{"title":"Introductory Chapter: Introduction to Novel Aspects on Motor Neuron Disease","authors":"H. F. Sibat, L. Valdés","doi":"10.5772/intechopen.92610","DOIUrl":"https://doi.org/10.5772/intechopen.92610","url":null,"abstract":"Motor neuron disease (MND) represents a wide and heterogeneous expanding group of diseases affecting the upper or lower motor neurons, mainly represented by amyotrophic lateral sclerosis (ALS), primary lateral sclerosis (PLS), progressive muscular atrophy (PMA), and progressive bulbar palsy. ALS is a disease of motor neuron degeneration in the cerebral hemisphere, brainstem, and spinal cord with a fatal prognosis in most of the cases due to a progressive paralysis of the diaphragm and other respiratory muscles leading to respiratory dysfunction and failure. Another recently recognized hallmark of ALS pathogenesis is vascular pathology apart from central nervous system capillary injury and microvascular impairment outside of the CNS [1].","PeriodicalId":396133,"journal":{"name":"Novel Aspects on Motor Neuron Disease","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121892303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to Novel Motor Neuron Disease","authors":"H. F. Sibat, L. Valdés","doi":"10.5772/intechopen.91921","DOIUrl":"https://doi.org/10.5772/intechopen.91921","url":null,"abstract":"Motor neuron disease (MND) is a progressive and fatal neuromuscular disease; the most common and severe form of MND presentation is amyotrophic lateral sclerosis (ALS), commonly known as Lou Gehrig’s disease. The majority of ALS patients die within 2–5 years of receiving a diagnosis. Familial ALS is a hereditary form of the disease and accounts for 5–10% of cases, whereas the remaining cases have no clearly defined etiology. ALS affects persons of all ethnicities and races; currently, no curative treatment for ALS is available worldwide. ALS is also the major adult-onset MND and is clinically, pathologically, and genetically associated with fronto-temporal dementia in some cases, which is the second cause of dementia in elderly people. However, MND does not affect sphincter, sexual function, or eye movements. MND is the most common degenerative disorder affecting the upper and lower motor neurons at the same time. Most of the patients presenting MND in our series complained of muscle weakness, muscle wasting, fasciculation, and spasticity plus lower cranial nerve disturbances. According to our bibliographic studies, apart from nusinersen, it seems to be that riluzole and edaravone also improve motor neuron function by acting on SK channels.","PeriodicalId":396133,"journal":{"name":"Novel Aspects on Motor Neuron Disease","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126873713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Sharma, H. Sane, N. Gokulchandran, P. Badhe, A. Paranjape, Radhika Pradhan, Rohit Das, H. Biju
{"title":"Stem Cell Therapy in Motor Neuron Disease","authors":"A. Sharma, H. Sane, N. Gokulchandran, P. Badhe, A. Paranjape, Radhika Pradhan, Rohit Das, H. Biju","doi":"10.5772/intechopen.87116","DOIUrl":"https://doi.org/10.5772/intechopen.87116","url":null,"abstract":"Motor neuron disease (MND) is an insidious, fatal disorder that progresses with the selective loss of anterior horn cells of the spinal column. Over 150 years since it was first described, various therapeutic approaches have been tested in the quest of a cure but with little success. Current standard therapy only improves lifespan by a few months; palliative care is the only option available for patients. Stem cell therapy is a potent approach for the treatment of this devastating disease. A multi-tude of vitalizing effects, both paracrine and somatic, a robust safety profile, as well as ease of availability make a strong case for using these cells for therapeutic purposes. Coupled with rigorous rehabilitation, this powerful treatment modality has been shown to slow disease progression, improve quality of life, and increase survival, along with being well tolerated by amyotrophic lateral sclerosis (ALS)/ MND patients. Compelling preclinical as well as clinical evidence abounds that stem cells hold great potential as a therapy for ALS/MND. Although not a definitive solution yet, stem cells have been verified to have slowed and/or halted disease progression in a subset of ALS/MND patients.","PeriodicalId":396133,"journal":{"name":"Novel Aspects on Motor Neuron