Showing posts with label X-linked Spinal Bulbar Muscular Atrophy. Show all posts
Showing posts with label X-linked Spinal Bulbar Muscular Atrophy. Show all posts

Friday, May 6, 2016

MSU scientists put some muscle behind their research

The following article published in Eureka Alerts is interesting. You can find the abstract of the study in the Journal of Neuroscience.



MSU scientists put some muscle behind their research

Michigan State University

EAST LANSING, Mich. - Michigan State University researchers used an old-fashioned neurobiology technique to explore new avenues for treatments to reverse a late-onset neurodegenerative disease that robs men of the capacity to walk, run, chew and swallow. 

The results were recently published in the Journal of Neuroscience.



The MSU team has identified new molecular targets for recovering motor function in men afflicted with spinal and bulbar muscular atrophy. Also known as Kennedy's disease - named after the physician who discovered it in the 1960s - SBMA is a rare, recessive X-linked disease men inherit from their mothers. While SBMA is not typically lethal - that is, life span is on average normal - quality of life is profoundly affected. 

The innovation in the MSU study led by Youfen Xu, senior research associate in MSU's Neuroscience Program, was her challenging of the current dogma: the assumption that motor dysfunction in SBMA is caused by degeneration of motoneurons. By studying recordings from muscle fibers, the researchers listened in on how disease affects the function of neuromuscular synapses in three different mouse models of SBMA. Xu hypothesized that if motor dysfunction is not caused by loss of motoneurons, then perhaps synaptic drive at the neuromuscular junction fails. Indeed, this is what she found. 

"When I joined Cindy Jordan's research project to study the electrophysiological features of neuromuscular transmission in SBMA mouse models, I was surprised to find that no one in the field had yet looked to see whether the function of neuromuscular synapses was affected, and I was equally surprised to find that virtually all aspects of their function are disrupted," Xu said. "The fact that we find pretty much the same kind of dysfunction across three quite different mouse models of SBMA makes me suspect that we have stumbled on to core attributes of the disease in humans."
 
In addition to Xu, the research team includes Cynthia Jordan, MSU professor of physiology and associate director of the Neuroscience Program; Casey Henley, academic specialist in the program; and Kathy Halievski, Ph.D. student. 

Jordan said that these findings have caused a paradigm shift in the field and that, as a result of this work, scientists are now focusing on muscle as really driving the disease. 

"This is exciting because gene therapy is possible for muscle; it's not really possible for motor neurons that are housed in bone inside the spinal cord," Jordan said. "Finding critical mechanisms in muscle - where the neuromuscular junction resides - means that we have, for the first time, uncovered accessible targets for potential treatments to reverse the disease."

Tuesday, September 24, 2013

Yes, there is no cure, but …


Stay-activeAfter, “Is there a treatment or cure?” one of the most frequently asked questions that the Kennedy’s Disease Association receives is, “What can my husband (or friend, or father) do to help ease his symptoms?”

There are some commonsense principles that can help minimize the impact of certain symptoms as well as maintain, or improve, your quality of life. Some of these are also good for your general health. A few examples follow:


  • Stay active – This is the best way to maintain your quality of life. Keep engaged in activities that stimulate your mind, spirit and body. Look for new activities and hobbies that will be interesting and keep you active.
  • Stay engaged – Maintaining a support system is critical to your mental and emotional health. Family and friends help keep your mind stimulated. A good laugh is one of the healthiest activities you can participate in.
  • Maintain a healthy weight – The more weight you carry, the more difficult it is to remain active and mobile. Excess weight also impacts your heart, lungs and joints.
  • Exercise regularly, but smartly – Some exercise is good, but too much can be detrimental. I have found that performing light exercises every day minimizes or eliminates joint and muscle pain. It also stimulates my heart and lungs as well as my motor neurons and muscles. There is a ‘Smart Exercise Guide’ on the KDA website you might want to review. Ask your doctor to recommend a physical therapist who is familiar with progressive motor-neuron diseases. There is also a six-part series on easy exercises that can improve your ‘quality of life’ as the disease progresses.
Stay-engaged

The second best advice I can give is:


If you aren’t already active or engaged, “don’t try to add too much into your daily routine all at once.” Habits need to be changed over time.
 
  • Discuss and prioritize the above opportunities with your family and friends.
  • Select the highest prioritized opportunity. 
  • Transform the opportunity into an activity that you feel you would enjoy doing.
  • Develop a plan on how to implement the activity. Write the steps down – visualize them. Note: If you have other health issues, check with your doctor before implementing any exercise program.
  • Ask for support from those who are willing to help. An exercise partner, for example makes the task more fun.
  • Implement your plan.
  • Track your results and review weekly how you are doing.
  • If necessary, adjust your plan.
After thirty days, start the process again with the next highest prioritized activity. Thirty days later, add another one in. Within no time, you will be active, engaged, have more energy and feeling better.

The best advice I can give is:


“Stay safe." 
  • Pace yourself
  • Don’t overdo
  • Try to make it fun.”