Introdução
O que você precisa saber de cara
Distrofia miotônica (DM) é um tipo de distrofia muscular, um grupo de distúrbios genéticos que causam perda e fraqueza muscular progressivas. Na DM, os músculos frequentemente não conseguem relaxar após a contração. Outras manifestações podem incluir catarata, deficiência intelectual e problemas de condução cardíaca. Em homens, pode haver calvície precoce e infertilidade. Embora a distrofia miotônica possa ocorrer em qualquer idade, o início é tipicamente entre os 20 e 30 anos.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 13 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 34 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal dominant.
Non-receptor serine/threonine protein kinase which is necessary for the maintenance of skeletal muscle structure and function. May play a role in myocyte differentiation and survival by regulating the integrity of the nuclear envelope and the expression of muscle-specific genes. May also phosphorylate PPP1R12A and inhibit the myosin phosphatase activity to regulate myosin phosphorylation. Also critical to the modulation of cardiac contractility and to the maintenance of proper cardiac conduction
Endoplasmic reticulum membraneNucleus outer membraneMitochondrion outer membraneSarcoplasmic reticulum membraneCell membraneCytoplasm, cytosolMitochondrion membrane
Dystrophia myotonica 1
A muscular disorder characterized by myotonia, muscle wasting in the distal extremities, cataract, hypogonadism, defective endocrine functions, male baldness and cardiac arrhythmias.
Variantes genéticas (ClinVar)
204 variantes patogênicas registradas no ClinVar.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Distrofia miotônica de Steinert de início congênito
Centros de Referência SUS
24 centros habilitados pelo SUS para Distrofia miotônica de Steinert de início congênito
Centros para Distrofia miotônica de Steinert de início congênito
Detalhes dos centros
Hospital Universitário Prof. Edgard Santos (HUPES)
R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808
Serviço de Referência
Hospital Infantil Albert Sabin
R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876
Serviço de Referência
Hospital de Apoio de Brasília (HAB)
AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456
Serviço de Referência
Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)
Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207
Serviço de Referência
Hospital das Clínicas da UFG
Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424
Serviço de Referência
Hospital Universitário da UFJF
R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442
Atenção Especializada
Hospital das Clínicas da UFMG
Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167
Serviço de Referência
Hospital Universitário Julio Müller (HUJM)
R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092
Atenção Especializada
Hospital Universitário João de Barros Barreto
R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878
Serviço de Referência
Hospital Universitário Lauro Wanderley (HULW)
R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470
Atenção Especializada
Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)
R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647
Serviço de Referência
Hospital Pequeno Príncipe
R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805
Serviço de Referência
Hospital Universitário Regional de Maringá (HUM)
Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108
Atenção Especializada
Hospital de Clínicas da UFPR
R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980
Serviço de Referência
Hospital Universitário Pedro Ernesto (HUPE-UERJ)
Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221
Serviço de Referência
Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)
Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988
Serviço de Referência
Hospital São Lucas da PUCRS
Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928
Serviço de Referência
Hospital de Clínicas de Porto Alegre (HCPA)
Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601
Serviço de Referência
Hospital Universitário da UFSC (HU-UFSC)
R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356
Serviço de Referência
Hospital das Clínicas da FMUSP
R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485
Serviço de Referência
Hospital de Base de São José do Rio Preto
Av. Brg. Faria Lima, 5544 - Vila Sao Jose, São José do Rio Preto - SP, 15090-000 · CNES 2079798
Atenção Especializada
Hospital de Clínicas da UNICAMP
R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223
Serviço de Referência
Hospital de Clínicas de Ribeirão Preto (HCRP-USP)
R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187
Serviço de Referência
UNIFESP / Hospital São Paulo
R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689
Serviço de Referência
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
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Publicações mais relevantes
Stepwise transcription stalling by the anti-cancer drug Actinomycin D and insights into short tandem repeat transcription inhibition.
Short tandem repeats (STRs) comprise 6% of the human genome, and their transcription is linked to over 60 diseases. Actinomycin D (ACTD) is the first clinically approved anticancer antibiotic that inhibits transcription through an incompletely understood mechanism. Here, using reconstituted yeast and mammalian systems, we investigate the mechanism of transcription inhibition and examine the impact of ACTD on STR transcription. We show that ACTD induces RNA polymerase II (Pol II) pausing at three distinct states and present structural snapshots of Pol II processing ACTD in these states. Furthermore, we examine ACTD's effects on Pol II transcribing five disease-linked, GC-rich STRs and resolve structures of Pol II in complex with ACTD during the transcription of CTG repeats associated with myotonic dystrophy type 1. Our findings reveal the structural basis of ACTD-mediated transcription inhibition and provide a framework for the rational modification of ACTD to target STR-associated disorders.
