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Journal article : Review

Therapeutic approaches for Duchenne muscular dystrophy

Abstract:
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.
Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1038/s41573-023-00775-6

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Paediatrics
Role:
Author
ORCID:
0000-0002-3313-7631
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Paediatrics
Role:
Author
ORCID:
0000-0002-5436-6011
More by this author
Role:
Author
ORCID:
0000-0001-8807-8520


Publisher:
Springer Nature
Journal:
Nature Reviews Drug Discovery More from this journal
Volume:
22
Issue:
11
Pages:
917–934
Place of publication:
England
Publication date:
2023-08-31
Acceptance date:
2023-07-28
DOI:
EISSN:
1474-1784
ISSN:
1474-1776
Pmid:
37652974


Language:
English
Keywords:
Subtype:
Review
Pubs id:
1525847
Local pid:
pubs:1525847
Deposit date:
2023-09-21

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