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2008 Barcelona - European Society of Human Genetics

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Therapy for genetic disease<br />

P10.26<br />

Treatment <strong>of</strong> SMA fibroblasts and lymphoblasts with drugs that<br />

increase smN expression reveals no responders and no additive<br />

effects<br />

E. Also-Rallo, L. Alias, L. Caselles, S. Bernal, R. Martínez, C. Soler-Botija, P.<br />

Gallano, M. Baiget, E. F. Tizzano;<br />

Hospital Sant Pau, <strong>Barcelona</strong>, Spain.<br />

Spinal muscular atrophy (SMA) is a neuromuscular genetic disorder<br />

caused by mutations in the SMN1 gene . The homologous copy<br />

(SMN2) is always present in SMA patients . Exon 7 is spliced out <strong>of</strong><br />

most SMN2 transcripts (delta7) whereas SMN1 gene transcripts contain<br />

mainly exon 7 (full-length) . Recent advances in SMA treatment<br />

with pharmacologic agents have resulted in an increase in SMN mRNA<br />

and protein levels in vitro . We performed a systematic analysis <strong>of</strong> SMN<br />

expression in primary fibroblasts and lymphoblasts from 7 SMA patients<br />

with varying clinical severity and different SMN1 genotypes to<br />

determine expression differences in two accessible tissues (skin and<br />

blood) . The basal expression <strong>of</strong> SMN mRNA full-length and delta7 in<br />

fibroblasts and lymphoblasts at 24 and 48 hours was performed by<br />

quantitative real time PCR. The ratio SMNFL/SMNΔ 7 was significantly<br />

higher in control cells than in patients (p

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