MRCKα Is a Suppressor of GEF-H1/RhoA/MRTF Signaling in Tubular Cells.
Tubule-derived pro-fibrotic mediators are central for the development of kidney fibrosis. We previously showed that fibrotic stimuli activate and elevate GEF-H1 (ARHGEF2) in tubular cells, leading to RhoA-dependent fibrotic reprogramming. In search of new mechanisms of GEF-H1 regulation, here we used immunoprecipitation and proximity ligation assay to show interaction between GEF-H1 and Myotonic Dystrophy Kinase-related Cdc42-binding kinase (MRCK)α in tubular cells. MRCKα silencing elevated GEF-H1 activity, and induced GEF-H1-dependent RhoA activation, stress fibre formation and myosin light chain phosphorylation. MRCKα depletion also elevated phospho-cofilin levels in a RhoA-dependent manner. The fibrogenic cytokine TGFβ1 rapidly increased binding between GEF-H1 and MRCKα, while MRCKα silencing augmented TGFβ1-induced GEF-H1 activation, suggesting a negative feedback loop. An mRNA array detecting fibrogenic genes revealed increase in a subset of basal and TGFβ1-induced genes following MRCKα depletion. MRCKα silencing promoted nuclear translocation of the profibrotic transcriptional co-activator Myocardin-Related Transcription Factor (MRTF), and MRTF-A+B depletion prevented increase in ACTA2 (α-smooth muscle actin), a key marker of fibrotic reprogramming. Finally, total MRCKα mRNA was reduced in a murine kidney fibrosis model, and immunohistochemistry revealed a decrease in tubular MRCKα. Taken together, we identified MRCKα as a new suppressor of GEF-H1/RhoA/MRTF signaling. Reduced MRCKα expression in kidney fibrosis may promote tubular fibrotic gene expression.
Delpacibart etedesiran improves the molecular pathology of myotonic dystrophy type 1 in the phase 1/2 MARINA study.
Myotonic dystrophy type 1 (DM1) is a rare, autosomal dominant, progressive neuromuscular disease caused by the expansion of CTG repeats in the DM1 protein kinase (DMPK) gene. Expanded CUG repeats in the mutant DMPK transcript bind and sequester splicing factors, especially in the muscleblind-like (MBNL) family, leading to misregulated alternative splicing of mRNA, which is the main driver of DM1 pathology. We designed an antibody-oligonucleotide conjugate (AOC), delpacibart etedesiran (del-desiran), to deliver a DMPK-targeting small interfering RNA to muscle via transferrin receptor 1-mediated cell internalization. Del-desiran reduced mutDMPK mRNA expression, increased estimated levels of functional MBNL, and corrected disease-associated mis-splicing in a dose-dependent manner. The extent of increase in functional MBNL was associated with consistent trends toward muscle function improvement, confirming del-desiran's mechanism of action and supporting its development as a treatment for DM1. The translation of its pharmacodynamic activity from preclinical models (patient-derived myotubes and Macaca fascicularis [cynomolgus monkeys]) to patients with DM1 demonstrates del-desiran's consistency across species and reveals the potential broad utility of the AOC platform in further neuromuscular diseases.
Metformin improves RAN protein pathology, alternative splicing, and behavioral phenotypes in SCA8 mice.
Spinocerebellar ataxia type 8 (SCA8) is a member of a group of dominantly inherited, debilitating neurological diseases caused by CAG•CTG expansions for which there are no effective treatments. RAN translation, which was discovered in SCA8, has previously been shown to occur across CAG and CUG expansion transcripts, making treatments for SCA8 potentially relevant to a broad group of diseases, including SCA1, SCA2, SCA3, SCA6, SCA7, SCA12, Huntington's disease, and myotonic dystrophy type 1. In addition, CUG and CAG expansion transcripts have been reported to cause RNA gain-of-function effects. Using SCA8 BAC transgenic mice as a model for CAG•CTG expansion diseases, we now show that metformin improves ambulatory performance using rotarod, DigiGait, and open-field testing. At the molecular level, metformin-treated mice show reduced RAN protein levels and improved splicing, without altering sense or antisense RNA levels. Metformin-treated mice also show decreased neuroinflammation, with reduced astrogliosis and fewer activated microglia. These data provide strong preclinical support for testing metformin in clinical trials for SCA8 and potentially the broader group of CAG•CTG repeat expansion disorders.
