Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review

Detalhes bibliográficos
Autor(a) principal: Belizário, Mirella Viviani Amaral Assis
Data de Publicação: 2022
Outros Autores: Berlanga, Juliana Ferreira Ura, Souza, Cláudia Elaine Cestari, Moreira, Cláudia Maria Dias, Arruda, Marillis Mesquita Gonçalves de, Oliveira, Nathália de, Oliveira, Maria Inês Vaz de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/27297
Resumo: Type 1 spinal muscular atrophy is a neurodegenerative disease, caused by a deletion or mutation of the SMN1 gene. There is currently only one drug approved for its treatment in Brazil, which is nusinersen. The present study aimed to carry out a literature review to review the effectiveness of nusinersen in the treatment of type 1 spinal muscular atrophy. As well as, talk about the clinical studies carried out and the advances in treatment in terms of gain in motor milestone, motor function, use of mechanical ventilation and treatment safety. At the nusinersen group, 22% of babies achieved full head control, 10% were able to roll over, 8% were able to sit up independently and 1% managed to stand up; at the control group, no baby reached these Marcos. Regarding motor function, the scale was used CHOP-INTEND, which showed a score greater than 40, was seen in none of 13 babies with two copies of the gene at baseline and increased for seven of 13 participants at last visit in the 12 mg group.Overall, the risk of death or the use of permanent assisted ventilation was 47% lower in the nusinersen group than in the control group. The use of nusinersen proved to be effective in gaining motor milestones and using assisted ventilation, and even greater survival. However, it is tied to the onset of symptoms and the number of copies of the SMN2 gene. As for motor force, no study has been able to prove the return of motor force in its excellence.
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spelling Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review Uso de Nusinersen en Atrofia Muscular Espinal tipo 1. Revisión bibliográfica Uso do Nusinersen na Atrofia Muscular Espinhal do tipo 1. Revisão bibliográfica Spinal Muscular AtrophyInfantile Spinal Muscular AtrophyWerdnig-hoffmann Disease.Atrofia Muscular EspinhalAtrofia Muscular Espinhal InfantilDoença de Werdnig-hoffmann.Atrofia Muscular EspinalAtrofia Muscular Espinal InfatilEnfermedad de Werdnig-hoffmann.Type 1 spinal muscular atrophy is a neurodegenerative disease, caused by a deletion or mutation of the SMN1 gene. There is currently only one drug approved for its treatment in Brazil, which is nusinersen. The present study aimed to carry out a literature review to review the effectiveness of nusinersen in the treatment of type 1 spinal muscular atrophy. As well as, talk about the clinical studies carried out and the advances in treatment in terms of gain in motor milestone, motor function, use of mechanical ventilation and treatment safety. At the nusinersen group, 22% of babies achieved full head control, 10% were able to roll over, 8% were able to sit up independently and 1% managed to stand up; at the control group, no baby reached these Marcos. Regarding motor function, the scale was used CHOP-INTEND, which showed a score greater than 40, was seen in none of 13 babies with two copies of the gene at baseline and increased for seven of 13 participants at last visit in the 12 mg group.Overall, the risk of death or the use of permanent assisted ventilation was 47% lower in the nusinersen group than in the control group. The use of nusinersen proved to be effective in gaining motor milestones and using assisted ventilation, and even greater survival. However, it is tied to the onset of symptoms and the number of copies of the SMN2 gene. As for motor force, no study has been able to prove the return of motor force in its excellence.La atrofia muscular espinal tipo 1 es una enfermedad neurodegenerativa causada por una deleción o mutación del gen SMN1. Actualmente solo hay un fármaco aprobado para su tratamiento en Brasil, que es nusinersen. El presente estudio tuvo como objetivo realizar una revisión de la literatura para demostrar la efectividad de nusinersen en el tratamiento de la atrofia