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Conditional Dystrophin ablation causes profound effects on muscle development, neurobehavior, and extracellular matrix pathways

Conditional Dystrophin ablation causes profound effects on muscle development, neurobehavior, and extracellular matrix pathways
This study shows that deleting dystrophin specifically in muscle stem cells leads to major changes in muscle growth and behavior. It highlights a possible muscle-brain signaling axis with broad implications for DMD therapy.
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Enveloped viruses pseudotyped with mammalian myogenic cell fusogens target skeletal muscle for gene delivery

Enveloped viruses pseudotyped with mammalian myogenic cell fusogens target skeletal muscle for gene delivery
This study introduces muscle-specific pseudotyped viruses using natural fusion proteins (Myomaker & Myomerger) to deliver gene therapy directly and selectively to muscle tissue—offering new hope for muscular diseases like DMD.
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Recent developments and industry interest in gene therapy for duchenne muscular dystrophy

Recent developments and industry interest in gene therapy for duchenne muscular dystrophy
Recent Developments and Industry Interest in Gene Therapy for Duchenne Muscular Dystrophy Introduction Duchenne muscular dystrophy (DMD) is an X-linked genetic disorder that causes progressive muscle degeneration. This condition is caused by mutations in the DMD gene, which encodes a crucial protein for muscle stability. Symptoms usually appear between ages 2 and 5, leading to muscle weakness and, eventually, respiratory or cardiac failure. While antisense oligonucleotides have been approved to …
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Antisense Oligonucleotides Conjugated with Lipophilic Compounds: Synthesis and In Vitro Evaluation of Exon Skipping in Duchenne Muscular Dystrophy

Antisense Oligonucleotides Conjugated with Lipophilic Compounds: Synthesis and In Vitro Evaluation of Exon Skipping in Duchenne Muscular Dystrophy
This study examines how lipophilic-modified antisense oligonucleotides (ASOs) enhance exon skipping in Duchenne muscular dystrophy (DMD). The results show improved cellular uptake, nanoparticle formation, and higher exon-skipping efficiency, making these ASOs promising therapeutic candidates.
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In Silico Screening Based on Predictive Algorithms as a Design Tool for Exon Skipping Oligonucleotides in Duchenne Muscular Dystrophy

In Silico Screening Based on Predictive Algorithms as a Design Tool for Exon Skipping Oligonucleotides in Duchenne Muscular Dystrophy
Duchenne muscular dystrophy (DMD) is a genetic disorder leading to muscle degeneration. This study introduces a predictive computational model for exon skipping therapy, achieving 89% accuracy for PMOs and 76% accuracy for 2’-O-Methyl RNA, aiding in oligonucleotide selection.
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Systemic delivery of an AAV9 exonskipping vector significantly improves or prevents features of Duchenne muscular dystrophy in the Dup2 mouse

Systemic delivery of an AAV9 exonskipping vector significantly improves or prevents features of Duchenne muscular dystrophy in the Dup2 mouse
This study evaluates AAV9-U7 exon skipping therapy in the Dup2 mouse model of Duchenne muscular dystrophy (DMD). A single injection in adults restored up to 95% exon skipping, improving muscle structure and function. Neonatal treatment achieved 99% dystrophin-positive fibers and near-complete disease correction over six months. Findings suggest AAV9-based exon skipping provides long-lasting dystrophin restoration, supporting its potential as a clinical therapy for DMD exon 2 duplications.
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Increase in Full-Length Dystrophin by Exon Skipping in Duchenne Muscular Dystrophy Patients with Single Exon Duplications: An Open-label Study

Increase in Full-Length Dystrophin by Exon Skipping in Duchenne Muscular Dystrophy Patients with Single Exon Duplications: An Open-label Study
This open-label study evaluates casimersen and golodirsen in DMD patients with rare single exon duplications (exon 45 or 53). Over 48 weeks, dystrophin levels increased from 0.94% to 5.1%, with dystrophin-positive fibers rising from 14% to 50%. RT-PCR confirmed exon skipping, while pulmonary and cardiac functions remained stable. No major safety concerns emerged, but longer trials with larger cohorts are needed to assess long-term clinical benefits. These findings highlight exon skipping as a targeted therapy for rare DMD mutations.
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Challenges of Assessing Exon 53 Skipping of the HumanDMD Transcript with Locked Nucleic Acid-ModifiedAntisense Oligonucleotides in a Mouse Modelfor Duchenne Muscular Dystrophy

Challenges of Assessing Exon 53 Skipping of the HumanDMD Transcript with Locked Nucleic Acid-ModifiedAntisense Oligonucleotides in a Mouse Modelfor Duchenne Muscular Dystrophy
This study assesses exon 53 skipping in Duchenne muscular dystrophy (DMD) using locked nucleic acid (LNA)-modified antisense oligonucleotides (AONs) in a humanized DMD mouse model. While certain LNA-AONs (LNA-FRNA, LNA-2′OMe) achieved high exon skipping, actual dystrophin restoration was minimal due to RNA interference issues affecting cDNA synthesis. Optimizing AON designs, RNA analysis methods, and alternative exon targets is crucial for improving therapeutic efficacy in DMD exon skipping therapies.
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Next Generation Exon 51 Skipping Antisense Oligonucleotides for Duchenne Muscular Dystrophy

