eprintid: 10025895 rev_number: 28 eprint_status: archive userid: 608 dir: disk0/10/02/58/95 datestamp: 2017-10-24 11:58:56 lastmod: 2021-10-17 23:42:01 status_changed: 2018-06-07 13:16:12 type: article metadata_visibility: show creators_name: Giunti, P creators_name: Cook, A title: Friedreich's ataxia: clinical features, pathogenesis and management ispublished: pub divisions: UCL divisions: B02 divisions: C07 divisions: D07 divisions: F84 keywords: Friedreich’s ataxia, epigenetics, antioxidants note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: Introduction: Friedreich’s ataxia is the most common inherited ataxia. / Sources of data: Literature search using PubMed with keywords Friedreich’s ataxia together with published papers known to the authors. / Areas of agreement: The last decade has seen important advances in our understanding of the pathogenesis of disease. In particular, the genetic and epigenetic mechanisms underlying the disease now offer promising novel therapeutic targets. / Areas of controversy: The search for effective disease-modifying agents continues. It remains to be determined whether the most effective approach to treatment lies with increasing frataxin protein levels or addressing the metabolic consequences of the disease, for example with antioxidants. / Areas timely for developing research: Management of Freidreich’s ataxia is currently focussed on symptomatic management, delivered by the multidisciplinary team. Phase II clinical trials in agents that address the abberrant silencing of the frataxin gene need to be translated into large placebo-controlled Phase III trials to help establish their therapeutic potential. date: 2017-10-25 date_type: published official_url: http://dx.doi.org/10.1093/bmb/ldx034 oa_status: green full_text_type: other language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1473133 doi: 10.1093/bmb/ldx034 lyricists_name: Giunti, Paola lyricists_id: PGIUN65 actors_name: Allington-Smith, Dominic actors_id: DAALL44 actors_role: owner full_text_status: public publication: British Medical Bulletin volume: 124 number: 1 pagerange: 19-30 citation: Giunti, P; Cook, A; (2017) Friedreich's ataxia: clinical features, pathogenesis and management. British Medical Bulletin , 124 (1) pp. 19-30. 10.1093/bmb/ldx034 <https://doi.org/10.1093/bmb%2Fldx034>. Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10025895/1/Giunti_BMBRevisionFinal2.pdf