PMID- 25416603 OWN - NLM STAT- MEDLINE DCOM- 20150901 LR - 20141127 IS - 1744-8360 (Electronic) IS - 1473-7175 (Linking) VI - 14 IP - 12 DP - 2014 Dec TI - Current and future treatment of amyloid neuropathies. PG - 1437-51 LID - 10.1586/14737175.2014.983905 [doi] AB - Amyloid neuropathies of acquired or genetic origin are disabling and life-threatening, until recently there were few treatment options available. Poor prognosis is related to progressive neuropathy and associated, although often underdiagnosed, cardiac involvement in specific transthyretin (TTR) gene mutations. Recent progress has modified prognosis and management of amyloid neuropathies. In TTR-familial amyloidosis with polyneuropathy, major changes have occurred over the last 30 years: better knowledge concerning genetics, phenotypes and epidemiology, and the advent of possible treatments. Liver transplantation, first performed in 1990, stopped disease progression, thus doubling survival in early onset V30M patients. More recently tetramer stabilizers (Tafamidis and Diflunisal) showed a significant reduction of progression of neuropathic scores; Tafamidis is now recommended in Stage I patients. Two multicentric clinical trials are now ongoing to evaluate TTR gene silencing by antisense Oligonucleotides (ASO) or siRNA. In the near future we should have new therapeutical options for patients with amyloid neuropathy. FAU - Adams, David AU - Adams D AD - Department of Neurology, CHU Bicetre, APHP, Le Kremlin Bicetre, Cedex, France. FAU - Cauquil, Cecile AU - Cauquil C FAU - Theaudin, Marie AU - Theaudin M FAU - Rousseau, Antoine AU - Rousseau A FAU - Algalarrondo, Vincent AU - Algalarrondo V FAU - Slama, Michel S AU - Slama MS LA - eng PT - Journal Article PT - Review DEP - 20141121 PL - England TA - Expert Rev Neurother JT - Expert review of neurotherapeutics JID - 101129944 RN - 0 (Benzoxazoles) RN - 0 (Prealbumin) RN - 8FG9H9D31J (tafamidis) SB - IM MH - Amyloid Neuropathies/genetics/*therapy MH - Animals MH - Benzoxazoles/therapeutic use MH - *Genetic Therapy MH - Humans MH - *Liver Transplantation MH - Mutation/*genetics MH - Prealbumin/*genetics OTO - NOTNLM OT - TTR gene silencing OT - TTR tetramer stabilizer OT - antisense oligonucleotides OT - diflunisal OT - familial amyloid polyneuropathy OT - liver transplantation OT - patisiran OT - tafamidis OT - therapeutic patient education program OT - transthyretin EDAT- 2014/11/25 06:00 MHDA- 2015/09/02 06:00 CRDT- 2014/11/23 06:00 PHST- 2014/11/23 06:00 [entrez] PHST- 2014/11/25 06:00 [pubmed] PHST- 2015/09/02 06:00 [medline] AID - 10.1586/14737175.2014.983905 [doi] PST - ppublish SO - Expert Rev Neurother. 2014 Dec;14(12):1437-51. doi: 10.1586/14737175.2014.983905. Epub 2014 Nov 21.