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What is ataxia-telangiectasia?

Ataxia-telangiectasia is a rare inherited disorder of childhood that affects the nervous system, immune system, and other body systems.

This disorder is characterized by progressive difficulty with coordinating movements (ataxia) beginning in early childhood. Affected children typically develop difficulty walking, problems with balance, abnormal eye movements, and slurred speech. Small clusters of enlarged blood vessels called telangiectases, which occur in the eyes and on the surface of the skin, are also characteristic of this condition.

People with ataxia-telangiectasia often have weakened immune systems, and many develop chronic lung infections. They are also at an increased risk of developing cancer, particularly cancer of blood-forming tissue (leukemia) and cancer of immune system cells (lymphoma). Affected individuals are very sensitive to the effects of radiation exposure, including medical x-rays. Although people with ataxia-telangiectasia usually live into adulthood, their life expectancy is reduced.

How common is ataxia-telangiectasia?

This condition occurs in 1 in 40,000 to 100,000 people worldwide.

What genes are related to ataxia-telangiectasia?

Mutations in the ATM gene cause ataxia-telangiectasia.

The ATM gene provides instructions for making a protein that helps control cell division and is involved in DNA repair. This protein plays an important role in the normal development and activity of several body systems, including the nervous system and immune system. Mutations in the ATM gene reduce or eliminate the function of the ATM protein. Without this protein, cells in the brain die inappropriately, particularly in a part of the brain involved in coordinating movements (the cerebellum). The loss of these brain cells causes the movement problems characteristic of this disorder. Mutations in the ATM gene also prevent cells from responding correctly to DNA damage, which allows genetic defects to accumulate and can lead to cancer.

How do people inherit ataxia-telangiectasia?

Ataxia-telangiectasia is inherited in an autosomal recessive pattern, which means two copies of the ATM gene in each cell are altered. Most often, the parents of an individual with an autosomal recessive disorder are carriers of one copy of the altered gene but do not show signs and symptoms of the disorder.

About 1 percent of the United States population (2.5 million people) carry one mutated copy and one normal copy of the ATM gene. Although they do not have ataxia-telangiectasia, they are more likely than people without an ATM mutation to develop cancer, particularly breast cancer. Carriers of a mutation in the ATM gene also may have an increased risk of heart disease.

Source: National Institutes of Health

Recent Ataxia-Telangiectasia News and Articles


Agency Reviews Patent Application Approval Request for "Readthrough Inducing Agent and Drug for Treating Genetic Disease Caused by Nonsense Mutation"

2013 JAN 21 (NewsRx) -- By a News Reporter-Staff News Editor at Clinical Trials Week -- A patent application by the inventors MATSUDA, Ryoichi (Tokyo, JP); SHIOZUKA, Masataka (Tokyo, JP); WAGATSUMA, Akira (Tokyo, JP); TAKAHASHI, Yoshikazu (Tokyo, JP); IKEDA, Daishiro (Tokyo, JP); NONOMURA, Yoshiaki (Tokyo, JP); MATSUO, Masafumi (Hyogo, JP); NISHIDA, Atsushi (Hyogo, JP), filed on August 1, 2012, was cleared for further review on January 10, 2013, according to news reporting originating from Washington, D.C., by NewsRx correspondents.

Patent application serial number 563872 has not been assigned to an institution or company.

The following quote was obtained by the news editors from the background information supplied by the inventors: "The present invention relates to: a readthrough inducing agent for inducing readthrough of a premature stop codon generated due to nonsense mutations; and a drug for treating a genetic disease caused by nonsense mutations.

"In the genetic disease caused by nonsense mutations, protein expression is inhibited due to the premature stop codon generated by a point mutation on a gene. Examples of the genetic disease caused by nonsense mutations include muscular dystrophy, multiple sclerosis, infantile neuronal ceroid lipofuscinosis, Alzheimer's disease, Tay-Sachs disease, neural tissue degeneration, Parkinson's disease, chronic rheumatoid arthritis, graft versus host disease, arthritis, hemophilia, von Willebrand disease, ataxia-telangiectasia, thalassemia, nephrolithiasis, osteogenesis imperfecta, cirrhosis, neurofibroma, bullous disease, lysosomal storage disease, Hurler's disease, familial cholesterolemia, cerebellar ataxia, tuberous sclerosis, familial erythrocytosis, immune deficiency, kidney disease, lung disease, cystic fibrosis, familial hypercholesterolemia, pigmentary retinopathy, amyloidosis, atherosclerosis, gigantism, dwarfism, hypothyroidism, hyperthyroidism, aging, obesity, diabetes mellitus, Niemann-Pick disease, Marfan syndrome, and cancer.

