
Neurology International, Journal Year: 2025, Volume and Issue: 17(3), P. 41 - 41
Published: March 13, 2025
Spinal muscular atrophy (SMA) is a neuromuscular disorder caused by homozygous deletions or mutations in the SMN1 gene, leading to progressive motor neuron degeneration. While SMA has been classically viewed as neuron-autonomous disease, increasing evidence indicates significant role of glial cells—astrocytes, microglia, oligodendrocytes, and Schwann cells—in disease pathophysiology. Astrocytic dysfunction contributes vulnerability through impaired calcium homeostasis, disrupted synaptic integrity, neurotrophic factor deficits. Microglia, reactive gliosis complement-mediated stripping, exacerbate neurodegeneration neuroinflammation. Oligodendrocytes exhibit differentiation metabolic support, while cells display abnormalities myelination, extracellular matrix composition, junction maintenance, further compromising function. Dysregulation pathways such NF-κB, Notch, JAK/STAT, alongside upregulation complement proteins microRNAs, reinforces non-cell-autonomous nature SMA. Despite advances SMN-restorative therapies, they do not fully mitigate dysfunction. Targeting pathology, including modulation astrogliosis, microglial polarization, myelination deficits, represents critical avenue for therapeutic intervention. This review comprehensively examines multifaceted roles highlights emerging glia-targeted strategies enhance treatment efficacy improve patient outcomes.
Language: Английский