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The Role of Genetics in Early-Onset Neurological Disorders

Sandeep Dhanyamraju
Medically reviewed by Chaitanya Bonda
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Sandeep Dhanyamraju
Medically reviewed by Chaitanya Bonda

Early-onset neural disorders (EOND) encompass a range of conditions that affect the nervous system. They often show up in childhood or adolescence. The causes can be complex. However, in all cases, genetics plays a crucial role.

Multiple factors influence the development of these diseases, including:

  • Single-gene mutations
  • Multiple-gene interactions
  • Chromosomal abnormalities

Understanding the impact of genes on EOND is essential. It’s vital for evaluation and medical approaches. It improves the lives of those affected by these diseases. In our article, we will take a closer look at the genetics side, role of mutations, biomarkers and genetic research.

What Are Early-Onset Neurological Disorders and Why Genetics Matter?

These encompass a wide spectrum of conditions. These disorders affect the human nervous system and typically manifest symptoms during childhood or adolescence. These disorders can impact many aspects of neural function, including motor skills, mental abilities, behavior, and sensory perception.

Genetics plays a central role in the development of these diseases. Our genetic makeup, inherited from our parents, provides the blueprint for our bodies. It includes the intricate workings of the nervous system. Variations or errors in this genetic code can disrupt the normal development and function of the nervous system. It can lead to neural disorders (ND).

Genetic mutations are a primary cause of EOND. These issues can occur spontaneously or be inherited from a parent. Some of them may have a direct and immediate impact. They can cause neural symptoms to appear early in life. Other ones may increase the risk of developing an ND later in life. However, the onset is still considered early if it occurs during childhood or adolescence.

Hereditary Diseases and Their Influence on Neurological Health 

These diseases are also known as genetic ones. They’re passed down from parents to their children through genes. These issues can significantly contribute to EOND. If a parent carries a genetic mutation, their child may inherit it and develop the condition.

Several specific mutations are responsible for many EOND. For instance, mutations in the gene responsible for producing the protein dystrophin can lead to Duchenne muscular dystrophy. It’s a progressive muscle-wasting disorder that often manifests in early childhood. And mutations in the gene for producing the protein huntingtin can cause Huntington’s disease. It’s a disease that typically appears in adulthood but can also have an early-onset form.

The Role of Genetic Mutations in Neurodevelopment and Disease Progression

Mutations can disrupt neurodevelopment in many ways. It leads to the onset of neural symptoms. Some may interfere with the formation of nerve cells, their connections, or the production of essential transmitters. These can occur during fetal development, childhood, or adolescence. It depends on the specific anomaly and its impact.

The connection between genetic anomalies and the onset of neural symptoms can be complex. Some anomalies may cause immediate and severe impairments. Meanwhile, others may have a more subtle effect. They can lead to effects that gradually worsen over time. The timing and severity can also vary. It depends on environmental influences and the presence of other gene variations.

Understanding the role of genetic mutations in neurodevelopment and disease progression is crucial. It’s vital for developing effective treatment for EOND. By finding the specific genes and anomalies involved in these conditions, doctors can gain insights into the underlying mechanisms of the issue and develop targeted treatment.

The Growing Importance of Genetic Biomarkers in Diagnosis and Treatment

The-Growing-Importance

DNA markers are specific DNA sequences or variations. They can be used to find and evaluate diseases, predict risk, and guide treatment decisions. In EOND, DNA markers play a crucial role in diagnosis and treatment.

These markers can help diagnose EOND in several ways:

  • Finding Specific Genetic Mutations. Some diseases are caused by specific mutations. Finding them through testing can confirm a diagnosis. It’s even before symptoms appear.
  • Predicting Disease Risk. Biomarkers can help find people who are at risk of developing a ND. It’s even if they don’t have any effects yet. This information can help guide preventive measures and early interventions.
  • Distinguishing Between Different Types. Some diseases can have similar features. It makes it difficult to distinguish between them. DNA markers can help differentiate between them.

Finding genetic markers can lead to personalized treatment plans. They’re tailored to an individual’s specific condition and genetic makeup. This is because different genetic variations can affect how a person responds to certain treatments.

