2023
DOI: 10.3389/fphys.2023.1183101
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Duchenne muscular dystrophy: disease mechanism and therapeutic strategies

Abstract: Duchenne muscular dystrophy (DMD) is a severe, progressive, and ultimately fatal disease of skeletal muscle wasting, respiratory insufficiency, and cardiomyopathy. The identification of the dystrophin gene as central to DMD pathogenesis has led to the understanding of the muscle membrane and the proteins involved in membrane stability as the focal point of the disease. The lessons learned from decades of research in human genetics, biochemistry, and physiology have culminated in establishing the myriad functio… Show more

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Cited by 21 publications
(17 citation statements)
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“…This finding is particularly noteworthy because PTC bypass can have profound implications for both normal cellular functioning and disease state, where a nonsense mutation can lead to aberrant protein synthesis. Conditions such as Duchenne Muscular Dystrophy (DMD) [ 56 , 57 ], Cystic Fibrosis [ 58 ], Beta-Thalassemia [ 59 ], Spinal Muscular Atrophy (SMA) [ 60 ], Hurler Syndrome [ 61 ], Ataxia Telangiectasia [ 62 ], and certain form of cancer [ 63 ] are prime examples. In these diseases, PTCs lead to the synthesis of truncated, typically non-functional proteins.…”
Section: Discussionmentioning
confidence: 99%
“…This finding is particularly noteworthy because PTC bypass can have profound implications for both normal cellular functioning and disease state, where a nonsense mutation can lead to aberrant protein synthesis. Conditions such as Duchenne Muscular Dystrophy (DMD) [ 56 , 57 ], Cystic Fibrosis [ 58 ], Beta-Thalassemia [ 59 ], Spinal Muscular Atrophy (SMA) [ 60 ], Hurler Syndrome [ 61 ], Ataxia Telangiectasia [ 62 ], and certain form of cancer [ 63 ] are prime examples. In these diseases, PTCs lead to the synthesis of truncated, typically non-functional proteins.…”
Section: Discussionmentioning
confidence: 99%
“…Many patients with DMD now have an increased life expectancy as a result of medical interventions. Consequently, there are an increasing number of adolescent DMD patients transitioning from paediatricto adult-oriented healthcare [7][8][9][10][11].…”
Section: Discussionmentioning
confidence: 99%
“…The improvement in supportive care and the extensive and early use of corticosteroids can increase life expectancy across into adulthood [7]. Life expectancy can be further lengthened by the increasing availability and use of disease modifying treatments [8][9][10][11].…”
Section: Introductionmentioning
confidence: 99%
“…Disruption or disassembly of the DAPC results in a cascade of consequences that profoundly impact muscle cell functionality and are likely to act in parallel to generate muscle damage. These comprise susceptibility to muscle stress, NOS-dependent functional ischemia, increased reactive oxygen species production (ROS), calcium overload, mitochondrial dysfunction, inflammation, fibrosis, and inability to properly regenerate muscle [ 150 ].…”
Section: Muscular Dystrophiesmentioning
confidence: 99%