Vegard Bruun Wyller, Kristine Jacobsen, Mai Britt Dahl, Hilde Nilsen, Simone Proske, Thorsten Horter, Henrik Brun, International Journal of Cardiology, Available online 29 June 2016, ISSN 0167-5273, Doi:10.1016/j.ijcard.2016.06.288
Here, we report the effect of INFγ therapy in a single patient suffering from severe FRDA cardiomyopathy. In conclusion, INFγ treatment seemed to attenuate cardiomyocyte damage and improve diastolic function in our patient. No serious side effects were registered. Thus, INFγ treatment might be a promising therapy option for FRDA hypertrophic cardiomyopathy. Results from a case report must be interpreted with great caution; ideally, a randomised controlled trial should be undertaken in order to assess the effects and safety of INFγ treatment in FRDA cardiomyopathy.
Thursday, June 30, 2016
Tuesday, June 28, 2016
PPARγ as a therapeutic target to rescue mitochondrial function in neurological disease
Juan Carlos Corona, Michael R. Duchen, Free Radical Biology and Medicine, Available online 25 June 2016, ISSN 0891-5849, doi:10.1016/j.freeradbiomed.2016.06.023.
We discuss the mechanisms underlying those beneficial effects in particular in relation to mitochondrial function, antioxidant defence, cell death and inflammation, and suggest that the PPAR-gamma agonists show significant promise as therapeutic agents in otherwise intractable neurological disease.
The effect of PPAR-gamma activation has also been studied in Friedreich’s ataxia, Pioglitazone, which seems to have fewer side effects than rosiglitazone is on a phase III clinical trial for its neuroprotective properties. The project, titled "Effect of pioglitazone administered to patients with Friedreich’s ataxia: proof of concept". However, the antecedents and possible consequences should be taken into consideration when PPAR-gamma agonist drugs are considered as possible therapeutic agents for FRDA patients.
We discuss the mechanisms underlying those beneficial effects in particular in relation to mitochondrial function, antioxidant defence, cell death and inflammation, and suggest that the PPAR-gamma agonists show significant promise as therapeutic agents in otherwise intractable neurological disease.
The effect of PPAR-gamma activation has also been studied in Friedreich’s ataxia, Pioglitazone, which seems to have fewer side effects than rosiglitazone is on a phase III clinical trial for its neuroprotective properties. The project, titled "Effect of pioglitazone administered to patients with Friedreich’s ataxia: proof of concept". However, the antecedents and possible consequences should be taken into consideration when PPAR-gamma agonist drugs are considered as possible therapeutic agents for FRDA patients.
Monday, June 27, 2016
Loss of Frataxin induces iron toxicity, sphingolipid synthesis, and Pdk1/Mef2 activation, leading to neurodegeneration
Kuchuan Chen Guang Lin Nele A Haelterman Tammy Szu-Yu Ho Tongchao Li Zhihong Li Lita Duraine Brett H Graham Manish Jaiswal Shinya Yamamoto Matthew N Rasband Hugo J Bellen, eLife 2016; DOI:10.7554/eLife.16043
Our results indicate that an iron/sphingolipid/PDk1/Mef2 pathway may play a role in FRDA. We show that loss of frataxin homolog (fh) in Drosophila leads to iron toxicity, which in turn induces sphingolipid synthesis and ectopically activates 3-phosphoinositide dependent protein kinase-1 (Pdk1) and myocyte enhancer factor-2 (Mef2)
Our results indicate that an iron/sphingolipid/PDk1/Mef2 pathway may play a role in FRDA. We show that loss of frataxin homolog (fh) in Drosophila leads to iron toxicity, which in turn induces sphingolipid synthesis and ectopically activates 3-phosphoinositide dependent protein kinase-1 (Pdk1) and myocyte enhancer factor-2 (Mef2)
Sunday, June 26, 2016
Characterization of frataxin gene network in Friedreich's ataxia fibroblasts using the RNA-Seq technique
Noëlia Sanchez, Pierre Chapdelaine, Joël Rousseau, Frédéric Raymond, Jacques Corbeil, Jacques P. Tremblay, Mitochondrion, Available online 25 June 2016, ISSN 1567-7249, doi:10.1016/j.mito.2016.06.003
The study identified key players of FXN gene regulatory network and highlighted the role of FXN in the regulation of hemostasis, angiogenesis, interferon-induced apoptosis and DNA damage in FRDA. Since no efficient cure exists to treat FRDA patients, understanding the regulatory network of FXN is requisite to develop promising therapies for this debilitating condition.
