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Six year ago , a teenager from Italy traveled to the U.S. in hope of find a diagnosis for her mysterious aesculapian stipulation , which had cause her to lose the ability to take the air and expect her to have a respiration tubing . Now , research worker have name the teenager , Claudia Digregorio , and 10 other children with a raw form ofamyotrophic sidelong sclerosis ( ALS)that happen upon in childhood and move on more slowly than what is typically learn with this condition .

In addition , the research worker have nail a factor that seems to cause this frame of ALS , and they may have also identified a likely intervention for the condition , consort to a study describing the finding , put out Monday ( May 31 ) in the journalNature Medicine .

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" We hope these results will assist doctors recognize this new contour of ALS and lead to the development of treatments that will improve the life of these children and new adults , " Dr. Carsten Bönnemann , aged researcher at the National Institute of Neurological Disorders and Stroke ( NINDS ) and a senior author of the subject , said in a statement . " We also desire that our results may provide new hint to understanding and treat other forms of the disease . "

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ALS is a rarified disease that causes progressive degeneration and death of the nerve cells that control voluntary muscle bm , such as chew , walk , talking and respiration , accord to theNINDS . Most people with ALS develop symptoms between historic period 55 and 75 , and the disease usually shape up chop-chop , with death occurring in three to five long time after diagnosing .

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But with the fresh chassis of ALS , symptom appeared much sooner , often around 4 years of age . For many of the 11 patients , problems with walk and spasticity in their low limbs were the first signs of the disease . By the teenage years , many of the patient , like Digregorio , ask a wheelchair for mobility and a tracheostomy tube for breathing financial support . Before Digregorio go forth for the U.S. , the then 15 - yr - old encounter with Pope Francis , who offered appeal for her health , according to a 2015 issue of theNIH Record , a newssheet of the National Institutes of Health .

The researchers launch an resolution for Digregorio , who was the first patient include in the study . Despite arise symptom at such an other eld , she and the other 10 children showed hallmark sign of ALS on neurologic exams , including severely subvert or paralyzed muscles , the research worker say .

" These immature patient role had many of the upper and low-down motor neuron problem that are declarative of ALS , " said sketch lead author Dr. Payam Mohassel , a clinical research fellow at the NIH . ( Motor nerve cell are face electric cell in thebrainand spinal cord that send signal that command movement . Upper motor neurons originate in the brain and air signals to the lower motor nerve cell , which are in the spinal cord . ) " What made these case unique was the early age of onslaught and the slow progression of symptoms , " Mohassel said . " This made us inquire what was underlie this distinct kind of ALS . "

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Using familial sequencing , the investigator find that these patients had genetic changes in a specific incision of a gene call SPLTC1 . This gene is involved in the yield of blubber called sphingolipids , which are particularly abundant in brain tissue . A number of other pernicious neurodegenerative diseases , include Nieman Pick disease and Tay - Sachs disease , are also because of problems with sphingolipid metamorphosis .

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Further research revealed that the mutation in SPLTC1 increased the levels of sphingolipids . Specifically , the investigator found that the sport " takes the brake " off of an enzyme involved in the production of sphingolipids , mean the consistency keeps churning out these fats without its common feedback system to say it when to check .

The determination mean that restoring this " bracken " might handle this character of ALS , the authors said .

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In another experiment , the investigator test a therapy called little intervene RNA , or siRNA , in which small strands ofRNAwork to " quieten " a mutate cistron — in this case , SPLTC1 . In studies in lab dishes , the therapy worked to regenerate sphingolipids level to normal .

" Our ultimate goal is to translate these estimate into effective treatments for our patients who currently have no therapeutic options , " Bönnemann said .

Future studies should also look into whether job with sphingolipid metabolic process play a role in other forms of ALS , the authors enounce .

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to begin with published on Live Science .

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