Next Generation Exon 51 Skipping Antisense Oligonucleotides for Duchenne Muscular Dystrophy
This study advances next-generation exon 51 skipping antisense oligonucleotides (AONs) for Duchenne muscular dystrophy (DMD) by incorporating novel chemical modifications like 5-methylcytosine and locked nucleic acids (LNAs). Screening 100+ AONs identified an optimized target site, achieving 65-fold higher exon skipping and restoring 30-40% dystrophin levels in preclinical models. These AONs demonstrated improved muscle integrity, enhanced motor function, and a favorable safety profile, marking a major step toward safer, more effective DMD therapies.
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A mini review and implementation model for using ataluren to treat nonsense mutation Duchenne muscular dystrophy

A mini review and implementation model for using ataluren to treat nonsense mutation Duchenne muscular dystrophy
This mini-review explores ataluren therapy for nonsense mutation Duchenne muscular dystrophy (nmDMD), covering clinical guidelines and an implementation model for Sweden. Ataluren delays muscle degeneration, preserves ambulation, and improves pulmonary function in ambulatory nmDMD patients. A proposed centralized expert committee would oversee access and monitoring. Despite high costs, equitable treatment strategies aim to enhance care and outcomes for DMD patients with nonsense mutations.
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Identification of the Wnt signal peptide that directs secretion on extracellular vesicles

Identification of the Wnt signal peptide that directs secretion on extracellular vesicles
This study identifies Exosome-Binding Peptide (EBP) as a key Wnt7a secretion signal for extracellular vesicles (EVs), enabling long-range intercellular signaling. EBP binds to coatomer proteins (COPA & COPB2), anchoring Wnt7a to EVs and enhancing muscle repair. This mechanism, conserved in Wnt proteins, has implications for neuromuscular disease therapies, including Duchenne muscular dystrophy (DMD). EBP-guided EV delivery could revolutionize targeted drug and protein therapies, bypassing traditional systemic delivery challenges.
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Exon skipping for Duchenne muscular dystrophy: a systematic review and metaanalysis

Exon skipping for Duchenne muscular dystrophy: a systematic review and metaanalysis
This systematic review and meta-analysis evaluated five randomized controlled trials (RCTs) on exon-skipping therapies for Duchenne muscular dystrophy (DMD). Analyzing 322 patients, the study assessed eteplirsen and drisapersen using 6MWT and NSAA scores. Results showed no significant improvement over placebo. Drisapersen (6 mg/kg) provided minor benefits but had renal toxicity risks, while eteplirsen showed fewer side effects but lacked robust efficacy data. The study calls for long-term trials to confirm exon skipping’s clinical impact.
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Exon-Skipping in Duchenne Muscular Dystrophy

Exon-Skipping in Duchenne Muscular Dystrophy
Exon-skipping therapy aims to restore dystrophin production in Duchenne muscular dystrophy (DMD) by using antisense oligonucleotides (AONs) to bypass mutations. Eteplirsen and viltolarsen target exon 51, producing a truncated but functional dystrophin protein. While promising, challenges remain, including low dystrophin levels and variable patient responses. Gene therapy and stop codon read-through drugs offer alternative strategies. Early intervention and combination therapies may improve outcomes for DMD patients.
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Exon skipping and dystrophin restoration in patientswith Duchenne muscular dystrophy after systemicphosphorodiamidate morpholino oligomer treatment:an open-label, phase 2, dose-escalation study

Exon skipping and dystrophin restoration in patientswith Duchenne muscular dystrophy after systemicphosphorodiamidate morpholino oligomer treatment:an open-label, phase 2, dose-escalation study
This phase 2, open-label trial evaluated AVI-4658 (PMO) therapy in 19 boys with Duchenne muscular dystrophy (DMD), assessing exon 51 skipping and dystrophin restoration. The drug was well tolerated, showing dose-dependent dystrophin expression, with significant improvements at higher doses. Increased dystrophin correlated with protein localization and reduced inflammation, though responses varied. Findings support AVI-4658 as a potential disease-modifying treatment, emphasizing the need for long-term trials to confirm clinical benefits.
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Dystrophin Restoration after Adeno-Associated Virus U7eMediated Dmd Exon Skipping Is Modulated by Muscular Exercise in the Severe D2-Mdx Duchenne Muscular Dystrophy Murine Model

Dystrophin Restoration after Adeno-Associated Virus U7eMediated Dmd Exon Skipping Is Modulated by Muscular Exercise in the Severe D2-Mdx Duchenne Muscular Dystrophy Murine Model
This study investigates how voluntary exercise impacts AAV-U7-mediated exon skipping therapy in D2-mdx mice with Duchenne muscular dystrophy (DMD). Exercise did not worsen muscle damage or reduce viral genome expression, though dystrophin-positive muscle area declined from 80% to 65%. Despite this, gene therapy remained effective, and muscle strength improved. Findings suggest exercise can be integrated into DMD treatments without major therapy disruption, though long-term effects need further study.
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