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Longitudinal multi-omics profiling of spinal muscular atrophy - PubMed

4 hours ago
  • #Biomarkers
  • #Metabolomics
  • #Proteomics
  • Spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disorder caused by SMN1 gene variants.
  • Nusinersen has transformed SMA management, but variability in patient response necessitates objective biomarkers.
  • The study identified biomarkers in cerebrospinal fluid (CSF) and plasma for SMA diagnosis and progression monitoring.
  • Elevated levels of acylcarnitines, biogenic amines, and neurology-related proteins were found in SMA plasma samples.
  • Glycerophospholipids primarily decreased in SMA plasma samples compared to controls.
  • Biomarkers showed high performance in distinguishing SMA from controls with plasma AUCs >0.9.
  • NEFH and creatinine were prominent biomarkers for SMA diagnosis.
  • 26 neurology-related proteins were altered in patient CSF compared to controls.
  • 11 potential proteins distinguished patients with 2 copies of SMN2 from those with 3 or 4 copies using plasma.
  • The study provides insights for accurate SMA diagnosis and personalized treatment monitoring.