Stages of research and development of therapeutic approaches for Duchenne myodystrophy. Part I: the period before etiotropic approaches introduction

Duchenne muscular dystrophy is one of the most common inherited muscular dystrophies. The cause of this disease with an X‑linked recessive type of inheritance is mutations of the DMD gene, leading to the absence of the dystrophin protein this gene encodes or its impaired function. Loss of dystrophin...

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Main Authors: K. S. Kochergin-Nikitskiy, S. A. Smirnikhina, A. V. Lavrov
Format: Article
Language:Russian
Published: ABV-press 2024-03-01
Series:Нервно-мышечные болезни
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Online Access:https://nmb.abvpress.ru/jour/article/view/590
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author K. S. Kochergin-Nikitskiy
S. A. Smirnikhina
A. V. Lavrov
author_facet K. S. Kochergin-Nikitskiy
S. A. Smirnikhina
A. V. Lavrov
author_sort K. S. Kochergin-Nikitskiy
collection DOAJ
description Duchenne muscular dystrophy is one of the most common inherited muscular dystrophies. The cause of this disease with an X‑linked recessive type of inheritance is mutations of the DMD gene, leading to the absence of the dystrophin protein this gene encodes or its impaired function. Loss of dystrophin leads to severe degenerative processes in patients, especially in muscle tissue, with impaired muscle function, loss of ability to move independently, respiratory failure, cardiomyopathies, etc.More than 160 years have passed since the work of Guillaume‑Benjamin‑Armand Duchenne in the 19th century. Despite the efforts of many researchers who have developed various therapeutic approaches designed to alleviate the condition of patients if not cure it, few of them have significantly changed the course of the disease. Different approaches related to specific therapy of ischemia and fibrosis in affected muscles, correction of hormonal regulation of muscle tissue growth, therapeutic methods aimed at preventing damaged myocytes from excessive accumulation of calcium ions, which enhance proteolytic processes, suppression of oxidative stress in muscles, etc. have not yet shown high effectiveness both independently and in combination with glucocorticoids. The introduction of corticosteroid drugs made it possible to slow down disease development, but the average survival still does not exceed 30–40 years and patients spend many of them in a wheelchair. At the same time, the patients’ quality of life can be additionally diminished due to the common corticosteroids’ side effects.
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publishDate 2024-03-01
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series Нервно-мышечные болезни
spelling doaj-art-690d84e9c94b40b79de7782c099f45d82025-08-04T14:08:25ZrusABV-pressНервно-мышечные болезни2222-87212413-04432024-03-01141516210.17650/2222-8721-2024-14-1-51-62375Stages of research and development of therapeutic approaches for Duchenne myodystrophy. Part I: the period before etiotropic approaches introductionK. S. Kochergin-Nikitskiy0S. A. Smirnikhina1A. V. Lavrov2Research Centre for Medical GeneticsResearch Centre for Medical GeneticsResearch Centre for Medical GeneticsDuchenne muscular dystrophy is one of the most common inherited muscular dystrophies. The cause of this disease with an X‑linked recessive type of inheritance is mutations of the DMD gene, leading to the absence of the dystrophin protein this gene encodes or its impaired function. Loss of dystrophin leads to severe degenerative processes in patients, especially in muscle tissue, with impaired muscle function, loss of ability to move independently, respiratory failure, cardiomyopathies, etc.More than 160 years have passed since the work of Guillaume‑Benjamin‑Armand Duchenne in the 19th century. Despite the efforts of many researchers who have developed various therapeutic approaches designed to alleviate the condition of patients if not cure it, few of them have significantly changed the course of the disease. Different approaches related to specific therapy of ischemia and fibrosis in affected muscles, correction of hormonal regulation of muscle tissue growth, therapeutic methods aimed at preventing damaged myocytes from excessive accumulation of calcium ions, which enhance proteolytic processes, suppression of oxidative stress in muscles, etc. have not yet shown high effectiveness both independently and in combination with glucocorticoids. The introduction of corticosteroid drugs made it possible to slow down disease development, but the average survival still does not exceed 30–40 years and patients spend many of them in a wheelchair. At the same time, the patients’ quality of life can be additionally diminished due to the common corticosteroids’ side effects.https://nmb.abvpress.ru/jour/article/view/590duchenne muscular dystrophybecker muscular dystrophydmd genedystrophinneuromuscular disorders
spellingShingle K. S. Kochergin-Nikitskiy
S. A. Smirnikhina
A. V. Lavrov
Stages of research and development of therapeutic approaches for Duchenne myodystrophy. Part I: the period before etiotropic approaches introduction
Нервно-мышечные болезни
duchenne muscular dystrophy
becker muscular dystrophy
dmd gene
dystrophin
neuromuscular disorders
title Stages of research and development of therapeutic approaches for Duchenne myodystrophy. Part I: the period before etiotropic approaches introduction
title_full Stages of research and development of therapeutic approaches for Duchenne myodystrophy. Part I: the period before etiotropic approaches introduction
title_fullStr Stages of research and development of therapeutic approaches for Duchenne myodystrophy. Part I: the period before etiotropic approaches introduction
title_full_unstemmed Stages of research and development of therapeutic approaches for Duchenne myodystrophy. Part I: the period before etiotropic approaches introduction
title_short Stages of research and development of therapeutic approaches for Duchenne myodystrophy. Part I: the period before etiotropic approaches introduction
title_sort stages of research and development of therapeutic approaches for duchenne myodystrophy part i the period before etiotropic approaches introduction
topic duchenne muscular dystrophy
becker muscular dystrophy
dmd gene
dystrophin
neuromuscular disorders
url https://nmb.abvpress.ru/jour/article/view/590
work_keys_str_mv AT kskocherginnikitskiy stagesofresearchanddevelopmentoftherapeuticapproachesforduchennemyodystrophypartitheperiodbeforeetiotropicapproachesintroduction
AT sasmirnikhina stagesofresearchanddevelopmentoftherapeuticapproachesforduchennemyodystrophypartitheperiodbeforeetiotropicapproachesintroduction
AT avlavrov stagesofresearchanddevelopmentoftherapeuticapproachesforduchennemyodystrophypartitheperiodbeforeetiotropicapproachesintroduction