"For example, Duchenne muscular dystrophy arises from the lack of dystrophin protein in sarcolemma. In this disease, a stop codon is generated (premature stop codon) due to the mutation on the muscular dystrophy gene located on X chromosome, and translation is interrupted or terminated at the mutation site. Thus, normal expression of dystrophin and dystrophin-associated proteins is inhibited and as a result, patients who suffer from this disease lack dystrophin proteins.

"For treating such genetic disease caused by nonsense mutations, a method employing a compound having readthrough activity has been attempted. The readthrough activity means that when a specific compound is administered to patients who have a premature stop codon generated by nonsense mutations and lack a specific protein, the above-mentioned compound acts on a ribosome and the ribosome reads through the stop codon and continues translation. As a result of readthrough, wild-type normal proteins are synthesized.

"An aminoglycoside antibiotic, gentamicin and a dipeptide antibiotic, negamycin are known exemplary compounds having such readthrough activity.

"Regarding gentamicin, Politano et al. has found that administration of gentamicin to patients with Duchenne muscular dystrophy led to the accumulation of dystrophin protein (see, for example, Acta. Myol. 2003, Vol. 22, pp. 15-21). In addition, it is reported that topical administration of gentamicin to the respiratory epithelium of patients with cystic fibrosis can correct typical electrophysiological abnormalities (see, for example, N. Engl. J. Med. 2003, Vol. 349, pp. 1433-1441). Furthermore, clinical trials of gentamicin have been conducted in the United States as a therapy for genetic diseases. However, there is concern for high toxicity of gentamicin. Since long-term administration is required, gentamicin is not a satisfactory therapeutic agent for the patients of genetic disease caused by nonsense mutations.

"Regarding negamycin, it is confirmed that administration of the compound to muscular dystrophy model mice restores dystrophin expression (see, for example, International Publication No. WO 2002/102361). However, negamycin is an unapproved drug. There is an immediate need for a drug against genetic diseases caused by nonsense mutations. Thus, negamycin is not realistic as a therapeutic drug for genetic diseases caused by nonsense mutations.

"In addition, clinical trial of ataluren (PTC124), which has readthrough activity, has been conducted in the United States as a drug for, for example, Duchenne muscular dystrophy. However, the trial is stopped at phase III at present. As mentioned above, a drug against genetic diseases caused by nonsense mutations is needed immediately. Thus, ataluren is not realistic as a therapeutic drug for genetic diseases caused by nonsense mutations.

"In view of the above, demand has arisen for prompt development of a readthrough inducing agent that contains a compound having low toxicity and readthrough activity and of a drug for treating a genetic disease caused by nonsense mutations."

Supplementing the background information on this patent application, NewsRx reporters also obtained the inventors' summary information for this patent: "The present invention aims to solve the above existing problems and to achieve the following object. An object of the present invention is to provide: a readthrough inducing agent that comprises a compound having low toxicity and readthrough activity; and a drug for treating a genetic disease caused by nonsense mutations, the drug comprising the readthrough inducing agent.

"As a result of the diligent studies conducted by the present inventors to solve the above problems, the present inventors have found that a compound having a structure expressed by the following Structural Formula (A) (hereinafter may be referred to as 'arbekacin'), which is used as a specific drug against infectious disease caused by MRSA, has excellent readthrough activity and have completed the invention of the present application.

"##STR00002##

"The present invention is based on the above finding obtained by the present inventors. A readthrough inducing agent of the present invention for inducing readthrough of a premature stop codon generated by nonsense mutations as a means for solving the above existing problems includes a compound having a structure expressed by the following Structural Formula (A).

"##STR00003##

"The present invention can provide: a readthrough inducing agent comprising a compound having low toxicity and readthrough activity; and a drug for treating a genetic disease caused by nonsense mutations, the drug comprising the readthrough inducing agent."

For the URL and additional information on this patent application, see: MATSUDA, Ryoichi; SHIOZUKA, Masataka; WAGATSUMA, Akira; TAKAHASHI, Yoshikazu; IKEDA, Daishiro; NONOMURA, Yoshiaki; MATSUO, Masafumi; NISHIDA, Atsushi. Readthrough Inducing Agent and Drug for Treating Genetic Disease Caused by Nonsense Mutation. U.S. Patent Serial Number 563872, filed August 1, 2012, and posted January 10, 2013. Patent URL: http://appft.uspto.gov/netacgi/nph-Parser'Sect1=PTO2&Sect2=HITOFF&u=%2Fnetahtml%2FPTO%2Fsearch-adv.html&r=1982&p=40&f=G&l=50&d=PG01&S1=20130103.PD.&OS=PD/20130103&RS=PD/20130103

Keywords for this news article include: Patents, Therapy, Peptides, Proteins, Amino Acids, Genetic Diseases, Parkinson's Disease.

Our reports deliver fact-based news of research and discoveries from around the world. Copyright 2013, NewsRx LLC

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