Thirty years beyond discovery—Clinical trials in succinic semialdehyde dehydrogenase deficiency, a disorder of GABA metabolism

This review summarizes a presentation made at the retirement Symposium of Prof. Dr. Cornelis Jakobs in November of 2011, highlighting the progress toward clinical trials in succinic semialdehyde dehydrogenase (SSADH) deficiency, a disorder first recognized in 1981. Active and potential clinical inte...

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Veröffentlicht in:Journal of inherited metabolic disease 2013-05, Vol.36 (3), p.401-410
Hauptverfasser: Vogel, Kara R., Pearl, Phillip L., Theodore, William H., McCarter, Robert C., Jakobs, Cornelis, Gibson, K. Michael
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container_end_page 410
container_issue 3
container_start_page 401
container_title Journal of inherited metabolic disease
container_volume 36
creator Vogel, Kara R.
Pearl, Phillip L.
Theodore, William H.
McCarter, Robert C.
Jakobs, Cornelis
Gibson, K. Michael
description This review summarizes a presentation made at the retirement Symposium of Prof. Dr. Cornelis Jakobs in November of 2011, highlighting the progress toward clinical trials in succinic semialdehyde dehydrogenase (SSADH) deficiency, a disorder first recognized in 1981. Active and potential clinical interventions, including vigabatrin, L-cycloserine, the GHB receptor antagonist NCS-382, and the ketogenic diet, are discussed. Several biomarkers to gauge clinical efficacy have been identified, including cerebrospinal fluid metabolites, neuropsychiatric testing, MRI, EEG, and measures of GABAergic function including (11 C)flumazenil positron emission tomography (PET) and transcranial magnetic stimulation (TMS). Thirty years after its discovery, encompassing extensive studies in both patients and the corresponding murine model, we are now running an open-label trial of taurine intervention, and are poised to undertake a phase II trial of the GABA B receptor antagonist SGS742.
doi_str_mv 10.1007/s10545-012-9499-5
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Michael</creatorcontrib><title>Thirty years beyond discovery—Clinical trials in succinic semialdehyde dehydrogenase deficiency, a disorder of GABA metabolism</title><title>Journal of inherited metabolic disease</title><addtitle>J Inherit Metab Dis</addtitle><addtitle>J Inherit Metab Dis</addtitle><description>This review summarizes a presentation made at the retirement Symposium of Prof. Dr. Cornelis Jakobs in November of 2011, highlighting the progress toward clinical trials in succinic semialdehyde dehydrogenase (SSADH) deficiency, a disorder first recognized in 1981. Active and potential clinical interventions, including vigabatrin, L-cycloserine, the GHB receptor antagonist NCS-382, and the ketogenic diet, are discussed. 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subjects Amino Acid Metabolism, Inborn Errors - diagnosis
Amino Acid Metabolism, Inborn Errors - history
Amino Acid Metabolism, Inborn Errors - metabolism
Amino Acid Metabolism, Inborn Errors - therapy
Animals
Biochemistry
Biological and medical sciences
Clinical Trials as Topic
Developmental Disabilities
GABA-B Receptor Antagonists - therapeutic use
gamma-Aminobutyric Acid - deficiency
gamma-Aminobutyric Acid - metabolism
History, 20th Century
History, 21st Century
Human Genetics
Humans
Internal Medicine
Medical genetics
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Mice
Models, Biological
Pediatrics
Review
Succinate-Semialdehyde Dehydrogenase - deficiency
Succinate-Semialdehyde Dehydrogenase - history
Succinate-Semialdehyde Dehydrogenase - metabolism
Time Factors
title Thirty years beyond discovery—Clinical trials in succinic semialdehyde dehydrogenase deficiency, a disorder of GABA metabolism
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