Disease‐Modifying Drugs Extend Survival in Hereditary Transthyretin Amyloid Polyneuropathy

Author:

Ueda Mitsuharu12ORCID,Misumi Yohei12ORCID,Nomura Toshiya12,Tasaki Masayoshi123,Yamakawa Shiori1,Obayashi Konen4,Yamashita Taro5,Ando Yukio6

Affiliation:

1. Department of Neurology Graduate School of Medical Sciences, Kumamoto University Kumamoto Japan

2. Amyloidosis Center Kumamoto University Hospital Kumamoto Japan

3. Department of Biomedical Laboratory Sciences Graduate School of Health Sciences, Kumamoto University Kumamoto Japan

4. Department of Morphological and Physiological Sciences Graduate School of Health Sciences, Kumamoto University Kumamoto Japan

5. Department of Neurology Soyo Hospital Kumamoto Japan

6. Department of Amyloidosis Research, Faculty of Pharmaceutical Sciences Nagasaki International University Nagasaki Japan

Abstract

Hereditary transthyretin (ATTRv) amyloidosis is a rare, fatal systemic disease, associated with polyneuropathy and cardiomyopathy, that is caused by mutant transthyretin (TTR). In addition to liver transplantation, several groundbreaking disease‐modifying drugs (DMDs) such as tetrameric TTR stabilizers and TTR gene‐silencing therapies have been developed for ATTRv amyloid polyneuropathy. They were based on a working hypothesis of the mechanisms of ATTRv amyloid formation. In this retrospective cohort study, we investigated survival of all 201 consecutive patients with ATTRv amyloidosis in our center. The effects of DMDs on survival improvements were significant not only in early‐onset patients but also in late‐onset patients. ANN NEUROL 2024;95:230–236

Funder

Japan Agency for Medical Research and Development

Japan Society for the Promotion of Science

Ministry of Health, Labour and Welfare

Publisher

Wiley

Subject

Neurology (clinical),Neurology

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