansone VA, Racca F, Ottonello G, Vianello A, Berardinelli A, Crescimanno G, Casiraghi JL. 1st Italian SMA Family Association Consensus Meeting: Management and recommendations for respiratory involvement in spinal muscular atrophy (SMA) types I-III, Rome, Italy, 30-31 January 2015. Neuromuscul Disord 2015; 25(12):979–89CrossRefPubMed
27.
Zurück zum Zitat Moore GE, Lindenmayer AW, McConchie GA, Ryan MM, Davidson ZE: Describing nutrition in spinal muscular atrophy: A systematic review. Neuromuscul Disord 2016; 26(7):395–404CrossRefPubMed Moore GE, Lindenmayer AW, McConchie GA, Ryan MM, Davidson ZE: Describing nutrition in spinal muscular atrophy: A systematic review. Neuromuscul Disord 2016; 26(7):395–404CrossRefPubMed
28.
Zurück zum Zitat Sproule DM, Montes J, Montgomery M, Battista V, Koenigsberger D, Shen W, Punyanitya M, De Vivo DC, Kaufmann P. Increased fat mass and high incidence of overweight despite low body mass index in patients with spinal muscular atrophy. Neuromuscul Disord 2009; 19(6):391–6CrossRefPubMedPubMedCentral Sproule DM, Montes J, Montgomery M, Battista V, Koenigsberger D, Shen W, Punyanitya M, De Vivo DC, Kaufmann P. Increased fat mass and high incidence of overweight despite low body mass index in patients with spinal muscular atrophy. Neuromuscul Disord 2009; 19(6):391–6CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Crawford TO, Sladky JT, Hurko O, Besner-Johnston A, Kelley RI. Abnormal fatty acid metabolism in childhood spinal muscular atrophy. Ann Neurol 1999; 45(3):337–43CrossRefPubMed Crawford TO, Sladky JT, Hurko O, Besner-Johnston A, Kelley RI. Abnormal fatty acid metabolism in childhood spinal muscular atrophy. Ann Neurol 1999; 45(3):337–43CrossRefPubMed
30.
Zurück zum Zitat Ripolone M, Ronchi D, Violano R, Vallejo D, Fagiolari G, Barca E, Lucchini V, Colombo I, Villa L, Berardinelli A et al. Impaired Muscle Mitochondrial Biogenesis and Myogenesis in Spinal Muscular Atrophy. JAMA Neurol 2015; 72(6):666–75CrossRefPubMedPubMedCentral Ripolone M, Ronchi D, Violano R, Vallejo D, Fagiolari G, Barca E, Lucchini V, Colombo I, Villa L, Berardinelli A et al. Impaired Muscle Mitochondrial Biogenesis and Myogenesis in Spinal Muscular Atrophy. JAMA Neurol 2015; 72(6):666–75CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Finkel RS, Mercuri E, Darras BT, Connolly AM, Kuntz NL, Kirschner J, Chiriboga CA, Saito K, Servais L, Tizzano E et al. Nusinersen versus Sham Control in Infantile-Onset Spinal Muscular Atrophy. N Engl J Med 2017; 377(18):1723–32CrossRefPubMed Finkel RS, Mercuri E, Darras BT, Connolly AM, Kuntz NL, Kirschner J, Chiriboga CA, Saito K, Servais L, Tizzano E et al. Nusinersen versus Sham Control in Infantile-Onset Spinal Muscular Atrophy. N Engl J Med 2017; 377(18):1723–32CrossRefPubMed
32.
Zurück zum Zitat Mercuri E, Darras BT, Chiriboga CA, Day JW, Campbell C, Connolly AM, Iannaccone ST, Kirschner J, Kuntz NL, Saito K et al. Nusinersen versus Sham Control in Later-Onset Spinal Muscular Atrophy. N Engl J Med 2018; 378(7):625–35CrossRefPubMed Mercuri E, Darras BT, Chiriboga CA, Day JW, Campbell C, Connolly AM, Iannaccone ST, Kirschner J, Kuntz NL, Saito K et al. Nusinersen versus Sham Control in Later-Onset Spinal Muscular Atrophy. N Engl J Med 2018; 378(7):625–35CrossRefPubMed
33.
Zurück zum Zitat Chiriboga CA. Nusinersen for the treatment of spinal muscular atrophy. Expert Rev Neurother 2017; 17(10):955–62CrossRefPubMed Chiriboga CA. Nusinersen for the treatment of spinal muscular atrophy. Expert Rev Neurother 2017; 17(10):955–62CrossRefPubMed
34.
Zurück zum Zitat Mendell JR, Al-Zaidy S, Shell R, Arnold WD, Rodino-Klapac LR, Prior TW, Lowes L, Alfano L, Berry K, Church K et al. Single-Dose Gene-Replacement Therapy for Spinal Muscular Atrophy. N Engl J Med 2017; 377(18):1713–22CrossRefPubMed Mendell JR, Al-Zaidy S, Shell R, Arnold WD, Rodino-Klapac LR, Prior TW, Lowes L, Alfano L, Berry K, Church K et al. Single-Dose Gene-Replacement Therapy for Spinal Muscular Atrophy. N Engl J Med 2017; 377(18):1713–22CrossRefPubMed
35.
Zurück zum Zitat Farrar MA, Park SB, Vucic S, Carey KA, Turner BJ, Gillingwater TH, Swoboda KJ, Kiernan MC. Emerging therapies and challenges in spinal muscular atrophy. Ann Neurol 2017; 81(3):355–68CrossRefPubMedPubMedCentral Farrar MA, Park SB, Vucic S, Carey KA, Turner BJ, Gillingwater TH, Swoboda KJ, Kiernan MC. Emerging therapies and challenges in spinal muscular atrophy. Ann Neurol 2017; 81(3):355–68CrossRefPubMedPubMedCentral
Metadaten
Titel
Alpha-Motoneuron-Erkrankung
Vorteil durch frühen Therapiebeginn bei proximaler spinaler Muskelatrophie
verfasst von
Dr. med. Heike Köelbel
Andrea Gangfuß
Katrin Rupprich
Barbara Andres
Adela Della Marina
Prof. Dr. med. Ulrike Schara
Publikationsdatum
15.05.2018
Verlag
Springer Medizin
Erschienen in
InFo Neurologie + Psychiatrie / Ausgabe 5/2018
Print ISSN: 1437-062X
Elektronische ISSN: 2195-5166
DOI
https://doi.org/10.1007/s15005-018-2371-x

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