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Genetics of Spinal Muscular Atrophy 2.0

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Genetics and Genomics".

Deadline for manuscript submissions: closed (30 December 2023) | Viewed by 4560

Special Issue Editor


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PTC Therapeutics, 100 Corporate Court, South Plainfield, NJ 07080, USA
Interests: SMA Therapy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Spinal muscular atrophy (SMA) represents a remarkable case illustrating the power of modern genetics in solving complex biological and medical questions. In the 25 years since the discovery of the genetic basis of SMA, great progress has been achieved in our understanding of the molecular etiology of the disease. It has been clearly established that SMA is caused by the deletion or mutation of the SMN1 gene and the reduced expression of the SMN protein from the paralogous SMN2 gene due to alternative splicing. This understanding has provided the foundation for an extraordinary success story in modern drug development, resulting in three approved disease-modifying therapies for the treatment of SMA. However, gaps and key questions remain open and need solutions. For instance, we are still trying to understand why motor neurons are particularly sensitive to reduced SMN levels, how the same number of SMN2 copies results in different degrees of SMA severity, the role of epigenetic regulation in SMN expression, and how therapeutics interplay with SMA genetics.

With such open questions in mind, the goal of this Special Issue is to collect submissions, both literature reviews and original research articles, that will present the current conceptual framework to understand SMA and help advance the field to the next level.

The topics we would like to cover include but are not limited to:

  • Genetics of SMA
    • The nature of SMN2, unique to humans. Insight into molecular evolution
    • The functional linkage of SMN2 gene dosage to SMA phenotypic spectrum and features
    • Modifier genes and their functional relationship to SMN and SMA
    • Epigenetic regulation and control of SMN expression
  • SMN expression and function
    • Why motor neurons are the most affected cells in SMA
    • The role of SMN protein in extraneuronal tissues and organs
    • Tissue-specific differences in SMN2 pre-mRNA splicing and SMN protein levels
    • The temporal dynamics of SMN expression pre- and postnatally.
  • The utility and challenges of using animal models to understand the genetics of SMA
  • Insights from SMA genetics as guiding principles for the discovery of drugs against SMA
  • The lessons from SMA therapeutic development for the discovery of drugs against genetic disorders
  • The development and evolution of newborn screening and molecular diagnosis of SMA using classical and next-generation sequencing approaches

Dr. Nikolai Naryshkin
Guest Editor

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Published Papers (2 papers)

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13 pages, 2459 KiB  
Communication
SMN Deficiency Destabilizes ABCA1 Expression in Human Fibroblasts: Novel Insights in Pathophysiology of Spinal Muscular Atrophy
by Francesca Gabanella, Annalisa Onori, Cinzia Pisani, Marco Fiore, Giampiero Ferraguti, Andrea Colizza, Marco de Vincentiis, Marco Ceccanti, Maurizio Inghilleri, Nicoletta Corbi, Claudio Passananti and Maria Grazia Di Certo
Int. J. Mol. Sci. 2023, 24(3), 2916; https://doi.org/10.3390/ijms24032916 - 2 Feb 2023
Cited by 1 | Viewed by 1603
Abstract
The deficiency of survival motor neuron protein (SMN) causes spinal muscular atrophy (SMA), a rare neuromuscular disease that affects different organs. SMN is a key player in RNA metabolism regulation. An intriguing aspect of SMN function is its relationship with plasma membrane-associated proteins. [...] Read more.
The deficiency of survival motor neuron protein (SMN) causes spinal muscular atrophy (SMA), a rare neuromuscular disease that affects different organs. SMN is a key player in RNA metabolism regulation. An intriguing aspect of SMN function is its relationship with plasma membrane-associated proteins. Here, we provide a first demonstration that SMN affects the ATP-binding cassette transporter A1, (ABCA1), a membrane protein critically involved in cholesterol homeostasis. In human fibroblasts, we showed that SMN associates to ABCA1 mRNA, and impacts its subcellular distribution. Consistent with the central role of ABCA1 in the efflux of free cholesterol from cells, we observed a cholesterol accumulation in SMN-depleted human fibroblasts. These results were also confirmed in SMA type I patient-derived fibroblasts. These findings not only validate the intimate connection between SMN and plasma membrane-associated proteins, but also highlight a contribution of dysregulated cholesterol efflux in SMA pathophysiology. Full article
(This article belongs to the Special Issue Genetics of Spinal Muscular Atrophy 2.0)
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Review

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21 pages, 748 KiB  
Review
Emerging Gene Therapy Approaches in the Management of Spinal Muscular Atrophy (SMA): An Overview of Clinical Trials and Patent Landscape
by Aleksei S. Ponomarev, Daria S. Chulpanova, Lina M. Yanygina, Valeriya V. Solovyeva and Albert A. Rizvanov
Int. J. Mol. Sci. 2023, 24(18), 13743; https://doi.org/10.3390/ijms241813743 - 6 Sep 2023
Cited by 2 | Viewed by 2392
Abstract
Spinal muscular atrophy (SMA) is a rare autosomal recessive neuromuscular disease that is characterized by progressive muscle atrophy (degeneration), including skeletal muscles in charge of the ability to move. SMA is caused by defects in the SMN1 gene (Survival of Motor Neuron 1) [...] Read more.
Spinal muscular atrophy (SMA) is a rare autosomal recessive neuromuscular disease that is characterized by progressive muscle atrophy (degeneration), including skeletal muscles in charge of the ability to move. SMA is caused by defects in the SMN1 gene (Survival of Motor Neuron 1) which encodes a protein crucial for the survival and functionality of neuron cells called motor neurons. Decreased level of functioning SMN protein leads to progressive degeneration of alpha-motor neurons performing muscular motility. Over the past decade, many strategies directed for SMN-level-restoration emerged, such as gene replacement therapy (GRT), CRISPR/Cas9-based gene editing, usage of antisense oligonucleotides and small-molecule modulators, and all have been showing their perspectives in SMA therapy. In this review, modern SMA therapy strategies are described, making it a valuable resource for researchers, clinicians and everyone interested in the progress of therapy of this serious disorder. Full article
(This article belongs to the Special Issue Genetics of Spinal Muscular Atrophy 2.0)
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