Fading Muscle and a Flaccid Bladder: Atonic Bladder in a Case of Myotonic Dystrophy-A Case Report.
Myotonic dystrophy Type 1 (DM1) is a multisystem genetic disorder characterised by progressive muscle weakness along with ocular, cardiac and endocrine abnormalities. However, detrusor underactivity manifesting as urinary retention is an under-recognised and rarely reported complication. To highlight a case of urinary retention caused by detrusor muscle underactivity in a young female with classic features of DM1, highlighting the need for early recognition and management of this rare but significant manifestation. This case is of a 31-year-old female with urinary retention due to detrusor muscle underactivity, which is an under-recognised complication of DM1. The patient had classical features including grip myotonia, frontal balding, ptosis, intellectual impairment and early cataract changes. Uroflowmetry and significant post-void residual volume confirmed an atonic bladder. Elevated creatinine phosphokinase levels prompted electromyography, which demonstrated myotonic dive bomber discharges, and genetic testing identified pathogenic CTG trinucleotide repeat expansion in the myotonic dystrophy protein kinase (DMPK) gene. The patient was treated initially with clean intermittent catheterisation and Bethanechol (muscarinic agonist), then switched to indwelling urinary catheterisation due to improper technique. However, the risk of recurrent urinary tract infections remains a concern. Carbamazepine improved grip myotonia. This case highlights the importance of the recognition of urinary retention as an important complication of DM1 and early recognition and treatment to prevent complications like recurrent urinary tract infections.
Publicações recentes
Commitment to Myogenic Differentiation Significantly Aggravates the RNA Phenotype in Myotonic Dystrophy Type 1.
CRISPR Gene Editing for Nucleotide Repeat Expansion Disorders: A Systematic Review of Preclinical and Clinical Evidence.
Targeting Expanded CUG and CTG Repeats as a Therapeutic Approach for Myotonic Dystrophy Type 1 (DM1).
Clinical and healthcare burden of myotonic dystrophy type 1 (DM1) in the United States: a claims-based study.
Prospective Study of Video Hand Opening Time as a Quantitative Measurement of Myotonia in Patients With Myotonic Dystrophy Type 1.
📚 EuropePMCmostrando 192
Evaluation of the methodology of independent Community Advisory Boards in health products research and development: a mixed-methods cross-sectional survey study.
Research involvement and engagementProgressive cardiac phenotypes and reduced reversibility from long-term CUGexp RNA expression in a DM1 mouse model.
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Journal of neuromuscular diseasesCRISPR Gene Editing for Nucleotide Repeat Expansion Disorders: A Systematic Review of Preclinical and Clinical Evidence.
Genetic testing and molecular biomarkersStepwise transcription stalling by the anti-cancer drug Actinomycin D and insights into short tandem repeat transcription inhibition.
Nature communicationsExpanding repeats, expanding impact: Somatic instability in myotonic dystrophy type 1.
Journal of neuromuscular diseasesMRCKα Is a Suppressor of GEF-H1/RhoA/MRTF Signaling in Tubular Cells.
CellsDelpacibart etedesiran improves the molecular pathology of myotonic dystrophy type 1 in the phase 1/2 MARINA study.
Molecular therapy : the journal of the American Society of Gene TherapyTargeting Expanded CUG and CTG Repeats as a Therapeutic Approach for Myotonic Dystrophy Type 1 (DM1).
ChemMedChemA systems perspective on rare diseases: integrating human phenotype ontology with the Anukta framework of Ayurveda.
Journal of Ayurveda and integrative medicineMetformin improves RAN protein pathology, alternative splicing, and behavioral phenotypes in SCA8 mice.
Life science allianceFading Muscle and a Flaccid Bladder: Atonic Bladder in a Case of Myotonic Dystrophy-A Case Report.
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European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyProspective Study of Video Hand Opening Time as a Quantitative Measurement of Myotonia in Patients With Myotonic Dystrophy Type 1.