Disease","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133675937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Novel Aspects on Motor Neuron Disease: The Recent Genetic Studies on ALS","authors":"Junling Wang","doi":"10.5772/intechopen.82085","DOIUrl":"https://doi.org/10.5772/intechopen.82085","url":null,"abstract":"At present, with the advanced affordable genetic testing, the rate of discover-ing amyotrophic lateral sclerosis (ALS)-related genes rapidly increases. These genetic findings provide new insights into therapies that target genetic subset of ALS. However, the research on the genetic and environmental causes of ALS is still in the early stage. In this chapter, we review the current understanding of ALS-related genes and summarize the worldwide ALS distribution feature by the frequency of occurrence in different regions. We summarize the advances in genetic testing and counseling for ALS. Based on the increase in genetic testing, we believe that the ALS patients and families would be benefited from our studies in the near future.","PeriodicalId":396133,"journal":{"name":"Novel Aspects on Motor Neuron Disease","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114536203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriel Otero Damianovich, Olga Cristina Parada, Pablo Díaz-Amarilla, Eugenia Isasi, Carmen Isabel Bolatto Pereira, S. Olivera-Bravo
{"title":"Contribution of Aberrant Astrocytes to Motor Neuron Damage and Death in the SOD1G93A Rat Experimental Model of ALS","authors":"Gabriel Otero Damianovich, Olga Cristina Parada, Pablo Díaz-Amarilla, Eugenia Isasi, Carmen Isabel Bolatto Pereira, S. Olivera-Bravo","doi":"10.5772/INTECHOPEN.84695","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84695","url":null,"abstract":"Amyotrophic lateral sclerosis (ALS) is an incurable paralyzing disease characterized by motor neuron death and glial reactivity. Superoxide dismutase 1 (SOD1) are among the most frequent alterations found in around 15–20% of ALS inheritable forms. Mutant SOD1 murine models mimic main human ALS features and allow purposing that pathological mechanisms include defective communication between neural cells together with astrocyte preponderant roles in disease progression. Years ago, a subset of the most neurotoxic aberrant astrocytes (AbAs) was obtained from spinal cords of SOD1G93A rats. AbA cultures show an exponential growing yield since the early symptoms of the disease up to the terminal stages. In cultures, AbAs present unprecedented toxicity to motor neurons, increased proliferation, loss of mature astrocyte markers, as well as extreme ER stress and abundant extracellular matrix components. Strikingly, AbA phenotype seems to be changing along few passages suggesting its signaling and features may accompany disease progression. However, the link between main AbA features and their highest motor neuron toxicity is not yet completely understood. Here, we reviewed ALS underlying pathological mechanisms in association to AbA phenotype, to collaborate with identification of the most relevant processes that seem crucially involved in the triggering or maintenance of neurotoxicity.","PeriodicalId":396133,"journal":{"name":"Novel Aspects on Motor Neuron Disease","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127148031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Structural and Functional Consequences of the SMA-Linked Missense Mutations of the Survival Motor Neuron Protein: A Brief Update","authors":"Wei Li","doi":"10.5772/INTECHOPEN.81887","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.81887","url":null,"abstract":"Genetically linked to the survival motor neuron 1 gene SMN1 , spinal muscular atrophy (SMA) is an autosomal recessive neuromuscular disease with dysfunctional α -motor neurons. As the product of the SMN1 gene, the survival motor neuron protein (SMN) plays an essential role in the molecular pathogenesis of SMA. On 1 June 2017, a PLoS ONE article reported a set of computational structural analysis to illustrate how do SMA-linked mutations of SMN1 lead to structurally/function-ally deficient variants of SMN. Following this article, this chapter provides a brief update of the structural and functional consequences of the missense mutations of this SMA protein.","PeriodicalId":396133,"journal":{"name":"Novel Aspects on Motor Neuron Disease","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129546483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}