This work provides valuable insight into the regulatory network of frataxin and may open new avenues for gene therapy of Friedreich's ataxia.
The study identified key players of FXN gene regulatory network and highlighted the role of FXN in the regulation of hemostasis, angiogenesis, interferon-induced apoptosis and DNA damage in FRDA. Since no efficient cure exists to treat FRDA patients, understanding the regulatory network of FXN is requisite to develop promising therapies for this debilitating condition.
This work provides valuable insight into the regulatory network of frataxin and may open new avenues for gene therapy of Friedreich's ataxia.
Saturday, June 25, 2016
Cognition in Friedreich's ataxia: a behavioral and multimodal imaging study
Dogan, I., Tinnemann, E., Romanzetti, S., Mirzazade, S., Costa, A. S., Werner, C. J., Heim, S., Fedosov, K., Schulz, S., Timmann, D., Giordano, I. A., Klockgether, T., Schulz, J. B. and Reetz, K. (2016), Annals of Clinical and Translational Neurology. doi: 10.1002/acn3.315
Open
Open
Friday, June 24, 2016
Is it your Disease or the Patient’s?
Sami L. Bahna, Alexandria Brackett, The American Journal of the Medical Sciences, Available online 24 May 2016, ISSN 0002-9629, doi:10.1016/j.amjms.2016.05.016.
When the illness has several clinical and/or laboratory features but not all features are present in every patient it is usually called a syndrome rather than a disease.
Strictly speaking, apostrophe “s” reflects possessiveness. It is correct when the syndrome or disease is named after the first described patient e.g. Lou Gehrig’s disease. Much more commonly, a syndrome or disease has been linked to the name of the physician or scientist who first described it, as an honorific eponym, e.g. Friedreich ataxia. In such instances, an apostrophe or an “s” should not be used.
When the illness has several clinical and/or laboratory features but not all features are present in every patient it is usually called a syndrome rather than a disease.
Strictly speaking, apostrophe “s” reflects possessiveness. It is correct when the syndrome or disease is named after the first described patient e.g. Lou Gehrig’s disease. Much more commonly, a syndrome or disease has been linked to the name of the physician or scientist who first described it, as an honorific eponym, e.g. Friedreich ataxia. In such instances, an apostrophe or an “s” should not be used.
Thursday, June 23, 2016
Cortico-cerebellar dysfunctions underlying executive deficits in Friedreich’s ataxia
22nd Annual Meeting of the Organization for Human Brain Mapping. Poster Session Tuesday, June 28, 2016. Imis Dogan, Eugenie Tinnemann, Sandro Romanzetti, Shahram Mirzazade, Ana Costa, Cornelius Werner, Stefan Heim, Kathrin Fedosov, Stefanie Schulz, Dagmar Timman-Braun, Ilaria Giordano, Thomas Klockgether, Jörg Schulz, Kathrin Reetz.
Neuropsychological test data provides evidence of executive impairment in individuals with FRDA, in particular pertaining to phonemic verbal fluency and social cognition. During phonological processing, the observed pattern of increased cerebellar and cortical neural response accompanied by impaired cortico-cerebellar functional coupling indicates dysfunctions in cerebro-cerebellar pathways and functional reorganization, which may be driven by disease-related cerebellar damage.
Neuropsychological test data provides evidence of executive impairment in individuals with FRDA, in particular pertaining to phonemic verbal fluency and social cognition. During phonological processing, the observed pattern of increased cerebellar and cortical neural response accompanied by impaired cortico-cerebellar functional coupling indicates dysfunctions in cerebro-cerebellar pathways and functional reorganization, which may be driven by disease-related cerebellar damage.
