KEGG   DISEASE: 脊髄性筋萎縮症
エントリ  
H00455                                                             
名称    
脊髄性筋萎縮症
  下位グループ
ウェルドニッヒ・ホフマン病 (SMA1)
脊髄性筋萎縮症 II型 (SMA2)
クーゲルベルグ・ヴェランダー病 (SMA3)
脊髄性筋萎縮症 IV型 (SMA4)
X-linked SMA (SMAX) [DS:H00062]
近位成人常染色体優性遺伝性脊髄性筋萎縮症 (SMAPAD)
下肢優位型常染色体優性遺伝性脊髄性筋萎縮症 (SMALED)
乳児脊髄性筋萎縮症 (SMAJI)
進行性ミオクローヌスてんかんを伴う脊髄性筋萎縮症 (SMAPME)
概要    
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.
カテゴリ  
神経変性疾患
階層分類  
ICD-11 による疾患分類 [BR:jp08403]
 08 神経系の疾患
  運動ニューロン疾患または関連症
   8B61  脊髄性筋萎縮症
    H00455  脊髄性筋萎縮症
パスウェイに基づく疾患分類 [BR:jp08402]
 Replication, repair and transcription
  nt06547  スプライソソーム
   H00455  脊髄性筋萎縮症
 細胞プロセス
  nt06515  キネトコア-微小管相互作用の制御
   H00455  脊髄性筋萎縮症
  nt06541  神経細胞の細胞骨格
   H00455  脊髄性筋萎縮症
指定難病 [jp08407.html]
 H00455
ネットワーク
nt06515 Regulation of kinetochore-microtubule interactions
nt06541 Cytoskeleton in neurons
nt06547 Spliceosome
病因遺伝子 
(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]
(SMAPME) ASAH1 [HSA:427] [KO:K12348]
治療薬   
ヌシネルセンナトリウム [DR:D10791]
リスジプラム [DR:D11406]
アデノシン三リン酸二ナトリウム水和物 [DR:D02300]
オナセムノゲンアベパルボベク [DR:D11559]
コメント  
It has been shown that the SMA phenotype is modified by the number of SMN2 genes and SMN2 sequence variations can also affect the disease severity.
リンク   
ICD-11: 8B61
MeSH: D009134 D014897
OMIM: 253300 253550 253400 271150 301830 300489 182980 158600 615290 618291 619042 159950
文献    
  著者
Stavarachi M, Apostol P, Toma M, Cimponeriu D, Gavrila L
  タイトル
Spinal muscular atrophy disease: a literature review for therapeutic strategies.
  雑誌
J Med Life 3:3-9 (2010)
文献    
PMID:8922999 (SMA1)
  著者
Parsons DW, McAndrew PE, Monani UR, Mendell JR, Burghes AH, Prior TW
  タイトル
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.
  雑誌
Hum Mol Genet 5:1727-32 (1996)
DOI:10.1093/hmg/5.11.1727
文献    
PMID:9158159 (SMA2 SMA3)
  著者
Hahnen E, Schonling J, Rudnik-Schoneborn S, Raschke H, Zerres K, Wirth B
  タイトル
Missense mutations in exon 6 of the survival motor neuron gene in patients with spinal muscular atrophy (SMA).
  雑誌
Hum Mol Genet 6:821-5 (1997)
DOI:10.1093/hmg/6.5.821
文献    
PMID:7658877 (SMA4)
  著者
Brahe C, Servidei S, Zappata S, Ricci E, Tonali P, Neri G
  タイトル
Genetic homogeneity between childhood-onset and adult-onset autosomal recessive spinal muscular atrophy.
  雑誌
Lancet 346:741-2 (1995)
DOI:10.1016/s0140-6736(95)91507-9
文献    
PMID:19716110 (SMA3)
  著者
Prior TW, Krainer AR, Hua Y, Swoboda KJ, Snyder PC, Bridgeman SJ, Burghes AH, Kissel JT
  タイトル
A positive modifier of spinal muscular atrophy in the SMN2 gene.
  雑誌
Am J Hum Genet 85:408-13 (2009)
DOI:10.1016/j.ajhg.2009.08.002
文献    
PMID:2062380 (SMAX1)
  著者
La Spada AR, Wilson EM, Lubahn DB, Harding AE, Fischbeck KH
  タイトル
Androgen receptor gene mutations in X-linked spinal and bulbar muscular atrophy.
  雑誌
Nature 352:77-9 (1991)
DOI:10.1038/352077a0
文献    
PMID:18179898 (SMAX2)
  著者
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
  タイトル
Rare missense and synonymous variants in UBE1 are associated with X-linked infantile spinal muscular atrophy.
  雑誌
Am J Hum Genet 82:188-93 (2008)
DOI:10.1016/j.ajhg.2007.09.009
文献    
PMID:20170900 (SMAX3)
  著者
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
  タイトル
Missense mutations in the copper transporter gene ATP7A cause X-linked distal hereditary motor neuropathy.
  雑誌
Am J Hum Genet 86:343-52 (2010)
DOI:10.1016/j.ajhg.2010.01.027
文献    
PMID:15372378 (SMAPAD)
  著者
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
  タイトル
A mutation in the vesicle-trafficking protein VAPB causes late-onset spinal muscular atrophy and amyotrophic lateral sclerosis.
  雑誌
Am J Hum Genet 75:822-31 (2004)
DOI:10.1086/425287
文献    
PMID:22459677 (SMALED1)
  著者
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
  タイトル
Mutations in the tail domain of DYNC1H1 cause dominant spinal muscular atrophy.
  雑誌
Neurology 78:1714-20 (2012)
DOI:10.1212/WNL.0b013e3182556c05
文献    
PMID:23664116 (SMALED2A)
  著者
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
  タイトル
Mutations in BICD2, which encodes a golgin and important motor adaptor, cause congenital autosomal-dominant spinal muscular atrophy.
  雑誌
Am J Hum Genet 92:946-54 (2013)
DOI:10.1016/j.ajhg.2013.04.011
文献    
PMID:27751653 (SMALED2B)
  著者
Ravenscroft G, Di Donato N, Hahn G, Davis MR, Craven PD, Poke G, Neas KR, Neuhann TM, Dobyns WB, Laing NG
  タイトル
Recurrent de novo BICD2 mutation associated with arthrogryposis multiplex congenita and bilateral perisylvian polymicrogyria.
  雑誌
Neuromuscul Disord 26:744-748 (2016)
DOI:10.1016/j.nmd.2016.09.009
文献    
PMID:32181591 (SMAJI)
  著者
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
  タイトル
GARS-related disease in infantile spinal muscular atrophy: Implications for diagnosis and treatment.
  雑誌
Am J Med Genet A 182:1167-1176 (2020)
DOI:10.1002/ajmg.a.61544
文献    
PMID:24164096 (SMAPME)
  著者
Dyment DA, Sell E, Vanstone MR, Smith AC, Garandeau D, Garcia V, Carpentier S, Le Trionnaire E, Sabourdy F, Beaulieu CL, Schwartzentruber JA, McMillan HJ, Majewski J, Bulman DE, Levade T, Boycott KM
  タイトル
Evidence for clinical, genetic and biochemical variability in spinal muscular atrophy with progressive myoclonic epilepsy.
  雑誌
Clin Genet 86:558-63 (2014)
DOI:10.1111/cge.12307
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