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Published on: May 7, 2020
A Brief Review of Duchenne Muscular Dystrophy Treatment Options, with an Emphasis on Two Novel Strategies
Ahlke Heydemann1,2, Maria Siemionow3
1Department of Physiology and Biophysics, University of Illinois at Chicago, Chicago, IL 60607, USA.
Abstract:
Despite the full cloning of the Dystrophin cDNA 35 years ago, no effective treatment exists for the Duchenne Muscular Dystrophy (DMD) patients who have a mutation in this gene. Many treatment options have been considered, investigated preclinically and some clinically, but none have circumvented all barriers and effectively treated the disease without burdening the patients with severe side-effects. However, currently, many novel therapies are in the pipelines of research labs and pharmaceutical companies and many of these have progressed to clinical trials. A brief review of these promising therapies is presented, followed by a description of two novel technologies that when utilized together effectively treat the disease in the mdx mouse model. One novel technology is to generate chimeric cells from the patient's own cells and a normal donor. The other technology is to systemically transplant these cells into the femur via the intraosseous route.
Insights
No effective treatments exist for Duchenne Muscular Dystrophy (DMD), but novel therapies show promise. Combining patient-derived chimeric cells with intraosseous transplantation effectively treated the disease in a mouse model.
Area of Science:
- Biomedical Engineering
- Regenerative Medicine
- Genetics
Background:
- Duchenne Muscular Dystrophy (DMD) remains untreatable despite decades of research following Dystrophin cDNA cloning.
- Existing and experimental therapies for DMD have faced challenges with efficacy and severe side effects.
Purpose of the Study:
- To review current and emerging therapies for Duchenne Muscular Dystrophy.
- To describe a novel dual-technology approach for treating DMD in a preclinical model.
Main Methods:
- Review of existing and pipeline DMD therapies.
- Generation of chimeric cells from patient and donor cells.
- Systemic transplantation of chimeric cells via the intraosseous route into the femur.
Main Results:
- The combined novel technologies demonstrated effective treatment of DMD in the mdx mouse model.
- Chimeric cell generation and intraosseous transplantation represent a promising therapeutic strategy.
Conclusions:
- A combination of autologous chimeric cell generation and intraosseous transplantation offers a potential breakthrough for Duchenne Muscular Dystrophy treatment.
- Further research and clinical trials are warranted to validate this dual-technology approach for DMD patients.
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