Evaluation of cerebrospinal fluid biomarkers in pediatric patients with spinal muscular atrophy

Spinal muscular atrophy (SMA) is a rare neuromuscular disorder characterised by muscle weakness and muscle atrophy and classified into five known subtypes based on clinical features. The recent development of novel drugs to treat SMA has been encouraging, and nusinersen is the first drug approved to...

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Veröffentlicht in:Brain & development (Tokyo. 1979) 2023-01, Vol.45 (1), p.2-7
Hauptverfasser: Kobayashi, Yoshiyuki, Ishikawa, Nobutsune, Tateishi, Yuichi, Izumo, Hiroki, Eto, Syohei, Eguchi, Yuta, Okada, Satoshi
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container_end_page 7
container_issue 1
container_start_page 2
container_title Brain & development (Tokyo. 1979)
container_volume 45
creator Kobayashi, Yoshiyuki
Ishikawa, Nobutsune
Tateishi, Yuichi
Izumo, Hiroki
Eto, Syohei
Eguchi, Yuta
Okada, Satoshi
description Spinal muscular atrophy (SMA) is a rare neuromuscular disorder characterised by muscle weakness and muscle atrophy and classified into five known subtypes based on clinical features. The recent development of novel drugs to treat SMA has been encouraging, and nusinersen is the first drug approved to treat SMA. To explore cerebrospinal fluid (CSF) biomarkers of SMA and investigate their relationship with symptoms and the treatment response in pediatric patients. We analyzed the CSF levels of chitotriosidase 1 (CHIT1) and inflammatory cytokines (tumor necrosis factor [TNF]-α and interferon [INF]-γ) using enzyme-linked immunosorbent assays in pediatric SMA patients treated at Hiroshima University Hospital over 2 years. This study analyzed pediatric SMA patients. While the CSF inflammatory cytokines (TNF-α and INF-γ) in these SMA children were unchanged, the CHIT1 levels decreased significantly from year 1 to 2 of treatment. We also found a trend toward an inverse correlation between the motor function score (HINE-2 scores) and CHIT1 level from year 1 to 2 of treatment. CHIT1 may be a CSF biomarker of the treatment response in pediatric SMA.
doi_str_mv 10.1016/j.braindev.2022.09.008
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subjects Biomarker
Biomarkers - cerebrospinal fluid
Cerebrospinal fluid
Child
CHIT1
Cytokines
Humans
Interferon-gamma
Muscular Atrophy
Muscular Atrophy, Spinal - drug therapy
Nusinersen
Spinal Muscular Atrophies of Childhood - diagnosis
Spinal Muscular Atrophies of Childhood - drug therapy
Spinal muscular atrophy
title Evaluation of cerebrospinal fluid biomarkers in pediatric patients with spinal muscular atrophy
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