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International journal of molecular sciencesMultiple Defects in Muscle Regeneration in the HSALR Mouse Model of RNA Toxicity.
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Neuromuscular disorders : NMDReduced Muscular Carnosine in Proximal Myotonic Myopathy-A Pilot 1H-MRS Study.
Annals of clinical and translational neurologyPathological mechanism in Fuchs endothelial corneal dystrophy and myotonic dystrophy type 1: more than meets the eye.
Progress in retinal and eye researchPotential of Nanopore Long Read Sequencing for Determining CTG Repeat Lengths in the DMPK1 Gene During Prenatal or Preimplantation Genetic Testing.
Prenatal diagnosisFrom molecular convergence to clinical divergence: Comparative pathogenic mechanisms and therapeutic trajectories in C9orf72-ALS/FTD and myotonic dystrophy.
Neurobiology of diseaseCharacterization of DMPK and MBNL1 expression in cell models of myotonic dystrophy: a platform for drug screening.
NAR molecular medicineAlternative Splicing of SORBS1 Affects Neuromuscular Junction Integrity in Myotonic Dystrophy Type 1.
Journal of cachexia, sarcopenia and muscleCorpus Callosum Diffusion Restriction in Neonatal Congenital Myotonic Dystrophy.
CureusA 12-Week Strength Training Improves Mitochondrial Respiration, H2O2 Emission and Skeletal Muscle Integrity in Women With Myotonic Dystrophy Type 1.
Acta physiologica (Oxford, England)AAV-mediated DMPK silencing: A defining moment in myotonic dystrophy type 1 therapeutics.
Molecular therapy : the journal of the American Society of Gene TherapyClinical features, quality of life, and fatigue in children with myotonic dystrophy type 1: A cross-sectional study.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyNeuropsychological and behavioral outcomes in childhood-onset myotonic dystrophy type 1 through lifespan: a scoping review.
Neuromuscular disorders : NMDHuntington disease: somatic expansion, pathobiology and therapeutics.
Nature reviews. NeurologyHSALR Mice Exhibit Co-Expression of Proteostasis Genes Prior to Development of Muscle Weakness.
International journal of molecular sciencesElevated Levels of Active GSK3β in the Blood of Patients with Myotonic Dystrophy Type 1 Correlate with Muscle Weakness.
International journal of molecular sciencesAberrant Splicing of DNM1L Impairs Cardiac Bioenergetics and Mitochondrial Dynamics in Myotonic Dystrophy Type I (DM1).
Circulation. Genomic and precision medicineFrom Mutations to Microbes: Investigating the Impact of the Gut Microbiome on Repeat Expansion Disorders.
Journal of neurochemistryPsychometric Properties of MFM32 in Myotonic Dystrophy Type 1.
Archives of physical medicine and rehabilitationUnusual dermoscopic features of multiple pilomatricomas, including a rare bullous variant.
Dermatology reportsGastrointestinal Manifestations As the Initial Presentation of Neurological Disease.
Cureus284th ENMC International Workshop: Cognitive and behavioral abnormalities in pediatric DM1; what should we measure in preparation for clinical trials? Hoofddorp, The Netherlands, January 24-26 2025.
Neuromuscular disorders : NMDDifferent operationalizations of the capability approach in evaluating rehabilitation for persons with neuromuscular diseases: a mixed-methods study.
Disability and rehabilitationHealth-related quality of life, pain, and fatigue in myotonic dystrophy type 2: a 13-year follow-up study.
Disability and rehabilitationRisk of Cardiac Disease in a Population-Based Cohort of Myotonic Dystrophy Type 1 and Type 2 in the United States.
Neurology. GeneticsAnalysis of muscle and blood RNA samples from patients with myotonic dystrophy type 1 reveals the presence of new mis-splicing biomarkers of disease severity.
Journal of medical geneticsExpert Consensus on Genetic Diagnostic Approaches for Patients With Limb-Girdle Muscular Dystrophy.
NeurologySynthesis of Janus Bases for Targeting C‑G and U-U Pairs of CUG-RNA Repeats Associated with Myotonic Dystrophy Type 1.
ACS omegaComparative Analysis of CRISPR/Cas9-targeted Nanopore Sequencing Approaches in Repeat Expansion Disorders.
