Therapeutic approaches for Duchenne muscular dystrophy.


Journal

Nature reviews. Drug discovery
ISSN: 1474-1784
Titre abrégé: Nat Rev Drug Discov
Pays: England
ID NLM: 101124171

Informations de publication

Date de publication:
Nov 2023
Historique:
accepted: 28 07 2023
medline: 2 11 2023
pubmed: 1 9 2023
entrez: 31 8 2023
Statut: ppublish

Résumé

Duchenne muscular dystrophy (DMD) is a monogenic muscle-wasting disorder and a priority candidate for molecular and cellular therapeutics. Although rare, it is the most common inherited myopathy affecting children and so has been the focus of intense research activity. It is caused by mutations that disrupt production of the dystrophin protein, and a plethora of drug development approaches are under way that aim to restore dystrophin function, including exon skipping, stop codon readthrough, gene replacement, cell therapy and gene editing. These efforts have led to the clinical approval of four exon skipping antisense oligonucleotides, one stop codon readthrough drug and one gene therapy product, with other approvals likely soon. Here, we discuss the latest therapeutic strategies that are under development and being deployed to treat DMD. Lessons from these drug development programmes are likely to have a major impact on the DMD field, but also on molecular and cellular medicine more generally. Thus, DMD is a pioneer disease at the forefront of future drug discovery efforts, with these experimental treatments paving the way for therapies using similar mechanisms of action being developed for other genetic diseases.

Identifiants

pubmed: 37652974
doi: 10.1038/s41573-023-00775-6
pii: 10.1038/s41573-023-00775-6
doi:

Substances chimiques

Dystrophin 0
Codon, Terminator 0
Oligonucleotides, Antisense 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

917-934

Informations de copyright

© 2023. Springer Nature Limited.

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Auteurs

Thomas C Roberts (TC)

Institute of Developmental and Regenerative Medicine, University of Oxford, Oxford, UK. thomas.roberts@idrm.ox.ac.uk.
Department of Paediatrics, University of Oxford, Oxford, UK. thomas.roberts@idrm.ox.ac.uk.
MDUK Oxford Neuromuscular Centre, Oxford, UK. thomas.roberts@idrm.ox.ac.uk.

Matthew J A Wood (MJA)

Institute of Developmental and Regenerative Medicine, University of Oxford, Oxford, UK.
Department of Paediatrics, University of Oxford, Oxford, UK.
MDUK Oxford Neuromuscular Centre, Oxford, UK.

Kay E Davies (KE)

MDUK Oxford Neuromuscular Centre, Oxford, UK. kay.davies@dpag.ox.ac.uk.
Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK. kay.davies@dpag.ox.ac.uk.

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