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Updated: May 30, 2026

Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
Progress in therapy for Duchenne muscular dystrophy
Rebecca J Fairclough1, Akshay Bareja, Kay E Davies
1MRC Functional Genomics Unit, Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford UK.
Insights
Duchenne muscular dystrophy, a childhood condition, results from dystrophin gene mutations causing muscle wasting. Current research focuses on therapies to restore the dystrophin-associated protein complex and improve patient outcomes.
Area of Science:
- Biomedical Science
- Genetics
- Neurology
Background:
- Duchenne muscular dystrophy (DMD) is a severe childhood genetic disorder.
- DMD involves mutations in the dystrophin gene, disrupting the muscle cell's structural integrity.
- This leads to progressive muscle weakness, wasting, and premature death from respiratory or cardiac failure.
Purpose of the Study:
- To review current and emerging therapeutic strategies for Duchenne muscular dystrophy.
- To explore approaches focused on reconstructing the dystrophin-associated protein complex.
- To highlight methods aiming to restore dystrophin expression or upregulate utrophin.
Main Methods:
- Literature review of existing and developmental therapies for DMD.
- Analysis of therapeutic approaches targeting the dystrophin-associated protein complex.
- Examination of gene- and cell-based therapies and pathway modulators.
Main Results:
- No definitive cure currently exists for DMD.
- Various therapeutic avenues are under development, including mutation-specific treatments.
- Strategies focus on restoring dystrophin protein or its functional homologue, utrophin.
Conclusions:
- Significant research efforts are directed towards developing effective treatments for DMD.
- Therapeutic strategies aim to address the underlying genetic defect and protein deficiency.
- Restoring dystrophin-associated protein complex function is a key goal for future DMD therapies.
Abstract:
Duchenne muscular dystrophy is a devastating muscular dystrophy of childhood. Mutations in the dystrophin gene destroy the link between the internal muscle filaments and the extracellular matrix, resulting in severe muscle weakness and progressive muscle wasting. There is currently no cure and, whilst palliative treatment has improved, affected boys are normally confined to a wheelchair by 12 years of age and die from respiratory or cardiac complications in their twenties or thirties. Therapies currently being developed include mutation-specific treatments, DNA- and cell-based therapies, and drugs which aim to modulate cellular pathways or gene expression. This review aims to provide an overview of the different therapeutic approaches aimed at reconstructing the dystrophin-associated protein complex, including restoration of dystrophin expression and upregulation of the functional homologue, utrophin.
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