OPMD Oculopharyngeal muscular dystrophy (OPMD) is a
genetic condition that occurs in adulthood often after the age of 40. This disorder usually leads to weaker facial muscles oftentimes showing as progressive eyelid drooping, swallowing difficulties, and proximal limb muscle weakness such as weak leg and hip muscles. People with this disorder are often hindered to the point that they have to use a cane in order to walk. OPMD has been reported in approximately 29 countries and the number affected varies widely by specific population. The disease can be inherited as an autosomal
dominant or
recessive trait.
Mutations Mutations of poly(A)-binding protein nuclear 1 (PABPN1) can cause OPMD (oculopharyngeal muscular dystrophy). What makes the PABPN1 protein so different than all other genes with disease causing expanded
polyalanine tracts, is that it is not a
transcription factor. Instead, PABPN1 is involved in the polyadenylation of
mRNA precursors. Mutations in PABPN1 that cause this disorder, result when the protein has an extended polyalanine tract (12-17 alanines long vs. the expected amount of 10). The extra alanines cause PABPN1 to aggregate and form clumps within muscles because they are not able to be broken down. These clumps are believed to disrupt the normal function of
muscle cells which eventually lead to cell death. This progressive loss of muscle cells most likely causes the weakness in muscles seen in patients with OPMD. It is still not known why this disorder only affects certain muscles like the upper leg and hip. In recent studies on OPMD in
Drosophila, it has been shown that the degeneration of muscles within those who are affected may not solely be due to the expanded polyalanine tract. It may actually be due to the RNA-binding domain and its function in binding.
Studies As of November 2015, significant effort has been dedicated to researching OPMD and potential treatment methods. Myoblast Transplantation has been suggested and is in fact in clinical trials in France. This is done by taking
myoblasts from a normal muscle cell and putting them into
pharyngeal muscles and allowing them to develop to help form new muscle cells. There has also been testing of compounds, either existing or developed, to see if they might combat OPMD and its symptoms.
Trehalose is a special form of sugar that has shown reduced aggregate formation and delayed pathology in the mouse model of OPMD.
Doxycycline also played a similar role in delaying
toxicity of OPMD in mouse models most likely due to stopping aggregate formation and reduced
apoptosis. Many other compounds and methods are currently being researched and showing some success in
clinical trials leading to optimism in curing this disease. ==Genes==