A Spotlight on T Lymphocytes in Duchenne Muscular Dystrophy—Not Just a Muscle Defect

The lack of dystrophin in Duchenne muscular dystrophy (DMD) results in membrane fragility resulting in contraction-induced muscle damage and subsequent inflammation. The impact of inflammation is profound, resulting in fibrosis of skeletal muscle, the diaphragm and heart, which contributes to muscle...

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Main Authors: Chantal A. Coles, Ian Woodcock, Daniel G. Pellicci, Peter J. Houweling
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/3/535
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author Chantal A. Coles
Ian Woodcock
Daniel G. Pellicci
Peter J. Houweling
author_facet Chantal A. Coles
Ian Woodcock
Daniel G. Pellicci
Peter J. Houweling
author_sort Chantal A. Coles
collection DOAJ
description The lack of dystrophin in Duchenne muscular dystrophy (DMD) results in membrane fragility resulting in contraction-induced muscle damage and subsequent inflammation. The impact of inflammation is profound, resulting in fibrosis of skeletal muscle, the diaphragm and heart, which contributes to muscle weakness, reduced quality of life and premature death. To date, the innate immune system has been the major focus in individuals with DMD, and our understanding of the adaptive immune system, specifically T cells, is limited. Targeting the immune system has been the focus of multiple clinical trials for DMD and is considered a vital step in the development of better treatments. However, we must first have a complete picture of the involvement of the immune systems in dystrophic muscle disease to better understand how inflammation influences disease progression and severity. This review focuses on the role of T cells in DMD, highlighting the importance of looking beyond skeletal muscle when considering how the loss of dystrophin impacts disease progression. Finally, we propose that targeting T cells is a potential novel therapeutic in the treatment of DMD.
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spelling doaj.art-c007b3482d9e4d0c834b85cb6762f0722023-11-24T00:31:39ZengMDPI AGBiomedicines2227-90592022-02-0110353510.3390/biomedicines10030535A Spotlight on T Lymphocytes in Duchenne Muscular Dystrophy—Not Just a Muscle DefectChantal A. Coles0Ian Woodcock1Daniel G. Pellicci2Peter J. Houweling3Murdoch Children’s Research Institute (MCRI), Melbourne, VIC 3052, AustraliaMurdoch Children’s Research Institute (MCRI), Melbourne, VIC 3052, AustraliaMurdoch Children’s Research Institute (MCRI), Melbourne, VIC 3052, AustraliaMurdoch Children’s Research Institute (MCRI), Melbourne, VIC 3052, AustraliaThe lack of dystrophin in Duchenne muscular dystrophy (DMD) results in membrane fragility resulting in contraction-induced muscle damage and subsequent inflammation. The impact of inflammation is profound, resulting in fibrosis of skeletal muscle, the diaphragm and heart, which contributes to muscle weakness, reduced quality of life and premature death. To date, the innate immune system has been the major focus in individuals with DMD, and our understanding of the adaptive immune system, specifically T cells, is limited. Targeting the immune system has been the focus of multiple clinical trials for DMD and is considered a vital step in the development of better treatments. However, we must first have a complete picture of the involvement of the immune systems in dystrophic muscle disease to better understand how inflammation influences disease progression and severity. This review focuses on the role of T cells in DMD, highlighting the importance of looking beyond skeletal muscle when considering how the loss of dystrophin impacts disease progression. Finally, we propose that targeting T cells is a potential novel therapeutic in the treatment of DMD.https://www.mdpi.com/2227-9059/10/3/535duchenne muscular dystrophyT cellsinflammationdystrophic thymusTregs
spellingShingle Chantal A. Coles
Ian Woodcock
Daniel G. Pellicci
Peter J. Houweling
A Spotlight on T Lymphocytes in Duchenne Muscular Dystrophy—Not Just a Muscle Defect
Biomedicines
duchenne muscular dystrophy
T cells
inflammation
dystrophic thymus
Tregs
title A Spotlight on T Lymphocytes in Duchenne Muscular Dystrophy—Not Just a Muscle Defect
title_full A Spotlight on T Lymphocytes in Duchenne Muscular Dystrophy—Not Just a Muscle Defect
title_fullStr A Spotlight on T Lymphocytes in Duchenne Muscular Dystrophy—Not Just a Muscle Defect
title_full_unstemmed A Spotlight on T Lymphocytes in Duchenne Muscular Dystrophy—Not Just a Muscle Defect
title_short A Spotlight on T Lymphocytes in Duchenne Muscular Dystrophy—Not Just a Muscle Defect
title_sort spotlight on t lymphocytes in duchenne muscular dystrophy not just a muscle defect
topic duchenne muscular dystrophy
T cells
inflammation
dystrophic thymus
Tregs
url https://www.mdpi.com/2227-9059/10/3/535
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