Calcium channels (red) cluster at presynaptic termini, but not without SMN (right).

A paralyzing disease might best be treated by exciting motoneurons rather than saving them, report Jablonka et al.

The paralysis that occurs in patients with spinal muscular atrophy (SMA) stems from defective SMN1, a protein that interacts with mRNA transport factors. Motoneurons seem to be particularly sensitive to the transport problems, perhaps due to their considerable length. In mice with mutant SMN1, β-actin mRNA is not brought correctly to axonal tips, where it normally forms scaffolds needed for vesicle trafficking to the presynaptic membrane.

The scarcity of β-actin scaffolds, the team now shows, severely hinders the delivery of calcium channels to the membrane. Without the usual dense clusters of these channels, calcium influx and thus neuronal excitation were impaired. The excitation defects could be reversed by stimulating the production of SMN protein from...

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