KEGG   DISEASE: Spinal muscular atrophy
Entry
H00455                      Disease                                
Name
Spinal muscular atrophy
  Subgroup
Werdning-Hoffman disease (SMA1)
Spinal muscular atrophy type II (SMA2)
Kugeleberg-Welander disease (SMA3)
Spinal muscular atrophy type IV (SMA4)
X-linked SMA (SMAX) [DS:H00062]
SMA proximal adult autosomal dominant (SMAPAD)
SMA, lower extremity-predominant, autosomal dominant (SMALED)
Spinal muscular atrophy, infantile, James type (SMAJI)
Description
Spinal muscular atrophy (SMA) is a neuromuscular disease characterized by degeneration of motor neurons, resulting in progressive muscle atrophy and paralysis. The most common form of SMA is caused by mutations of the SMN gene, that encodes the SMN protein, which regulates snRNP assembly. Four types of SMA are recognized depending on the age of onset and the severity of the disease: type I (Werdning-Hoffman), type II (intermediate), type III (Kugeleberg-Welander) and type IV (adult form). Other forms of spinal muscular atrophy are caused by mutation of other genes, some known and others not yet defined.
Category
Neurodegenerative disease
Brite
Human diseases in ICD-11 classification [BR:br08403]
 08 Diseases of the nervous system
  Motor neuron diseases or related disorders
   8B61  Spinal muscular atrophy
    H00455  Spinal muscular atrophy
Pathway-based classification of diseases [BR:br08402]
 Cellular process
  nt06515  Regulation of kinetochore-microtubule interactions
   H00455  Spinal muscular atrophy
  nt06541  Cytoskeleton in neurons
   H00455  Spinal muscular atrophy
Network
nt06515 Regulation of kinetochore-microtubule interactions
nt06541 Cytoskeleton in neurons
Gene
(SMA1/2/3/4) SMN1 [HSA:6606] [KO:K13129]
(SMA3) SMN2 [HSA:6607] [KO:K13129]
(SMAX1) AR [HSA:367] [KO:K08557]
(SMAX2) UBA1 [HSA:7317] [KO:K03178]
(SMAX3) ATP7A [HSA:538] [KO:K17686]
(SMAPAD) VAPB [HSA:9217] [KO:K10707]
(SMALED1) DYNC1H1 [HSA:1778] [KO:K10413]
(SMALED2A/2B) BICD2 [HSA:23299] [KO:K18739]
(SMAJI) GARS1 [HSA:2617] [KO:K01880]
Drug
Nusinersen sodium [DR:D10791]
Onasemnogene abeparvovec [DR:D11559] (bi-allelic SMN1 mutations)
Risdiplam [DR:D11406]
Comment
See H00062 for detail of SMAX1.
See also H00856 Distal hereditary motor neuropathies (dHMN).
Other DBs
ICD-11: 8B61
MeSH: D009134 D014897
OMIM: 253300 253550 253400 271150 301830 300489 182980 158600 615290 618291 619042
Reference
  Authors
Stavarachi M, Apostol P, Toma M, Cimponeriu D, Gavrila L
  Title
Spinal muscular atrophy disease: a literature review for therapeutic strategies.
  Journal
J Med Life 3:3-9 (2010)
Reference
PMID:8922999 (SMA1)
  Authors
Parsons DW, McAndrew PE, Monani UR, Mendell JR, Burghes AH, Prior TW
  Title
An 11 base pair duplication in exon 6 of the SMN gene produces a type I spinal muscular atrophy (SMA) phenotype: further evidence for SMN as the primary  SMA-determining gene.
  Journal
Hum Mol Genet 5:1727-32 (1996)
DOI:10.1093/hmg/5.11.1727
Reference
PMID:9158159 (SMA2 SMA3)
  Authors
Hahnen E, Schonling J, Rudnik-Schoneborn S, Raschke H, Zerres K, Wirth B
  Title
Missense mutations in exon 6 of the survival motor neuron gene in patients with spinal muscular atrophy (SMA).
  Journal
Hum Mol Genet 6:821-5 (1997)
DOI:10.1093/hmg/6.5.821
Reference
PMID:7658877 (SMA4)
  Authors
Brahe C, Servidei S, Zappata S, Ricci E, Tonali P, Neri G
  Title
Genetic homogeneity between childhood-onset and adult-onset autosomal recessive spinal muscular atrophy.
  Journal
Lancet 346:741-2 (1995)
DOI:10.1016/s0140-6736(95)91507-9
Reference
PMID:19716110 (SMA3)
  Authors
Prior TW, Krainer AR, Hua Y, Swoboda KJ, Snyder PC, Bridgeman SJ, Burghes AH, Kissel JT
  Title
A positive modifier of spinal muscular atrophy in the SMN2 gene.