muscular espinal tipo 1. Así como, discutir los estudios clínicos realizados y los avances en el tratamiento en términos de ganancia de hitos motores, función motora, uso de ventilación mecánica y seguridad del tratamiento. En el grupo de nusinersen, el 22 % de los bebés logró un control completo de la cabeza, el 10 % pudo darse la vuelta, el 8 % pudo sentarse de forma independiente y el 1 % pudo pararse; en el grupo de control, ningún bebé alcanzó estos hitos. En cuanto a la función motora se utilizó la escala CHOP-INTEND, la cual mostró una puntuación superior a 40, no se observó en ninguno de los 13 bebés con dos copias del gen al inicio del estudio y aumentó para siete de los 13 participantes al inicio del estudio. última visita en el grupo de 12 mg. En general, el riesgo de muerte o uso de ventilación asistida permanente fue un 47 % menor en el grupo de nusinersen que en el grupo de control.  El uso de nusinersen demostró ser efectivo en la obtención de hitos motores y en el uso de ventilación asistida e incluso en una mayor supervivencia. Sin embargo, está ligado a la aparición de los síntomas y al número de copias del gen SMN2. En cuanto a la fuerza motora, se necesitan más estudios sobre el uso de nusinersen en el retorno de la fuerza muscular.A atrofia muscular espinhal do tipo 1 é uma doença neurodegenerativa, causada por uma deleção ou mutação do gene SMN1. Existe atualmente no Brasil apenas um medicamento aprovado para seu tratamento, que é o nusinersen. O presente estudo teve como objetivo realizar uma revisão bibliográfica para demonstrar a eficácia do nusinersen no tratamento da atrofia muscular espinhal do tipo1. Assim como, discorrer sobre os estudos clínicos realizados e os avanços do tratamento no ganho de marco motor, função motora, uso de ventilação mecânica e segurança do tratamento. No grupo nusinersen, 22% dos bebês alcançaram o controle total da cabeça, 10% conseguiram rolar, 8% conseguiram sentar-se independentemente e 1% conseguiu ficar em pé; no grupo de controle, nenhum bebê atingiu esses marcos. Em relação a função motora, foi usada a escala CHOP -INTEND, que mostrou uma pontuação maior que 40, foi observado em nenhum dos 13 bebês com duas cópias do gene no início do estudo e aumentou para sete dos 13 participantes na última visita no grupo de 12 mg. No geral, o risco de morte ou o uso de ventilação assistida permanente foi 47% menor no grupo nusinersen do que no grupo controle.  O uso do nusinersen se mostrou eficaz no ganho de marcos motores e uso de ventilação assistida e até mesmo numa sobrevida maior. Entretanto, ele fica atado ao início dos sintomas e a quantidade de cópias de gene SMN2. Quanto a força motora necessita-se de mais estudos do uso de nusinersen no retorno da força muscular.Research, Society and Development2022-03-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2729710.33448/rsd-v11i4.27297Research, Society and Development; Vol. 11 No. 4; e33811427297Research, Society and Development; Vol. 11 Núm. 4; e33811427297Research, Society and Development; v. 11 n. 4; e338114272972525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/27297/24224Copyright (c) 2022 Mirella Viviani Amaral Assis Belizário; Juliana Ferreira Ura Berlanga; Cláudia Elaine Cestari Souza; Cláudia Maria Dias Moreira; Marillis Mesquita Gonçalves de Arruda; Nathália de Oliveira; Maria Inês Vaz de Oliveirahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBelizário, Mirella Viviani Amaral Assis Berlanga, Juliana Ferreira Ura Souza, Cláudia Elaine Cestari Moreira, Cláudia Maria Dias Arruda, Marillis Mesquita Gonçalves de Oliveira, Nathália deOliveira, Maria Inês Vaz de 2022-03-27T17:17:09Zoai:ojs.pkp.sfu.ca:article/27297Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:45:05.100980Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review
Uso de Nusinersen en Atrofia Muscular Espinal tipo 1. Revisión bibliográfica
Uso do Nusinersen na Atrofia Muscular Espinhal do tipo 1. Revisão bibliográfica
title Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review
spellingShingle Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review
Belizário, Mirella Viviani Amaral Assis
Spinal Muscular Atrophy
Infantile Spinal Muscular Atrophy
Werdnig-hoffmann Disease.
