Francesco Muntoni
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View article: Joint Modelling of Growth and Motor Function Centiles in Corticosteroids Treated Boys With Duchenne Muscular Dystrophy
Joint Modelling of Growth and Motor Function Centiles in Corticosteroids Treated Boys With Duchenne Muscular Dystrophy Open
Background Corticosteroid (CS) treated boys with DMD display higher rates of height stunting, higher weight gain, improved motor function scores and delayed loss of ambulation compared to untreated patients. However, the relationship betwe…
View article: Behavioral improvement in dystrophic mdx23 mouse following repeated antisense oligonucleotides injections
Behavioral improvement in dystrophic mdx23 mouse following repeated antisense oligonucleotides injections Open
Duchenne muscular dystrophy (DMD) is a severe neuromuscular disorder caused by mutations in the DMD gene that disrupt the production of functional dystrophin proteins. Intellectual disability and neurobehavioral complications including aut…
View article: Machine learning predicts treatment response to nusinersen in non-sitter Spinal Muscular Atrophy (SMA).
Machine learning predicts treatment response to nusinersen in non-sitter Spinal Muscular Atrophy (SMA). Open
Background Nusinersen has substantially increased survival and improved disease progression in Spinal Muscular Atrophy (SMA) patients. However, treatment response is heterogeneous, with some patients gaining the ability to sit and walk whi…
View article: Descriptive characterization of ambulatory health states in Duchenne muscular dystrophy: Motor function trajectories and times to loss of ambulation
Descriptive characterization of ambulatory health states in Duchenne muscular dystrophy: Motor function trajectories and times to loss of ambulation Open
We described ambulatory Duchenne muscular dystrophy (DMD) progression, across multiple functional measures, via previously established prognostic groups for loss of ambulation (LoA) and health states. Patients closer to vs. farther from Lo…
View article: Regional Expression of Dystrophin Gene Transcripts and Proteins in the Mouse Brain
Regional Expression of Dystrophin Gene Transcripts and Proteins in the Mouse Brain Open
Duchenne muscular dystrophy (DMD) is a severe neuromuscular disease caused by mutations in the DMD gene, leading to muscle degeneration and shortened life expectancy. Beyond motor symptoms, DMD patients frequently exhibit brain co-morbidit…
View article: Expressive language and social communication abilities in children with spinal muscular atrophy type 1
Expressive language and social communication abilities in children with spinal muscular atrophy type 1 Open
Aim To investigate parent‐reported expressive language and social communication abilities in children with spinal muscular atrophy type 1 (SMA1) treated with disease‐modifying therapies. Method This was a cross‐sectional feasibility study …
View article: Muscle transcriptome profiling reveals novel molecular pathways and biomarkers in laminin-α2 deficient patients
Muscle transcriptome profiling reveals novel molecular pathways and biomarkers in laminin-α2 deficient patients Open
Merosin-deficient congenital muscular dystrophy (LAMA2-RD) is caused by LAMA2 gene mutations, coding for laminin-211 (merosin) α2 subunit. LAMA2 mutations leading to complete laminin-211 absence result in an invariably severe clinical phen…
View article: ADGRG6-related disorder: a novel mutation resulting in distal arthrogryposis and a patchy neuropathy
ADGRG6-related disorder: a novel mutation resulting in distal arthrogryposis and a patchy neuropathy Open
Arthrogryposis multiplex congenita (AMC) is associated with >150 genes, including ADGRG6, which codes for an adhesion G protein-coupled receptor. Biallelic loss of function variants in ADGRG6 have been linked to lethal congenital contractu…
View article: Predicting trajectories of the north star ambulatory assessment total score in Duchenne muscular dystrophy
Predicting trajectories of the north star ambulatory assessment total score in Duchenne muscular dystrophy Open
