scholarly journals Molecular pathogenesis of spinal bulbar muscular atrophy (Kennedy's disease) and avenues for treatment

2020 ◽  
Vol 33 (5) ◽  
pp. 629-634
Author(s):  
Christopher Grunseich ◽  
Kenneth H. Fischbeck
2006 ◽  
Vol 34 (6) ◽  
pp. 1098-1102 ◽  
Author(s):  
J. Duff ◽  
P. Davies ◽  
K. Watt ◽  
I.J. McEwan

The AR (androgen receptor) is a ligand-activated transcription factor that mediates the action of the steroids testosterone and dihydrotestosterone. Alterations in the AR gene result in a number of clinical disorders, including: androgen-insensitivity, which leads to disruption of male development; prostate cancer; and a neuromuscular degenerative condition termed spinal bulbar muscular atrophy or Kennedy's disease. The AR gene is X-linked and the protein is coded for by eight exons, giving rise to a C-terminal LBD (ligand-binding domain; exons 4–8), linked by a hinge region (exon 4) to a Zn-finger DBD (DNA-binding domain; exons 2 and 3) and a large structurally distinct NTD (N-terminal domain; exon 1). Identification and characterization of mutations found in prostate cancer and Kennedy's disease patients have revealed the importance of structural dynamics in the mechanisms of action of receptors. Recent results from our laboratory studying genetic changes in the LBD and the structurally flexible NTD will be discussed.


2000 ◽  
Vol 23 (2) ◽  
pp. 252-258 ◽  
Author(s):  
G. Antonini ◽  
F. Gragnani ◽  
A. Romaniello ◽  
E.M. Pennisi ◽  
S. Morino ◽  
...  

Author(s):  
Fan Kee Hoo ◽  
Md. Shariful Hasan Sumon ◽  
Hamidon Basri ◽  
Wan Aliaa Wan Sulaiman ◽  
Johnson Stanslas ◽  
...  

2022 ◽  
Vol 2022 (1) ◽  
Author(s):  
Fan Kee Hoo ◽  
Md. Shariful Hasan Sumon ◽  
Hamidon Basri ◽  
Wan Aliaa Wan Sulaiman ◽  
Johnson Stanslas ◽  
...  

2017 ◽  
Vol 20 (1) ◽  
pp. 57-60
Author(s):  
Sungchul Kim ◽  
Seongjin Lee ◽  
Eunhye Cha ◽  
Jongcheol Lee ◽  
Jongdeok Lee ◽  
...  

2009 ◽  
Vol 56 (2) ◽  
pp. 136-141 ◽  
Author(s):  
Adam D. Niesen ◽  
Juraj Sprung ◽  
Y. S. Prakash ◽  
James C. Watson ◽  
Toby N. Weingarten

2018 ◽  
Vol 89 (8) ◽  
pp. 808-812 ◽  
Author(s):  
Raquel Manzano ◽  
Gianni Sorarú ◽  
Christopher Grunseich ◽  
Pietro Fratta ◽  
Emanuela Zuccaro ◽  
...  

Kennedy’s disease, or spinal and bulbar muscular atrophy (SBMA), is an X-linked neuromuscular condition clinically characterised by weakness, atrophy and fasciculations of the limb and bulbar muscles, as a result of lower motor neuron degeneration. The disease is caused by an abnormally expanded triplet repeat expansions in the ubiquitously expressed androgen receptor gene, through mechanisms which are not entirely elucidated. Over the years studies from both humans and animal models have highlighted the involvement of cell populations other than motor neurons in SBMA, widening the disease phenotype. The most compelling aspect of these findings is their potential for therapeutic impact: muscle, for example, which is primarily affected in the disease, has been recently shown to represent a valid alternative target for therapy to motor neurons. In this review, we discuss the emerging study of the extra-motor neuron involvement in SBMA, which, besides increasingly pointing towards a multidisciplinary approach for affected patients, deepens our understanding of the pathogenic mechanisms and holds potential for providing new therapeutic targets for this disease.


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