Generation of isogenic models of Angelmansyndrome and Prader-Willi syndrome in CRISPR/Cas9-engineered human embryonic stem cells. Angelmansyndrome (AS) and Prader-Willi syndrome (PWS), two distinct neurodevelopmental disorders, result from loss of expression from imprinted genes in the chromosome 15q11-13 locus most commonly caused by a megabase-scale deletion on either the maternal or paternal
Prenatal delivery of a therapeutic antisense oligonucleotide achieves broad biodistribution in the brain and ameliorates AngelmanSyndrome phenotype in mice. Angelmansyndrome (AS), an early-onset neurodevelopmental disorder characterized by abnormal gait, intellectual disabilities, and seizures, occurs when the maternal allele of the UBE3A gene is disrupted, since the paternal allele is silenced
Long-read sequencing for detection and subtyping of Prader-Willi and Angelmansyndromes. Prader-Willi syndrome (PWS) and Angelmansyndrome (AS) are imprinting disorders caused by genetic or epigenetic aberrations of 15q11.2-q13. Their clinical testing is often multitiered; diagnostic testing begins with methylation-specific multiplex ligation-dependent probe amplification or methylation
Peptidomimetic inhibitors targeting TrkB/PSD-95 signaling improves cognition and seizure outcomes in an AngelmanSyndrome mouse model. Angelmansyndrome (AS) is a rare genetic neurodevelopmental disorder with profoundly debilitating symptoms with no FDA-approved cure or therapeutic. Brain-derived neurotrophic factor (BDNF), and its receptor tropomyosin receptor kinase B (TrkB), have a well
Health-related quality of life and medication use among individuals with Angelmansyndrome. The primary goal of this analysis is to describe the health-related quality of life (HRQoL), medical history, and medication use among adolescents and adults individuals with Angelmansyndrome (AS). The analysis uses baseline data collected during the STARS study, a double-blind placebo controlled trial
Antisense oligonucleotide therapy rescues disturbed brain rhythms and sleep in juvenile and adult mouse models of Angelmansyndrome. encodes ubiquitin protein ligase E3A, and in neurons its expression from the paternal allele is repressed by the antisense transcript (). This leaves neurons susceptible to loss-of-function of maternal . Indeed, Angelmansyndrome, a severe neurodevelopmental disorder, is caused by maternal deficiency. A promising therapeutic approach to treating Angelmansyndrome is to reactivate the intact paternal by suppressing . Prior studies show that many neurological phenotypes of maternal knockout mice can only be rescued by reinstating expression in early development, indicating a restricted therapeutic window for Angelmansyndrome. Here we report that reducing
Sleep problems in children with AngelmanSyndrome: The effect of a behavioral intervention program. The aim of this study was to investigate the effect of a behavioral intervention on sleep problems, which are significant and an unmet clinical need in children with AngelmanSyndrome (AS). Children (2-18 years) with AS and sleep problems were randomized to a behavioral intervention program
Gaboxadol in angelmansyndrome: A double-blind, parallel-group, randomized placebo-controlled phase 3 study. To evaluate efficacy and safety of gaboxadol for treatment of children with Angelmansyndrome (AS). In this international, double-blind, phase 3 trial, we randomized children 4-12 years old with a molecular diagnosis of AS and a Clinical Global Impression (CGI)-severity score ≥3 to either
A high-fidelity RNA-targeting Cas13 restores paternal Ube3a expression and improves motor functions in AngelmanSyndrome mice. The AngelmanSyndrome (AS) is a rare neurodevelopmental disorder caused by loss of function mutations in maternally expressed UBE3A. No gene-specific treatment is available for patients so far. Although intact and transcriptionally active, paternally inherited UBE3A potentially serves as a promising targeted intervention for AngelmanSyndrome.
