دورية أكاديمية

The Identification of Novel Biomarkers Is Required to Improve Adult SMA Patient Stratification, Diagnosis and Treatment

التفاصيل البيبلوغرافية
العنوان: The Identification of Novel Biomarkers Is Required to Improve Adult SMA Patient Stratification, Diagnosis and Treatment
المؤلفون: Piera Smeriglio, Paul Langard, Giorgia Querin, Maria Grazia Biferi
المصدر: Journal of Personalized Medicine; Volume 10; Issue 3; Pages: 75
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2020
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: spinal muscular atrophy, adult patients, disease heterogeneity, Nusinersen, disease modifiers, functional outcomes, biomarkers, epigenetic changes, omics approaches
الوصف: Spinal muscular atrophy (SMA) is currently classified into five different subtypes, from the most severe (type 0) to the mildest (type 4) depending on age at onset, best motor function achieved, and copy number of the SMN2 gene. The two recent approved treatments for SMA patients revolutionized their life quality and perspectives. However, upon treatment with Nusinersen, the most widely administered therapy up to date, a high degree of variability in therapeutic response was observed in adult SMA patients. These data, together with the lack of natural history information and the wide spectrum of disease phenotypes, suggest that further efforts are needed to develop precision medicine approaches for all SMA patients. Here, we compile the current methods for functional evaluation of adult SMA patients treated with Nusinersen. We also present an overview of the known molecular changes underpinning disease heterogeneity. We finally highlight the need for novel techniques, i.e., -omics approaches, to capture phenotypic differences and to understand the biological signature in order to revise the disease classification and device personalized treatments.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Omics/Informatics; https://dx.doi.org/10.3390/jpm10030075Test
DOI: 10.3390/jpm10030075
الإتاحة: https://doi.org/10.3390/jpm10030075Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.10822D6B
قاعدة البيانات: BASE