Genomics, proteomics & bioinformatics288th ENMC International Workshop. Towards better diagnosing, understanding and treating gastrointestinal symptoms in myotonic dystrophy: extended insights and practical recommendations. 16-18 May 2025, Hoofddorp, the Netherlands.
Neuromuscular disorders : NMDPredictors of respiratory failure and survival in myotonic dystrophy type 1.
Journal of neuromuscular diseasesA novel discovery of elevated risk of neuroendocrine tumors in patients with myotonic dystrophy.
Journal of the neurological sciencesCortical thinning and white matter alterations in myotonic dystrophy type 2 over a 10-year period.
Journal of neurologyAutomated Classification of Neuromuscular Diseases Using Thigh Muscle MRI With Model Interpretations.
Journal of cachexia, sarcopenia and muscleMyopathies: Radiologist's Essential Tips for Clinical, Pathologic, and Imaging Findings.
Radiographics : a review publication of the Radiological Society of North America, IncAutoimmunity-associated DIORA1 binds the MRCK family of serine/threonine kinases and controls cell motility.
Proceedings of the National Academy of Sciences of the United States of AmericaIn Vivo Evaluation of CTG Repeat-Affected Muscle Pathology in a Myotonic Dystrophy Model Mouse Using Electromyography and Fluorescence In Situ Hybridization.
Methods in molecular biology (Clifton, N.J.)Therapeutic advances in type 1 myotonic dystrophy complicated with type 2 diabetes mellitus.
Frontiers in neurologyAdherence to Non-Invasive Ventilation in Steinert Disease: Clinical and Psychological Insights.
Brain sciencesConsensus recommendations and considerations for the delivery and monitoring of gene therapy in patients with Duchenne muscular dystrophy.
Neuromuscular disorders : NMDElimination of myotonia improves myopathy in a muscleblind knockout model of myotonic dystrophy.
bioRxiv : the preprint server for biologyNon-muscle myosin II-dependent cumulus cell migration at ovulation is required for sperm to reach the egg in mice.
Communications biologyElectrocardiogram vs Electrophysiological Study and Major Conduction Delays in Myotonic Dystrophy Type 1.
JAMA cardiologyEffectiveness of the capability approach in rehabilitation for persons with neuromuscular diseases: A controlled before-after study.
PloS oneMyotonic dystrophy type 1: clinical diversity, molecular insights and therapeutic perspectives.
Nature reviews. NeurologyEchocardiographic evaluation of cardiac function in patients with myotonic dystrophy - is the right ventricular dysfunction observed? One academic center experience.
Neurologia i neurochirurgia polskaDiscovery of RNA-Reactive Small Molecules Guides the Design of Electrophilic Modules for RNA-Specific Covalent Binders.
Journal of the American Chemical SocietyThe impact of Hnrnpl deficiency on transcriptional patterns of developing muscle cells.
FEBS open bioValidation of the FVB/N-Tg(HSA* LR)20bCath mice of myotonic dystrophy using swallowing function assessment, histology, and immunofluorescence analysis.
PloS oneEfficacy and safety of respiratory strength and endurance training in patients with myotonic dystrophy type 1 (DM1): a randomized controlled trial.
Journal of neurologySudden Death Caused by Bilateral Diaphragmatic Eventration in Myotonic Dystrophy Type 1.
The American journal of forensic medicine and pathologyVideo-Based Biomechanical Analysis Captures Disease-Specific Movement Signatures of Different Neuromuscular Diseases.
NEJM AI[Expert consensus on the diagnosis and treatment of sleep-disordered breathing related to neuromuscular diseases].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseasesMuscle-driven spinal cord histological and transcriptomic alterations in a myotonic dystrophy mouse model: insights into neuropathy.
Brain communicationsBeyond Prevalence: The Importance of Multifactorial Assessment in Cancer Risk Among Myotonic Dystrophy Patients.
Muscle & nerveDevelopment of an AAV-delivered microRNA gene therapy for myotonic dystrophy type 1.
Molecular therapy : the journal of the American Society of Gene TherapyStudy of Testosterone and Recombinant Human Growth Hormone in Facioscapulohumeral Muscular Dystrophy.
Neurology. GeneticscircARHGAP10 as a candidate biomarker and therapeutic target in myotonic dystrophy type 1.
Molecular therapy. Nucleic acidsAphasia Leading to the Diagnosis of Myotonic Dystrophy Type 1: A Case Report.
CureusCircularRNA and Musculoskeletal Diseases.