  Journal
Am J Hum Genet 85:408-13 (2009)
DOI:10.1016/j.ajhg.2009.08.002
Reference
PMID:2062380 (SMAX1)
  Authors
La Spada AR, Wilson EM, Lubahn DB, Harding AE, Fischbeck KH
  Title
Androgen receptor gene mutations in X-linked spinal and bulbar muscular atrophy.
  Journal
Nature 352:77-9 (1991)
DOI:10.1038/352077a0
Reference
PMID:18179898 (SMAX2)
  Authors
Ramser J, Ahearn ME, Lenski C, Yariz KO, Hellebrand H, von Rhein M, Clark RD, Schmutzler RK, Lichtner P, Hoffman EP, Meindl A, Baumbach-Reardon L
  Title
Rare missense and synonymous variants in UBE1 are associated with X-linked infantile spinal muscular atrophy.
  Journal
Am J Hum Genet 82:188-93 (2008)
DOI:10.1016/j.ajhg.2007.09.009
Reference
PMID:20170900 (SMAX3)
  Authors
Kennerson ML, Nicholson GA, Kaler SG, Kowalski B, Mercer JF, Tang J, Llanos RM, Chu S, Takata RI, Speck-Martins CE, Baets J, Almeida-Souza L, Fischer D, Timmerman V, Taylor PE, Scherer SS, Ferguson TA, Bird TD, De Jonghe P, Feely SM, Shy ME, Garbern JY
  Title
Missense mutations in the copper transporter gene ATP7A cause X-linked distal hereditary motor neuropathy.
  Journal
Am J Hum Genet 86:343-52 (2010)
DOI:10.1016/j.ajhg.2010.01.027
Reference
PMID:15372378 (SMAPAD)
  Authors
Nishimura AL, Mitne-Neto M, Silva HC, Richieri-Costa A, Middleton S, Cascio D, Kok F, Oliveira JR, Gillingwater T, Webb J, Skehel P, Zatz M
  Title
A mutation in the vesicle-trafficking protein VAPB causes late-onset spinal muscular atrophy and amyotrophic lateral sclerosis.
  Journal
Am J Hum Genet 75:822-31 (2004)
DOI:10.1086/425287
Reference
PMID:22459677 (SMALED1)
  Authors
Harms MB, Ori-McKenney KM, Scoto M, Tuck EP, Bell S, Ma D, Masi S, Allred P, Al-Lozi M, Reilly MM, Miller LJ, Jani-Acsadi A, Pestronk A, Shy ME, Muntoni F, Vallee RB, Baloh RH
  Title
Mutations in the tail domain of DYNC1H1 cause dominant spinal muscular atrophy.
  Journal
Neurology 78:1714-20 (2012)
DOI:10.1212/WNL.0b013e3182556c05
Reference
PMID:23664116 (SMALED2A)
  Authors
Neveling K, Martinez-Carrera LA, Holker I, Heister A, Verrips A, Hosseini-Barkooie SM, Gilissen C, Vermeer S, Pennings M, Meijer R, te Riele M, Frijns CJ, Suchowersky O, MacLaren L, Rudnik-Schoneborn S, Sinke RJ, Zerres K, Lowry RB, Lemmink HH, Garbes L, Veltman JA, Schelhaas HJ, Scheffer H, Wirth B
  Title
Mutations in BICD2, which encodes a golgin and important motor adaptor, cause congenital autosomal-dominant spinal muscular atrophy.
  Journal
Am J Hum Genet 92:946-54 (2013)
DOI:10.1016/j.ajhg.2013.04.011
Reference
PMID:27751653 (SMALED2B)
  Authors
Ravenscroft G, Di Donato N, Hahn G, Davis MR, Craven PD, Poke G, Neas KR, Neuhann TM, Dobyns WB, Laing NG
  Title
Recurrent de novo BICD2 mutation associated with arthrogryposis multiplex congenita and bilateral perisylvian polymicrogyria.
  Journal
Neuromuscul Disord 26:744-748 (2016)
DOI:10.1016/j.nmd.2016.09.009
Reference
PMID:32181591 (SMAJI)
  Authors
Markovitz R, Ghosh R, Kuo ME, Hong W, Lim J, Bernes S, Manberg S, Crosby K, Tanpaiboon P, Bharucha-Goebel D, Bonnemann C, Mohila CA, Mizerik E, Woodbury S, Bi W, Lotze T, Antonellis A, Xiao R, Potocki L
  Title
GARS-related disease in infantile spinal muscular atrophy: Implications for diagnosis and treatment.
  Journal
Am J Med Genet A 182:1167-1176 (2020)
DOI:10.1002/ajmg.a.61544
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