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Clinical Experience with Disease-Modifying Therapies in Adolescent and Adult Patients with Spinal Muscular Atrophy Type 2 and Type 3 in Mexico: Case Report

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Abstract

Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder that causes atrophy and weakness of limbs and bulbar muscles. The deletion of gene SMN1 in locus 5q13 produces the disease; SMN2 is a paralogous gene that codifies for a small amount and is a less functional protein. Nusinersen is an antisense oligonucleotide that helps to create a functional Survival Motor Neuron protein (SMN). We administered intrathecal Nusinersen to five patients with SMA types 2 and 3. The motor function through MFM32 Scale, pulmonary and bulbar function was assessed before and after Nusinersen administration. Nusinersen appears to improve MFM32 scores and has a safe effect profile.

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References

  1. Kolb S, Kissel JT. Spinal muscular atrophy: a timely review. Arch Neurol. 2011;68:979–84.

    Article  Google Scholar 

  2. Farrar MA, Vucic S, Johnston HM, du Sart D, Kiernan MC. Pathophysiological insights derived by natural history and motor function of spinal muscular atrophy. J Pediatr. 2013;162:155–9.

    Article  Google Scholar 

  3. Mercuri E, Finkel R, Montes J, Mazzone ES, Sormani MP, Main M, Ramsey D, Mayhew A, Glanzman AM, Dunaway S, Salazar R, Pasternak A, Quigley J, Pane M, Pera MC, Scoto M, Messina S, Sframeli M, Vita GL, D’Amico A, van den Hauwe M, Sivo S, Goemans N, Kaufmann P, Darras BT, Bertini E, Muntoni F, De Vivo DC. Patterns of disease progression in type 2 and 3 SMA: implications for clinical trials. Neuromuscul Disord. 2016;26:126–31.

    Article  Google Scholar 

  4. Farrar M, Park S, Vucic S, Carey KA, Turner BJ, Gillingwater TH, Swoboda KJ, Kiernan MC. Emerging therapies and challenges in spinal muscular atrophy. Ann Neurol. 2017;81:355–68.

    Article  Google Scholar 

  5. Wang CH, Finkel RS, Bertini ES, Schroth M, Simonds A, Wong B, Aloysius A, Morrison L, Main M, Crawford TO, Trela A, Participants of the International Conference on SMA Standard of Care. Consensus statement for standard of care in spinal muscular atrophy. J Child Neurol. 2007;22:1027–49.

  6. Mendell JR, Al-Zaidy S, Shell R, Arnold WD, Rodino-Klapac L, Kissel JT, Prior TW, Miranda C, Lowes L, Alfano L, Berry K, Petek C, Church K, Braun L, Corcoran S, Meyer K, Likhite S, Burghes AH, Foust KD, Kaspar BK. Gene therapy for spinal muscular atrophy type 1 shows potential to improve survival and motor functional outcomes. Mol Ther. 2016;24:190.

    Article  Google Scholar 

  7. Finkel RS, Mercuri E, Darras BT, Connolly AM, Kuntz NL, Kirschner J, Chiriboga CA, Saito K, Servais L, Tizzano E, Topaloglu H, Tulinius M, Montes J, Glanzman AM, Bishop K, Zhong ZJ, Gheuens S, Bennett CF, Schneider E, Farwell W, De Vivo DC, ENDEAR Study Group. Nusinersen versus sham control in infantile-onset spinal muscular atrophy. N Engl J Med. 2017;377:1723–32.

    Article  CAS  Google Scholar 

  8. Mercuri E, Darras B, Chiriboga CA, Day JW, Campbell C, Connolly AM, Iannaccone ST, Kirschner J, Kuntz NL, Saito K, Shieh PB, Tulinius M, Mazzone ES, Montes J, Bishop KM, Yang Q, Foster R, Gheuens S, Bennett CF, Farwell W, Schneider E, De Vivo DC, Finkel RS, CHERISH Study Group. Nusinersen versus sham control in later-onset spinal muscular atrophy. N Engl J Med. 2018;378:625–35.

    Article  CAS  Google Scholar 

  9. De Vivo D, Bertini E, Swoboda K, Hwu WL, Crawford TO, Finkel RS, Kirschner J, Kuntz NL, Parsons JA, Ryan MM, Butterfield RJ, Topaloglu H, Ben-Omran T, Sansone VA, Jong YJ, Shu F, Staropoli JF, Kerr D, Sandrock AW, Stebbins C, Petrillo M, Braley G, Johnson K, Foster R, Gheuens S, Bhan I, Reyna SP, Fradette S, Farwell W, NURTURE Study Group. Nusinersen initiated in infants during the presymptomatic stage of spinal muscular atrophy: Interim efficacy and safety results from the Phase 2 NURTURE study. Neuromuscul Disord. 2019;29:842–56.

    Article  Google Scholar 

  10. Neil EE, Bisaccia EK, et al. Nusinersen: a novel antisense oligonucleotide for the treatment of spinal muscular atrophy. J Pediatr Pharmacol Ther. 2019;24:194–203.

    Google Scholar 

  11. Stolte B, Totzeck A, Kizina K, et al. Feasibility and safety of intrathecal treatment with nusinersen in adult patients with spinal muscular atrophy. Ther Adv Neurol Disord. 2018;11:1756286418803246.

    Article  Google Scholar 

  12. Bérard C, et.al. Medida de la Función Motora para enfermedades neuromusculares, MFM 32. www.mfm-nmd.org. Accessed 05/06/2020.

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Dr. Maria Elena Meza-Cano: main author and edition. Dr. Alejandro Almaraz-Espinoza: edition.

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Correspondence to Alejandro Almaraz-Espinoza.

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Meza, M.E., Almaraz-Espinoza, A. Clinical Experience with Disease-Modifying Therapies in Adolescent and Adult Patients with Spinal Muscular Atrophy Type 2 and Type 3 in Mexico: Case Report. SN Compr. Clin. Med. 4, 208 (2022). https://doi.org/10.1007/s42399-022-01217-x

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