2012
DOI: 10.4155/fmc.12.131
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SMN-Inducing Compounds For The Treatment Of Spinal Muscular Atrophy

Abstract: Spinal muscular atrophy (SMA) is a leading genetic cause of infant mortality. A neurodegenerative disease, it is caused by loss of SMN1, although low, but essential, levels of SMN protein are produced by the nearly identical gene SMN2. While no effective treatment or therapy currently exists, a new wave of therapeutics has rapidly progressed from cell-based and preclinical animal models to the point where clinical trials have initiated for SMA-specific compounds. There are several reasons why SMA has moved rel… Show more

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Cited by 33 publications
(39 citation statements)
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“…The pathological manifestation of SMA is motor neuron degeneration in the spinal cord, resulting in muscular atrophy and weakness [9]. Therefore, SMN promoting, muscle-enhancing and neuroprotective strategies have been considered as separate or complementary treatments of SMA [10,11].…”
Section: Introductionmentioning
confidence: 99%
“…The pathological manifestation of SMA is motor neuron degeneration in the spinal cord, resulting in muscular atrophy and weakness [9]. Therefore, SMN promoting, muscle-enhancing and neuroprotective strategies have been considered as separate or complementary treatments of SMA [10,11].…”
Section: Introductionmentioning
confidence: 99%
“…Modulating SMN2 expression to enhance the SMN protein and treat SMA is therefore a central therapeutic strategy (13,14). In SMA model mice, antisense oligonucleotides (ASOs) that correct the splicing defect of the SMN2 gene and restore SMN protein show remarkable benefit (15,16).…”
Section: Introductionmentioning
confidence: 99%
“…As the copy number of the nearly identical SMN2 gene correlates with disease severity [21][23], SMA therapeutic development has primarily focused on enhancing the expression of full-length SMN from the SMN2 gene or through gene therapy [24]–[27]. To date, cell-based screens for SMA therapeutic discovery have employed reporter assays that monitor increased SMN2 transcription and exon 7 splicing [36][39].…”
Section: Discussionmentioning
confidence: 99%
“…Thus, most efforts in developing SMA therapeutics have focused on methods to increase SMN protein levels. These include activation of the SMN2 promoter, enhancing inclusion of exon 7 in SMN2 -derived transcripts, increasing the stability of SMN mRNA and protein, or restoring SMN expression through gene therapy [24]–[27]. In agreement with the viability of these approaches, injection of AAV vectors encoding full-length SMN in mouse models of SMA resulted in remarkable correction of lifespan and motor function [28][31].…”
Section: Introductionmentioning
confidence: 98%