The North Star Ambulatory Assessment (NSAA) is a widely used functional endpoint in drug development for ambulatory patients with Duchenne muscular dystrophy (DMD). Accurately predicting NSAA total score trajectories is important for desig…
View article: Influence of Dystrophin Isoform Deficiency on Motor Development in Duchenne Muscular Dystrophy
Influence of Dystrophin Isoform Deficiency on Motor Development in Duchenne Muscular Dystrophy Open
Objective In Duchenne muscular dystrophy (DMD), lack of the shorter dystrophin isoforms Dp140 and Dp71 is associated with increased central nervous system (CNS) involvement. We aimed to investigate how CNS involvement affects motor develop…
View article: Publisher Correction: Genomic reanalysis of a pan-European rare-disease resource yields new diagnoses
Publisher Correction: Genomic reanalysis of a pan-European rare-disease resource yields new diagnoses Open
View article: Clinical validity of congenital myopathy genes determined by the ClinGen Congenital Myopathies Expert Panel
Clinical validity of congenital myopathy genes determined by the ClinGen Congenital Myopathies Expert Panel Open
Background: Congenital myopathies are a group of neuromuscular disorders that typically present at birth or early childhood with hypotonia and non-progressive or slowly progressive muscle weakness. They are classically subclassified by cha…
View article: Characterization of severe COL6-related dystrophy due to the recurrent variant <i>COL6A1</i> c.930+189C&gt;T
Characterization of severe COL6-related dystrophy due to the recurrent variant <i>COL6A1</i> c.930+189C>T Open
Collagen VI-related dystrophies manifest with a spectrum of clinical phenotypes, ranging from Ullrich congenital muscular dystrophy (UCMD), presenting with prominent congenital symptoms and characterized by progressive muscle weakness, joi…
View article: Fully personalized modelling of Duchenne Muscular Dystrophy ambulation
Fully personalized modelling of Duchenne Muscular Dystrophy ambulation Open
Duchenne Muscular Dystrophy is a progressive neuromuscular disorder characterized by the gradual weakening and deterioration of muscles, leading to loss of ambulation in affected individuals. This decline in mobility can be effectively ass…
View article: Unraveling undiagnosed rare disease cases by HiFi long-read genome sequencing
Unraveling undiagnosed rare disease cases by HiFi long-read genome sequencing Open
Solve-RD is a pan-European rare disease (RD) research program that aims to identify disease-causing genetic variants in previously undiagnosed RD families. We utilized 10-fold coverage HiFi long-read sequencing (LRS) for detecting causativ…
View article: Visualizing ambulatory performance by age and rates of decline among patients with Duchenne muscular dystrophy
Visualizing ambulatory performance by age and rates of decline among patients with Duchenne muscular dystrophy Open
In Duchenne muscular dystrophy (DMD), age at symptom onset and rate of decline thereafter vary considerably. This study contrasted disease progression over time using the North Star Ambulatory Assessment (NSAA) in an overall sample of pati…
View article: Dystrophin isoform deficiency and upper‐limb and respiratory function in Duchenne muscular dystrophy
Dystrophin isoform deficiency and upper‐limb and respiratory function in Duchenne muscular dystrophy Open
Aim To investigate the associations between mutations expected to differentially affect Dp140 expression and long‐term trajectories of respiratory and upper‐limb motor outcomes in Duchenne muscular dystrophy (DMD). Method In a retrospectiv…
View article: Observational study of changes to glucocorticosteroid prescribing patterns in duchenne muscular dystrophy in the UK over the last decade
Observational study of changes to glucocorticosteroid prescribing patterns in duchenne muscular dystrophy in the UK over the last decade Open
Background Glucocorticosteroids (GC) are standard-of-care treatment for most boys with duchenne muscular dystrophy (DMD). GC use has changed over time with evolving evidence, and we describe GC patterns, dosing and side-effects in the UK o…
View article: Duchenne muscular dystrophy: recent insights in brain related comorbidities
Duchenne muscular dystrophy: recent insights in brain related comorbidities Open
