“…However, how suboptimal levels of SMN lead to SMA is largely unknown. Multiple studies in SMA mouse models revealed widespread synaptic defects in neuromuscular junctions (NMJs), including neurofilament accumulation, poor terminal arborization, immature endplates, reduced quantal content, disturbed calcium homeostasis, and decreased remodeling potential; these defects precede motor neuron death (Cifuentes-Diaz et al 2002;Le et al 2005;Jablonka et al 2007;Kariya et al 2008;Murray et al 2008Murray et al , 2012Kong et al 2009;Ling et al 2010;Ruiz et al 2010;Lee et al 2011), suggesting that the NMJ alterations are the initial consequence of SMN deficiency, Ó 2015 Hua et al This article is distributed exclusively by Cold Spring Harbor Laboratory Press for the first six months after the full-issue publication date (see http://genesdev.cshlp.org/site/misc/terms.xhtml). After six months, it is available under a Creative Commons License (Attribution-NonCommercial 4.0 International), as described at http:// creativecommons.org/licenses/by-nc/4.0/.…”