Motor neuron disease: biomarker development for an expanding cerebral syndrome

Descriptions of motor neuron disease (MND) documented more than a century ago remain instantly recognisable to the physician. The muscle weakness, typically with signs of upper and lower motor neuron dysfunction, is uniquely relentless. Over the last 30 years, a wider cerebral pathology has emerged,...

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Main Author: Turner, M
Format: Journal article
Published: Royal College of Physicians 2016
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author Turner, M
author_facet Turner, M
author_sort Turner, M
collection OXFORD
description Descriptions of motor neuron disease (MND) documented more than a century ago remain instantly recognisable to the physician. The muscle weakness, typically with signs of upper and lower motor neuron dysfunction, is uniquely relentless. Over the last 30 years, a wider cerebral pathology has emerged, despite the lack of overt cognitive impairment in the majority of patients. From the initial linkage of a small number of cases to mutations in SOD1, diverse cellular pathways have been implicated in pathogenesis. An increasingly complex clinical heterogeneity has emerged around a significant variability in survival. Defining a cellular signature of aggregated TDP-43 common to nearly all MND and a large proportion of frontotemporal dementia (FTD), has placed MND alongside the traditional cerebral neurodegeneration. With new genetic causes, most notably a hexanucleotide expansion in C9orf72 associated with both MND and FTD, the development of biomarkers against which to test therapeutic candidates is a priority.
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spelling oxford-uuid:260f6fd4-73ed-4d79-9c1f-f708b0cfe9462022-03-26T11:58:56ZMotor neuron disease: biomarker development for an expanding cerebral syndromeJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:260f6fd4-73ed-4d79-9c1f-f708b0cfe946Symplectic Elements at OxfordRoyal College of Physicians2016Turner, MDescriptions of motor neuron disease (MND) documented more than a century ago remain instantly recognisable to the physician. The muscle weakness, typically with signs of upper and lower motor neuron dysfunction, is uniquely relentless. Over the last 30 years, a wider cerebral pathology has emerged, despite the lack of overt cognitive impairment in the majority of patients. From the initial linkage of a small number of cases to mutations in SOD1, diverse cellular pathways have been implicated in pathogenesis. An increasingly complex clinical heterogeneity has emerged around a significant variability in survival. Defining a cellular signature of aggregated TDP-43 common to nearly all MND and a large proportion of frontotemporal dementia (FTD), has placed MND alongside the traditional cerebral neurodegeneration. With new genetic causes, most notably a hexanucleotide expansion in C9orf72 associated with both MND and FTD, the development of biomarkers against which to test therapeutic candidates is a priority.
spellingShingle Turner, M
Motor neuron disease: biomarker development for an expanding cerebral syndrome
title Motor neuron disease: biomarker development for an expanding cerebral syndrome
title_full Motor neuron disease: biomarker development for an expanding cerebral syndrome
title_fullStr Motor neuron disease: biomarker development for an expanding cerebral syndrome
title_full_unstemmed Motor neuron disease: biomarker development for an expanding cerebral syndrome
title_short Motor neuron disease: biomarker development for an expanding cerebral syndrome
title_sort motor neuron disease biomarker development for an expanding cerebral syndrome
work_keys_str_mv AT turnerm motorneurondiseasebiomarkerdevelopmentforanexpandingcerebralsyndrome