Transcriptional reprogramming restores UBE3A brain-wide and rescues behavioral phenotypes in an AngelmanSyndrome mouse model. Angelmansyndrome (AS) is a neurogenetic disorder caused by the loss of the ubiquitin ligase E3A (UBE3A) gene expression in the brain. The UBE3A gene is paternally imprinted in brain neurons. Clinical features of AS are primarily due to the loss of maternally expressed UBE3A in the brain. A healthy copy of paternal UBE3A is present in the brain but is silenced by a long noncoding antisense transcript (UBE3A-ATS). Here, we demonstrate that an artificial transcription factor (ATF-S1K) can silence Ube3a-ATS in an adult mouse model of AngelmanSyndrome and restore endogenous physiological expression of paternal Ube3a. A single injection of adeno-associated virus (AAV
Biallelic variants in HECT E3 paralogs, HECTD4 and UBE3C, encoding ubiquitin ligases cause neurodevelopmental disorders that overlap with Angelmansyndrome. Pathogenic variants in genes encoding ubiquitin E3 ligases are known to cause neurodevelopmental syndromes. Additional neurodevelopmental disorders associated with the other genes encoding E3 ligases are yet to be identified. Chromosomal , that were rare, absent from controls as homozygous, and predicted to be deleterious in silico. In 3 patients from 2 families with Angelman-like syndrome, paralog-directed candidate gene approach detected 2 LoF variants in the other candidate E3 ligase gene, UBE3C, a paralog of the Angelmansyndrome E3 ligase gene, UBE3A. The RNA studies in 4 patients with LoF variants in HECTD4 and UBE3C provided evidence
The STARS Phase 2 Study: A Randomized Controlled Trial of Gaboxadol in AngelmanSyndrome To evaluate safety and tolerability and exploratory efficacy end points for gaboxadol (OV101) compared with placebo in individuals with Angelmansyndrome (AS). Gaboxadol is a highly selective orthosteric agonist that activates δ-subunit-containing extrasynaptic γ-aminobutyric acid type A (GABA) receptors
Nutritional Formulation for Patients with AngelmanSyndrome: A Randomized, Double-Blind, Placebo-Controlled Study of Exogenous Ketones. Angelmansyndrome (AS) patients often respond to low glycemic index therapy to manage refractory seizures. These diets significantly affect quality of life and are challenging to implement. These formulations may have benefits in AS even in the absence
CRISPR/Cas9 directed to the Ube3a antisense transcript improves Angelmansyndrome phenotype in mice. Gene editing holds the potential to correct mutations and cure devastating genetic disorders. The technology has not yet proven efficacious for therapeutic use in CNS diseases with ubiquitous neuronal defects. Angelmansyndrome (AS), a severe neurodevelopmental disorder, is caused by a lack
Antisense oligonucleotide treatment rescues UBE3A expression and multiple phenotypes of an Angelmansyndrome mouse model. Angelmansyndrome (AS) is a severe neurodevelopmental disorder for which only symptomatic treatment with limited benefits is available. AS is caused by mutations affecting the maternally inherited ubiquitin protein ligase E3A (UBE3A) gene. Previous studies showed
Dual-isoform hUBE3A gene transfer improves behavioral and seizure outcomes in Angelmansyndrome model mice. Loss of the maternal UBE3A allele causes Angelmansyndrome (AS), a debilitating neurodevelopmental disorder. Here, we devised an AS treatment strategy based on reinstating dual-isoform expression of human UBE3A (hUBE3A) in the developing brain. Kozak sequence engineering of our codon
Angelmansyndrome and melatonin: What can they teach us about sleep regulation. In 1965, Dr Harry Angelman reported a neurodevelopmental disorder affecting three unrelated children who had similar symptoms: brachycephaly, mental retardation, ataxia, seizures, protruding tongues, and remarkable paroxysms of laughter. Over the past 50 years, the disorder became Angelman's namesake and symptomology was expanded to include hyper-activity, stereotypies, and severe sleep disturbances. The sleep disorders in many Angelmansyndrome (AS) patients are broadly characterized by difficulty falling and staying asleep at night. Some of these patients sleep less than 4 hours a night and, in most cases, do not make up this lost sleep during the day-leading to the speculation that AS patients may "need" less sleep
Angelman'sSyndrome We value your privacyWe and our partners store and/or access information on a device, such as cookies and process personal data, such as unique identifiers and standard information sent by a device for personalised ads and content, ad and content measurement, and audience insights, as well as to develop and improve products. With your permission we and our partners may use THIS ARTICLEGeneticsPresentationConsensus criteria for clinical featuresDifferential diagnosisInvestigationsManagementPrognosisThis is a rare genetic disorder first described in 1965 by Harry Angelman (1915-1996), an English physician. The behavioural features of Angelman'ssyndrome (AS) include a happy demeanour, easily provoked laughter, short attention span, hypermotoric behaviour, mouthing of objects, sleep disturbance
Update of the EMQN/ACGS best practice guidelines for molecular analysis of Prader-Willi and Angelmansyndromes. This article is an update of the best practice guidelines for the molecular analysis of Prader-Willi and Angelmansyndromes published in 2010 in BMC Medical Genetics [1]. The update takes into account developments in terms of techniques, differential diagnoses and (especially) reporting
Communication in Angelmansyndrome: a scoping review. A scoping review was conducted to examine and evaluate empirical data on the communication profile of Angelmansyndrome beyond the described dissociation between receptive language and speech. Three databases (PsycINFO, Embase, and Web of Science) were searched to retrieve articles investigating communication in Angelmansyndrome. Seventeen articles investigating the broader communication profile were found; their methodology was evaluated against quality criteria. Despite the absence of speech, individuals with Angelmansyndrome have a wide repertoire of non-verbal communicative behaviours, mainly characterized by gestures, although advanced forms such as symbolic communication are used by some individuals. The use of communicative forms