Spinal muscular atrophy—recent therapeutic advances for an old challenge
Abstract
In the past decade, improved understanding of spinal muscular atrophy (SMA) aetiopathogenesis has brought us to a historical turning point: we are at the verge of development of disease-modifying treatments for this hitherto incurable disease. The increasingly precise delineation of molecular targets within the survival of motor neuron (SMN) gene locus has led to the development of promising therapeutic strategies. These novel avenues in treatment for SMA include gene therapy, molecular therapy with antisense oligonucleotides, and small molecules that aim to increase expression of SMN protein. Stem cell studies of SMA have provided an in vitro model for SMA, and stem cell transplantation could be used as a complementary strategy with a potential to treat the symptomatic phases of the disease. Here, we provide an overview of established data and novel insights into SMA pathogenesis, including discussion of the crucial function of the SMN protein. Preclinical evidence and recent advances from ongoing clinical trials are thoroughly reviewed. The final remarks are dedicated to future clinical perspectives in this rapidly evolving field, with a broad discussion on the comparison between the outlined therapeutic approaches and the remaining open questions.
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Intrathecal ASO injection to human was successfully completed in the Phase I and II clinical trials.
“Recently, intrathecal ASO injection to human was successfully completed in the Phase I and II clinical trials (Faravelli et al., 2015).”
From microRNA-33 Regulates ApoE Lipidation and Amyloid-β Metabolism in the Brain (2015) · cites this paper as Faravelli et al., 2015
Both trials demonstrated that intrathecal ASO injection is safe and effective.
“Both trials demonstrated that intrathecal ASO injection is safe and effective.”
From microRNA-33 Regulates ApoE Lipidation and Amyloid-β Metabolism in the Brain (2015) · cites this paper as Faravelli et al., 2015
Intrathecal ASO injection to humans was successfully carried out in phase I and II clinical trials.
“In addition, intrathecal ASO injection to human was successfully carried out in the phase I and II clinical trials [143].”
From MicroRNAs in brain cholesterol metabolism and their implications for Alzheimer's disease (2016) · cites this paper as [143]
Intrathecal ASO injection was effective in both phase I and II clinical trials.
“In both clinical trials, the intrathecal ASO injection was safe and effective.”
From MicroRNAs in brain cholesterol metabolism and their implications for Alzheimer's disease (2016) · cites this paper as [143]
Intrathecal ASO injection was safe in both phase I and II clinical trials.
“In both clinical trials, the intrathecal ASO injection was safe and effective.”
From MicroRNAs in brain cholesterol metabolism and their implications for Alzheimer's disease (2016) · cites this paper as [143]
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- Authors
- Faravelli, I., Nizzardo, M., Comi, G. P., & Corti, S.
- Affiliations
- University of Milan (IT)
- Corresponding author
- Corti, Stefania
- Venue
- Nature Reviews Neurology
- Published
- 2015-05-19
- Volume
- 11
- Issue
- 6
- Pages
- 351-359
- ISSN
- 1759-4758 (ISSN-L)
- 1759-4766
- OpenAlex
- W1518213415
- Cited by
- 138
- References
- 114
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 7 · 2021: 15 · 2020: 8 · 2019: 15 · 2018: 19 · 2017: 20 · 2016: 25 · 2015: 6
- FWCI
- 3.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Genetics › Neurogenetic and Muscular Disorders Research
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Keywords
- spinal muscular atrophy, SMN protein, disease-modifying therapy, gene therapy, antisense oligonucleotides, small molecules, stem cell transplantation, clinical trials
- MeSH terms
- Animals, Clinical Trials as Topic, Diagnosis, Differential, Humans, Motor Neurons, Muscular Atrophy, Spinal, Oligonucleotides, Antisense, SMN Complex Proteins
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