Tuesday, June 21, 2016
The New Genetic Inheritance: Mechanisms of Inheritance That Mendel Would Not Have Predicted With Sweet Peas
R. Douglas Wilson, Journal of Obstetrics and Gynaecology Canada, Available online 7 June 2016, ISSN 1701-2163, doi:10.1016/j.jogc.2016.04.091.
Most importantly this update is intended to help readers know when they need assistance from a reproductive geneticist for making decisions and providing choices.
TNR disorders are due to genomic instability/expansion. The effects of the TNR expansion are varied with loss of gene expression, a gain of gene function, or abnormal RNA processing. TNR disorders include conditions such as fragile X syndrome, myotonic dystrophy, Huntington disease, spinal bulbar muscular atrophy, and Friedreich ataxia (as well as other inherited ataxias)
Most importantly this update is intended to help readers know when they need assistance from a reproductive geneticist for making decisions and providing choices.
TNR disorders are due to genomic instability/expansion. The effects of the TNR expansion are varied with loss of gene expression, a gain of gene function, or abnormal RNA processing. TNR disorders include conditions such as fragile X syndrome, myotonic dystrophy, Huntington disease, spinal bulbar muscular atrophy, and Friedreich ataxia (as well as other inherited ataxias)
Directions for new developments on statistical design and analysis of small population group trials
Ralf-Dieter Hilgers, Kit Roes, Nigel Stallard and for the IDeAl, Asterix and InSPiRe project groups. Orphanet Journal of Rare Diseases 201611:78 DOI: 10.1186/s13023-016-0464-5.
Open Access. Creative Commons Attribution 4.0 International License
This paper aims to raise awareness of the ongoing research and stimulate other groups to work on statistical methodology on design and analysis of clinical trials in small populations. Having well informed researchers, physicians and biostatisticians will result in the use of more efficient methods to conduct a clinical trial in small population groups and thus bring approved treatments faster to our patients.
Open Access. Creative Commons Attribution 4.0 International License
This paper aims to raise awareness of the ongoing research and stimulate other groups to work on statistical methodology on design and analysis of clinical trials in small populations. Having well informed researchers, physicians and biostatisticians will result in the use of more efficient methods to conduct a clinical trial in small population groups and thus bring approved treatments faster to our patients.
Sunday, June 19, 2016
Oxidative stress in neurological disease: Is it the cause, consequence, or trigger of a chronic progressive form?
J.A. Serra, E.R. Marschoff, R.O. Domínguez, Neurología (English Edition), Available online 17 June 2016, ISSN 2173-5808, doi:10.1016/j.nrleng.2016.06.003.
Systemic oxidative stress (OS) is basically an imbalance between the production of such oxi-dants as reactive oxygen species (ROS) and reactive nitrogenspecies (RNS), and the capacity to neutralise their detrimental effects through both exogenous (diet and medication) and endogenous antioxidants.
Systemic OS is increased in such entities as Alzheimer disease(AD), Parkinson’s disease (PD), amyotrophic lateral sclero-sis (ALS), chronic vascular encephalopathy (CVE), epilepsy,and Friedreich ataxia, among others. Reaching a balance between ROS andantioxidants may possibly diminish the risk of progression of these entities. Therefore, an emphasis should be made on the development of pharmacological studies aimed atminimising systemic OS.
Systemic oxidative stress (OS) is basically an imbalance between the production of such oxi-dants as reactive oxygen species (ROS) and reactive nitrogenspecies (RNS), and the capacity to neutralise their detrimental effects through both exogenous (diet and medication) and endogenous antioxidants.
Systemic OS is increased in such entities as Alzheimer disease(AD), Parkinson’s disease (PD), amyotrophic lateral sclero-sis (ALS), chronic vascular encephalopathy (CVE), epilepsy,and Friedreich ataxia, among others. Reaching a balance between ROS andantioxidants may possibly diminish the risk of progression of these entities. Therefore, an emphasis should be made on the development of pharmacological studies aimed atminimising systemic OS.
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