PMID- 30619446 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1664-8021 (Print) IS - 1664-8021 (Electronic) IS - 1664-8021 (Linking) VI - 9 DP - 2018 TI - Infantile Neuroaxonal Dystrophy: Diagnosis and Possible Treatments. PG - 597 LID - 10.3389/fgene.2018.00597 [doi] LID - 597 AB - Infantile Neuroaxonal Dystrophy (INAD) is a rare neurodegenerative disease that often cuts short the life span of a child to 10 years. With a typical onset at 6 months of age, INAD is characterized by regression of acquired motor skills, delayed motor coordination and eventual loss of voluntary muscle control. Biallelic mutations in the PLA2G6 gene have been identified as the most frequent cause of INAD. We highlight the salient features of INAD molecular pathology and the progress made in molecular diagnostics. We reiterate that enhanced molecular diagnostic methodologies such as targeted gene panel testing, exome sequencing, and whole genome sequencing can help ascertain a molecular diagnosis. We describe how the defective catalytic activity of the PLA2G6 gene could be potentially overcome by enzyme replacement or gene correction, giving examples and challenges specific to INAD. This is expected to encourage steps toward developing and testing emerging therapies that might alleviate INAD progression and help realize objectives of patient formed organizations such as the INADcure Foundation. FAU - Babin, Patricia L AU - Babin PL AD - Rare Genomics Institute, Downey, CA, United States. FAU - Rao, Sudheendra N R AU - Rao SNR AD - Rare Genomics Institute, Downey, CA, United States. FAU - Chacko, Anita AU - Chacko A AD - Rare Genomics Institute, Downey, CA, United States. FAU - Alvina, Fidelia B AU - Alvina FB AD - Rare Genomics Institute, Downey, CA, United States. FAU - Panwala, Anil AU - Panwala A AD - INADcure Foundation, Fairfield, NJ, United States. FAU - Panwala, Leena AU - Panwala L AD - INADcure Foundation, Fairfield, NJ, United States. FAU - Fumagalli, Danielle C AU - Fumagalli DC AD - Rare Genomics Institute, Downey, CA, United States. LA - eng PT - Journal Article DEP - 20181210 PL - Switzerland TA - Front Genet JT - Frontiers in genetics JID - 101560621 PMC - PMC6295457 OTO - NOTNLM OT - CRISPR/Cas9 OT - enzyme replacement therapy OT - exome sequencing OT - infantile neuroaxonal dystrophy OT - rare disease OT - vector gene therapy EDAT- 2019/01/09 06:00 MHDA- 2019/01/09 06:01 PMCR- 2018/12/10 CRDT- 2019/01/09 06:00 PHST- 2018/02/15 00:00 [received] PHST- 2018/11/15 00:00 [accepted] PHST- 2019/01/09 06:00 [entrez] PHST- 2019/01/09 06:00 [pubmed] PHST- 2019/01/09 06:01 [medline] PHST- 2018/12/10 00:00 [pmc-release] AID - 10.3389/fgene.2018.00597 [doi] PST - epublish SO - Front Genet. 2018 Dec 10;9:597. doi: 10.3389/fgene.2018.00597. eCollection 2018.