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Spinal Muscular Atrophy (SMA)

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February 25, 2025

Why in News?

A two-and-a-half-year-old girl has shown no signs of a genetic disorder, known as spinal muscular atrophy (SMA), becoming the first person in the world to be treated for the disease while in the womb.

  • SMA is a debilitating genetic condition which affects motor neurons that control movement, and leads to progressive muscle weakening.
  • Caused by - Mutations in the survival motor neuron gene (SMN1) which causes a deficiency of a protein crucial for the survival of motor neurons in the spinal cord.
  • This prevents muscles from receiving signals from the brain, causing them to waste away.

SMA

  • Types of SMA
    • Type I - Usually diagnosed before age 3
    • Type II -Begins to affect children between 6–18 months old
    • Type III - Also called Kugelberg-Welander syndrome or juvenile SMA, begins to affect kids as early as 18 months of age or as late as adolescence
    • Type IV- The adult form of SMA, symptoms usually begin after age 35.
  • In its most severe form, SMA-1, motor skills decline rapidly and patients usually only live two to three years.
  • Prognosis - About one in every 10,000 births have some form of the condition making it a leading genetic cause of death in infants and children.
  • Recent application in Treatment - For the treatment, scientists used an oral drug called risdiplam, which is given to patients to slow the progression of SMA.
  • Risdiplam is typically given to a patient soon after birth.
  • The mother, who was 32 weeks pregnant, took Risdiplam daily for 6 weeks.
  • The baby started taking the drug from roughly one week old, and will probably continue to take it for the rest of her life.
  • The scientists found that the girl had higher levels of the SMN protein in her bloodstream, compared to those usually born with the condition.
  • The girl seemed to have lower levels of nerve damage, and even after 30 months had normal muscle development with no sign of atrophy.

Reference

The Indian Express | Spinal Muscular Atrophy (SMA)

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