Duchenne muscular dystrophy (DMD), the most common childhood muscular dystrophy, arises from DMD gene mutations, affecting the production of muscle dystrophin protein. Brain dystrophin-gene products are also transcribed via internal promot…
View article: Heterozygous <i>PNPT1</i> Variants Cause a Sensory Ataxic Neuropathy
Heterozygous <i>PNPT1</i> Variants Cause a Sensory Ataxic Neuropathy Open
Background Biallelic variants in polyribonucleotide‐nucleotidyltransferase‐1 (PNPT1) have been associated with a range of phenotypes from syndromic hearing loss to Leigh's syndrome. More recently, heterozygous variants in PNPT1 , have been…
View article: Spinal muscular atrophy in the UK: the human toll of slow decisions
Spinal muscular atrophy in the UK: the human toll of slow decisions Open
View article: Congenital Titinopathy: Comprehensive Characterization of the Most Severe End of the Disease Spectrum
Congenital Titinopathy: Comprehensive Characterization of the Most Severe End of the Disease Spectrum Open
Congenital titinopathy has recently emerged as one of the most common congenital muscle disorders. Objective To better understand the presentation and clinical needs of the under‐characterized extreme end of the congenital titinopathy seve…
View article: Genomic reanalysis of a pan-European rare-disease resource yields new diagnoses
Genomic reanalysis of a pan-European rare-disease resource yields new diagnoses Open
View article: Contaminating manufacturing plasmids and disrupted vector genomes present in liver tissue following adeno-associated virus gene therapy
Contaminating manufacturing plasmids and disrupted vector genomes present in liver tissue following adeno-associated virus gene therapy Open
Adeno-associated viruses (AAVs) are the most used vectors in gene therapy but can frequently cause liver complications in patients. The mechanisms underlying AAV-related liver toxicity remain poorly understood, posing challenges for effect…
View article: Spinal presentations in children with type 1 spinal muscular atrophy on nusinersen treatment across the SMA-REACH UK network: a retrospective national observational study
Spinal presentations in children with type 1 spinal muscular atrophy on nusinersen treatment across the SMA-REACH UK network: a retrospective national observational study Open
Background Prior to the introduction of disease-modifying treatments (DMTs), children with type 1 spinal muscular atrophy (SMA) typically did not survive beyond the age of 2 years; management was mainly palliative. Novel therapies have mad…
View article: Safety and Efficacy of IV Onasemnogene Abeparvovec for Pediatric Patients With Spinal Muscular Atrophy
Safety and Efficacy of IV Onasemnogene Abeparvovec for Pediatric Patients With Spinal Muscular Atrophy Open
This study provides Class IV evidence that intravenous onasemnogene abeparvovec is safe in pediatric patients with SMA who weigh 8.5-21 kg.
View article: Impact of distinct dystrophin gene mutations on behavioral phenotypes of Duchenne muscular dystrophy
Impact of distinct dystrophin gene mutations on behavioral phenotypes of Duchenne muscular dystrophy Open
The severity of brain comorbidities in Duchenne muscular dystrophy (DMD) depends on the mutation position within the DMD gene and differential loss of distinct brain dystrophin isoforms (i.e. Dp427, Dp140, Dp71). Comparative studies of DMD…
View article: AAV gene therapy for Duchenne muscular dystrophy: the EMBARK phase 3 randomized trial
AAV gene therapy for Duchenne muscular dystrophy: the EMBARK phase 3 randomized trial Open
View article: Profiling neuroinflammatory markers and response to nusinersen in paediatric spinal muscular atrophy
Profiling neuroinflammatory markers and response to nusinersen in paediatric spinal muscular atrophy Open
View article: Relationship between growth and ambulation loss in Duchenne muscular dystrophy boys on steroids
Relationship between growth and ambulation loss in Duchenne muscular dystrophy boys on steroids Open
Background and purpose Treatment with glucocorticoids (GCs) is part of the standard of care in Duchenne muscular dystrophy, but excess weight gain and height stunting are common side‐effects. It is still unclear how these growth‐related si…