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| RESEARCH THEME:
Mitochondrial and Other Neuromuscular Diseases Using molecular genetic techniques, my laboratory focuses on identifying the causative mutations in neurogenetic diseases and on elucidating how the mutations disrupt normal cellular functions. For more than ten years, I have been studying a rare inherited mitochondrial disease called mitochondrial neurogastrointestinal encephalomyopathy or MNGIE, a fatal degenerative disease characterized by impaired eye movements, severe gastrointestinal symptoms leading to weight loss, and degeneration of motor and sensory nerves. We identified causative mutations in the gene encoding thymidine phosphorylase in MNGIE patients. In this disease, loss of thymidine phosphorylase activity leads to toxic accumulations of molecules that lead to damage in mitochondrial DNA. We are testing potential therapies for this disease. We also identified causative mutations for Danon disease and deficiency of coenzyme Q10. We are currently looking for mutations that cause specific types of muscular dystrophy. I am collaborating with Drs. Hiroshi Mitsumoto, Paul Gordon, and Ali Naini who are looking for a genetic modifier that seems to make women more likely to develop amyotrophic lateral sclerosis in a family with an unusual mutation in superoxide dismutase 1 (SOD1). BACKGROUND AND EDUCATION : Michio Hirano is an Associate Professor of Neurology and Co-Director of the Columbia Muscular Dystrophy Association clinic (Dr. Hiroshi Mitsumoto, Director). He received his M.D. from the Albert Einstein College of Medicine and did his internship at the affiliated Bronx Municipal Medical Center. He did his Neurology Residency at Columbia-Presbyterian Medical Center and was a Chief Resident in his last year. He did a neuromuscular research fellowship under Drs. Salvatore DiMauro and Eric Schon at the H. Houston Merritt Clinical Research Center at Columbia-Presbyterian Medical Center where he became an Assistant Professor of Neurology in 1992. EDUCATION AND TRAINING:
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