Advances in experimental medicine and biologyPopulation Pharmacokinetics of Tideglusib in Congenital and Childhood Myotonic Dystrophy Type 1: Influence of Demographic and Clinical Factors on Systemic Exposure.
PharmaceuticsStreamlined Fragment-Based Discovery Platform for Targeting Structured RNAs.
ACS chemical biologyCo-Opting MBNL-Dependent Alternative Splicing Cassette Exons to Control Gene Therapy in Myotonic Dystrophy.
Annals of neurologyMeasuring Myotonia: Normative Values and Comparison with Myotonic Dystrophy Type 1.
Neurology internationalPilomatricoma in Syndromic Contexts: A Literature Review and a Report of a Case in Apert Syndrome.
Dermatopathology (Basel, Switzerland)Three cases of pregnancies complicated with myotonic dystrophy type 1.
The journal of obstetrics and gynaecology researchLiving and coping with adult-onset myotonic dystrophy type 1 from the perspectives of caregivers.
Disability and rehabilitationPromoter-targeted small RNA duplexes increase MBNL1 transcription and mitigate myotonic dystrophy-associated spliceopathy.
Nucleic acids researchDifferential pathology and susceptibility to MBNL loss across muscles in myotonic dystrophy mouse models.
JCI insightChanges in RNA splicing as a surrogate endpoint for myotonic dystrophy Type 1 (DM1) clinical trials.
Journal of neuromuscular diseasesThe blind men and the elephant: recognising the multisystem symptoms of myotonic dystrophy type 1.
Orphanet journal of rare diseasesSpectrum of Cancers and Their Prognosis Among Patients With Myotonic Dystrophy.
JAMA network openTranscriptome alterations underlying metabolic dysfunction and liver disease in myotonic dystrophy type 1.
Human molecular geneticsEmerging drivers of DNA repeat expansions.
Biochemical Society transactionsLymphatic dysplasia evaluated by indocyanine green lymphography in congenital myotonic dystrophy.
Pediatrics international : official journal of the Japan Pediatric SocietyThe "greta oto" sign for diagnosing axial myopathy with low back pain as the major clinical manifestation: a novel MRI sign with report of four cases.
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research SocietyNon-invasive mechanical ventilation for chronic hypoventilation in myotonic dystrophy.
The Cochrane database of systematic reviewsLimb-Girdle Muscular Dystrophy Scientific Workshop: A Multistakeholder Discussion Focused on Charting the Path Forward for Drug Development.
Neurology. Clinical practiceAssessing the Safety and Efficacy of Lamotrigine as Anti-myotonic Agent in Myotonic Dystrophy Type 1 (DM1): A Longitudinal, Open-Label, Pilot Study.
Neurology and therapyInnovations In Physical Medicine and Rehabilitation: Advances in the Diagnosis, Treatment, and Care of Amyotrophic Lateral Sclerosis.
Missouri medicineEfficacy of Manual Wheelchair Skills Training for Improving Skills and Confidence in People With Hereditary Degenerative Disorders: Protocol for a Sequential Multimethods Study.
JMIR research protocolsDrug delivery agent that acts as a drug for synergistic activity.
iScienceAssessment of psychosocial adjustment and reduced initiative in children with myotonic dystrophy type 1: a pilot study on the reliability and clinical utility of a short parent-report questionnaire.
European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology SocietyExon Skipping by Ultrasound-Enhanced Delivery of Morpholino with Bubble Liposomes for Myotonic Dystrophy Model Mice.
Methods in molecular biology (Clifton, N.J.)An Overview of Recent Advances and Clinical Applications of Exon Skipping and Splice Modulation for Muscular Dystrophy and Various Genetic Diseases.
Methods in molecular biology (Clifton, N.J.)Evaluation of echocardiography monitoring in myotonic dystrophy type 1 patients.
Frontiers in cardiovascular medicineOxford Nanopore third generation sequencing for analysis of FMR1 5'UTR CGG repeat expansions.
Analytical biochemistryQuantitative brain volumetry in neurological disorders: from disease mechanisms to software solutions.
Polish journal of radiology"This Disease Is a Verdict You Must Live With for the Rest of Your Life": Experiences and Perspectives From People Living With Adult-Onset Myotonic Dystrophy Type 1.
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Eye (London, England)Repeat length as a key determinant for disease severity and antisense oligonucleotide activity in myotonic dystrophy type 1.