Atrofia Muscular Espinhal
Atrofia Muscular Espinhal Infantil
Doença de Werdnig-hoffmann.
Atrofia Muscular Espinal
Atrofia Muscular Espinal Infatil
Enfermedad de Werdnig-hoffmann.
title_short Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review
title_full Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review
title_fullStr Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review
title_full_unstemmed Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review
title_sort Use of Nusinersen in type 1 Spinal Muscular Atrophy. Literature Review
author Belizário, Mirella Viviani Amaral Assis
author_facet Belizário, Mirella Viviani Amaral Assis
Berlanga, Juliana Ferreira Ura
Souza, Cláudia Elaine Cestari
Moreira, Cláudia Maria Dias
Arruda, Marillis Mesquita Gonçalves de
Oliveira, Nathália de
Oliveira, Maria Inês Vaz de
author_role author
author2 Berlanga, Juliana Ferreira Ura
Souza, Cláudia Elaine Cestari
Moreira, Cláudia Maria Dias
Arruda, Marillis Mesquita Gonçalves de
Oliveira, Nathália de
Oliveira, Maria Inês Vaz de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Belizário, Mirella Viviani Amaral Assis
Berlanga, Juliana Ferreira Ura
Souza, Cláudia Elaine Cestari
Moreira, Cláudia Maria Dias
Arruda, Marillis Mesquita Gonçalves de
Oliveira, Nathália de
Oliveira, Maria Inês Vaz de
dc.subject.por.fl_str_mv Spinal Muscular Atrophy
Infantile Spinal Muscular Atrophy
Werdnig-hoffmann Disease.
Atrofia Muscular Espinhal
Atrofia Muscular Espinhal Infantil
Doença de Werdnig-hoffmann.
Atrofia Muscular Espinal
Atrofia Muscular Espinal Infatil
Enfermedad de Werdnig-hoffmann.
topic Spinal Muscular Atrophy
Infantile Spinal Muscular Atrophy
Werdnig-hoffmann Disease.
Atrofia Muscular Espinhal
Atrofia Muscular Espinhal Infantil
Doença de Werdnig-hoffmann.
Atrofia Muscular Espinal
Atrofia Muscular Espinal Infatil
Enfermedad de Werdnig-hoffmann.
description Type 1 spinal muscular atrophy is a neurodegenerative disease, caused by a deletion or mutation of the SMN1 gene. There is currently only one drug approved for its treatment in Brazil, which is nusinersen. The present study aimed to carry out a literature review to review the effectiveness of nusinersen in the treatment of type 1 spinal muscular atrophy. As well as, talk about the clinical studies carried out and the advances in treatment in terms of gain in motor milestone, motor function, use of mechanical ventilation and treatment safety. At the nusinersen group, 22% of babies achieved full head control, 10% were able to roll over, 8% were able to sit up independently and 1% managed to stand up; at the control group, no baby reached these Marcos. Regarding motor function, the scale was used CHOP-INTEND, which showed a score greater than 40, was seen in none of 13 babies with two copies of the gene at baseline and increased for seven of 13 participants at last visit in the 12 mg group.Overall, the risk of death or the use of permanent assisted ventilation was 47% lower in the nusinersen group than in the control group. The use of nusinersen proved to be effective in gaining motor milestones and using assisted ventilation, and even greater survival. However, it is tied to the onset of symptoms and the number of copies of the SMN2 gene. As for motor force, no study has been able to prove the return of motor force in its excellence.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-27
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dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/27297
10.33448/rsd-v11i4.27297
url https://rsdjournal.org/index.php/rsd/article/view/27297
identifier_str_mv 10.33448/rsd-v11i4.27297
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/27297/24224
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 4; e33811427297
Research, Society and Development; Vol. 11 Núm. 4; e33811427297
Research, Society and Development; v. 11 n. 4; e33811427297
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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