Research advance and application prospect of therapeutic strategies for Duchenne muscular dystrophy

Duchenne muscular dystrophy (DMD) is an X-linked, severe genetic muscular disorder caused by the deficiency of DMD gene. There is still no curative therapy for the disease, but improving survival and life quality of the patients have been achieved due to multidisciplinary interventions. The therapie...

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Main Authors: Cheng ZHANG, Huan LI
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2018-07-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/1807
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author Cheng ZHANG
Huan LI
author_facet Cheng ZHANG
Huan LI
author_sort Cheng ZHANG
collection DOAJ
description Duchenne muscular dystrophy (DMD) is an X-linked, severe genetic muscular disorder caused by the deficiency of DMD gene. There is still no curative therapy for the disease, but improving survival and life quality of the patients have been achieved due to multidisciplinary interventions. The therapies available for clinical treatment include drug therapies [glucocorticoids, angiotensin converting enzyme inhibitor (ACEI), idebenone, albuterol], management of respiratory system, expecially the use of non-invasive ventilator, rehabilitation therapy focusing on hydrotherapy and prevention of joint contracture, nutritional management, and so on. Advancing therapeutic strategies including gene therapies (exon skipping, nonsense mutation readthrough therapy and adeno-associated virus (AAV) mediated micro/mini-dystrophin therapy), myostatin and compensatory upregulation of utrophin, and gene editing have made great progress in preclinical study and some of them like exon skipping therapy of exon 51 and nonsense mutation readthrough therapy have been studied in a few clinical trials and made some achievements. DOI: 10.3969/j.issn.1672-6731.2018.07.004
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spelling doaj.art-2e136dfff6074ed7a61d701b888f947a2022-12-22T00:46:56ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312018-07-0118748049310.3969/j.issn.1672-6731.2018.07.0041762Research advance and application prospect of therapeutic strategies for Duchenne muscular dystrophyCheng ZHANG0Huan LI1Department of Neurology, the First Affiliated Hospital, Sun Yat - sen University, Guangzhou 510080, Guangdong, ChinaDepartment of Neurology, the First Affiliated Hospital, Sun Yat - sen University, Guangzhou 510080, Guangdong, ChinaDuchenne muscular dystrophy (DMD) is an X-linked, severe genetic muscular disorder caused by the deficiency of DMD gene. There is still no curative therapy for the disease, but improving survival and life quality of the patients have been achieved due to multidisciplinary interventions. The therapies available for clinical treatment include drug therapies [glucocorticoids, angiotensin converting enzyme inhibitor (ACEI), idebenone, albuterol], management of respiratory system, expecially the use of non-invasive ventilator, rehabilitation therapy focusing on hydrotherapy and prevention of joint contracture, nutritional management, and so on. Advancing therapeutic strategies including gene therapies (exon skipping, nonsense mutation readthrough therapy and adeno-associated virus (AAV) mediated micro/mini-dystrophin therapy), myostatin and compensatory upregulation of utrophin, and gene editing have made great progress in preclinical study and some of them like exon skipping therapy of exon 51 and nonsense mutation readthrough therapy have been studied in a few clinical trials and made some achievements. DOI: 10.3969/j.issn.1672-6731.2018.07.004http://www.cjcnn.org/index.php/cjcnn/article/view/1807Muscular dystrophy, DuchenneReview
spellingShingle Cheng ZHANG
Huan LI
Research advance and application prospect of therapeutic strategies for Duchenne muscular dystrophy
Chinese Journal of Contemporary Neurology and Neurosurgery
Muscular dystrophy, Duchenne
Review
title Research advance and application prospect of therapeutic strategies for Duchenne muscular dystrophy
title_full Research advance and application prospect of therapeutic strategies for Duchenne muscular dystrophy
title_fullStr Research advance and application prospect of therapeutic strategies for Duchenne muscular dystrophy
title_full_unstemmed Research advance and application prospect of therapeutic strategies for Duchenne muscular dystrophy
title_short Research advance and application prospect of therapeutic strategies for Duchenne muscular dystrophy
title_sort research advance and application prospect of therapeutic strategies for duchenne muscular dystrophy
topic Muscular dystrophy, Duchenne
Review
url http://www.cjcnn.org/index.php/cjcnn/article/view/1807
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