For example, people with epilepsy. They may have a variation that makes them more likely to respond to a particular anti-seizure medications. By finding this variation, doctors can choose the most effective medication. It increases the chances of successful treatment and reduces the risk of side effects.

Advancements in testing and screening have made it easier and more affordable to find biomarkers. These advancements include:

  • Next-Generation Sequencing (NGS). This is a powerful technology that can sequence large amounts of DNA quickly and accurately. This has made it possible to find a wide range of genetic variations associated with neurological conditions.
  • Genome-Wide Association Studies (GWAS). They’re large-scale studies that compare the DNA of people with and without a particular disease with the goal of identifying genetic variations associated with the disease. GWAS have been instrumental in finding new DNA markers for diseases.
  • Liquid Biopsies. They’re a non-invasive way to collect DNA from blood or other bodily fluids. This can be used to find DNA markers in people who are unable to undergo more invasive procedures.

Advances in Genetic Research: Unlocking New Treatments for Early-Onset Neurological Disorders

Advances-in-Genetic

EOND presents significant challenges due to their early impact on development. However, groundbreaking advances in DNA research are offering hope for new treatments. Researchers are finding the specific mutations responsible for these diseases. It paves the way for targeted treatments.

One crucial area involves understanding how these anomalies disrupt normal neural function. For instance, studies are delving into the role of: 

  • Gene expression
  • Protein misfolding
  • Cellular signaling pathways

These studies focus on infantile epilepsy, childhood-onset Parkinson’s, and many forms of muscular dystrophy. Scientists pinpoint the precise mechanisms affected by faulty genes. This allows them to develop interventions aimed at correcting or compensating for these disruptions.

Ongoing clinical trials are evaluating the safety and efficacy of several innovative treatments. Gene therapy is a promising avenue. It involves delivering corrected or functional copies of the mutated gene into the patient’s cells. This approach holds immense potential for conditions where the underlying problem is a missing or non-functional protein. 

Another strategy is RNA interference. It aims to silence or reduce the expression of harmful genes, proving useful in diseases caused by overactive or toxic proteins. Furthermore, researchers are investigating the use of CRISPR-Cas9 gene editing. It’s needed to directly correct mutations within the DNA. It’s still largely in its early stages. However, it holds immense promise for permanently fixing the root causes.

The future of treatment for early-onset NDs is bright. Our understanding of the human genome deepens, and technology advances. However, we can expect to see more targeted and effective therapeutic options in the future.

How Understanding Genetics Can Help Families Plan for the Future

Understanding genetics plays a crucial role in helping families plan for the future. It’s especially when there’s a risk of EOND. Counseling provides invaluable support to families navigating these issues.

Counseling is a process that involves a trained professional. For example, a genetic counselor or medical geneticist. These professionals help families understand and adapt to their new circumstances. Counseling offers several benefits:

  • Risk Assessment. Counselors can assess the risk of a child inheriting a genetic condition based on family history and testing. They can explain the different inheritance patterns and the likelihood of recurrence.
  • Education. Counselors provide comprehensive information about specific diseases. It includes their causes, effects, prognosis, and available treatments. They can help families understand complex information and make informed decisions.
  • Testing Options. Counselors can discuss available testing options. It includes carrier, prenatal testing, and preimplantation genetic diagnosis (PGD). They can explain the benefits and limitations of each test. And they can help families decide which tests are appropriate for their situation.
  • Emotional Support. Receiving a diagnosis of a hereditary disease or learning about the risk of inheritance can be emotionally challenging. Counselors provide emotional support and guidance to families. They help them cope with the information and make informed decisions.
  • Family Planning. Counseling can help families explore different family planning options. For example, adoption, donor eggs or sperm, or in vitro fertilization (IVF) with PGD if they’re at high risk of passing on a genetic condition.

Understanding the genetic basis of ND can open doors to intervention strategies. In some cases, knowing the specific mutation allows for early monitoring and interventions to reduce or delay the onset of symptoms. For example, in some metabolic diseases that can cause neural damage. In these cases, early dietary interventions can significantly improve outcomes. Research is also exploring preventative therapies for some genetic conditions.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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