Molecular therapy. Methods & clinical developmentMolecular genetics of myotonic dystrophy and the evolution of therapeutic approaches.
Journal of human geneticsmiR-107 represses DMPK and is sequestered by CUG repeats triggering the MSI2/miR-7 pathogenesis axis in myotonic dystrophy.
Molecular therapy. Nucleic acidsLong-Term Follow-Up of Inducible Bundle Branch Reentrant Ventricular Tachycardia in Patients Without Structural Heart Disease: Beyond the Electrophysiology Laboratory.
Journal of cardiovascular electrophysiologyElevated Cancer Prevalence Identified at Specific Anatomical Sites Among People With Myotonic Dystrophy Using a Population-Based Sample.
Muscle & nerveThe Impact of Splicing Dysregulation on Neuromuscular Disorders and Current Neuromuscular Genetic Therapies.
Journal of neurochemistryComparative Analysis of MBNL1 Antibodies: Characterization of Recognition Sites and Detection of RNA Foci Colocalization.
GenesExtended Cardiac Rhythm Monitoring Detects More Arrhythmias in Myotonic Dystrophy Patients.
JACC. Clinical electrophysiologyPain Experiences and Prescription Pain Medications Among People With Selected Muscular Dystrophies in the Muscular Dystrophy Surveillance, Tracking, and Research Network.
Muscle & nerveThe Role of Actigraphy in the Assessment of Central Disorders of Hypersomnolence: A Systematic Review and Meta-Analysis.
The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiquesShort tandem repeat variants are possibly associated with RNA secondary structure and gene expression.
PloS oneLeft ventricular systolic dysfunction screening in muscular dystrophies using deep learning-based electrocardiogram interpretation.
Journal of electrocardiologySocietal Costs, Healthcare Utilisation and Labour Market Affiliation of Persons With Adult-Onset Myotonic Dystrophy Type 1 (DM1)-A Register-Based Study II.
European journal of neurologyGeneral anesthesia using remimazolam in an extremely preterm infant with myotonic dystrophy.
Minerva anestesiologicaMultisystem Symptoms in Myotonic Dystrophy Type 1: A Management and Therapeutic Perspective.
International journal of molecular sciencesPrevalence and prognostic impact of cardiac resonance abnormalities in myotonic dystrophy patients.
Neuromuscular disorders : NMDCurrent understanding of skeletal muscle repeat expansion disorders.
Current opinion in neurologyMyotonic dystrophy-related CDC42-binding kinase alpha (MRCKα) mediates methionine- and leucine-stimulated β-casein synthesis in bovine mammary epithelial cells via targeting mTOR.
Animal nutrition (Zhongguo xu mu shou yi xue hui)Left bundle branch area pacing in a case of Steinert's disease.
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Zhurnal nevrologii i psikhiatrii imeni S.S. KorsakovaAssociações
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Stepwise transcription stalling by the anti-cancer drug Actinomycin D and insights into short tandem repeat transcription inhibition.
- MRCKα Is a Suppressor of GEF-H1/RhoA/MRTF Signaling in Tubular Cells.
- Delpacibart etedesiran improves the molecular pathology of myotonic dystrophy type 1 in the phase 1/2 MARINA study.Molecular therapy : the journal of the American Society of Gene Therapy· 2026· PMID 41821312mais citado
- Metformin improves RAN protein pathology, alternative splicing, and behavioral phenotypes in SCA8 mice.
- Fading Muscle and a Flaccid Bladder: Atonic Bladder in a Case of Myotonic Dystrophy-A Case Report.
- Commitment to Myogenic Differentiation Significantly Aggravates the RNA Phenotype in Myotonic Dystrophy Type 1.
- CRISPR Gene Editing for Nucleotide Repeat Expansion Disorders: A Systematic Review of Preclinical and Clinical Evidence.
- Targeting Expanded CUG and CTG Repeats as a Therapeutic Approach for Myotonic Dystrophy Type 1 (DM1).
- Clinical and healthcare burden of myotonic dystrophy type 1 (DM1) in the United States: a claims-based study.
- Prospective Study of Video Hand Opening Time as a Quantitative Measurement of Myotonia in Patients With Myotonic Dystrophy Type 1.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:589821(Orphanet)
- MONDO:0035646(MONDO)
- GARD:22361(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
