«The very slight increases in
dystrophin production didn't seem to me reasonably likely to predict the possibility of clinical benefit,» says internist Aaron Kesselheim of Boston's Brigham and Women's Hospital, who was one of the FDA advisory committee members who voted against recommending approval of eteplirsen.
«There may be factors that lead to preferential localization of
the dystrophin production.
Although there was
no dystrophin production at 12 weeks, participants showed a 23 percent increase in dystrophin - positive muscle fibers by the 24 - week mark.
For example, researchers would like to know how the drug affects
dystrophin production in muscles throughout the limbs and whether some muscles may get a bigger boost than others.
«This work demonstrates the feasibility of using a single gene editing platform, plus the regenerative power of stem cells to correct genetic mutations and restore
dystrophin production for 60 percent of Duchenne patients,» said Pyle, associate professor of microbiology, immunology and molecular genetics and member of the Broad Stem Cell Research Center.
Not exact matches
Duchenne mutations cause abnormally low
production of the
dystrophin protein, which in turn causes muscles to degenerate and become progressively weaker.
«We took patient - derived cells that had the most common mutation responsible for Duchenne muscular dystrophy and we corrected them in vitro to restore
production of the missing
dystrophin protein in the cells.
The exact mutation varies from patient to patient but in 65 percent of cases, the
dystrophin gene is missing large sections of DNA called exons, which carry the instructions for protein
production.
Within the mutational hotspot for
dystrophin, exons 45 - 55, there are multiple common deletions that maintain the protein's reading frame, leading to the
production of a smaller, but at least partially functional protein.
Muscular dystrophy in dogs is caused by an inherited mutated
dystrophin gene that disrupts the
dystrophin protein
production, resulting in loss of muscle function.