Long-Term Dystrophin Replacement Therapy in Duchenne Muscular Dystrophy Causes Cardiac Inflammation

Micro-dystrophin replacement gene therapy is currently under clinical trials in Duchenne muscular dystrophy (DMD) patients. However, recent adverse cardiac events has led to serious concerns about this therapeutic intervention. We studied the long-term effect of dystrophin replacement strategies in a severe model of DMD (mdx; utrophin<sup>-/-</sup>mice). Although micro-dystrophin remarkably improved survival and cardiac function after 1 year of treatment, we were able to reveal an increased septum thickness, which is the result of cardiac inflammation. Our data warrant consideration that micro-dystrophin replacement therapy may be associated with cardiac inflammation and opens up perspectives for understanding the consequences of using this approach in DMD patients.

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Publication Details

Journal
JACC Basic to Translational Science
Published
2025-03-12
DOI
https://doi.org/10.1016/j.jacbts.2024.12.015
Citations
7
Primary Topic
Muscle Physiology and Disorders
Type
article
Field-Weighted Citation Impact
5.64
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article

Long-Term Dystrophin Replacement Therapy in Duchenne Muscular Dystrophy Causes Cardiac Inflammation

Sophie Moog, Anne Forand, Zoheir Guesmia, Caroline Sévoz‐Couche et al.
7 citations
JACC Basic to Translational Science
Muscle Physiology and Disorders
5.64
article

Long-Term Dystrophin Replacement Therapy in Duchenne Muscular Dystrophy Causes Cardiac Inflammation

Sophie Moog, Anne Forand, Zoheir Guesmia, Caroline Sévoz‐Couche, Lorenzo Giordani, France Piétri‐Rouxel, Laura Virtanen, Antoine Muchir, Mégane Lemaître, Nathalie Mougenot
article en
7 citations

Abstract

Micro-dystrophin replacement gene therapy is currently under clinical trials in Duchenne muscular dystrophy (DMD) patients. However, recent adverse cardiac events has led to serious concerns about this therapeutic intervention. We studied the long-term effect of dystrophin replacement strategies in a severe model of DMD (mdx; utrophin<sup>-/-</sup>mice). Although micro-dystrophin remarkably improved survival and cardiac function after 1 year of treatment, we were able to reveal an increased septum thickness, which is the result of cardiac inflammation. Our data warrant consideration that micro-dystrophin replacement therapy may be associated with cardiac inflammation and opens up perspectives for understanding the consequences of using this approach in DMD patients.

JACC Basic to Translational ScienceVol. 10(6)
Inserm (FR), Université de Versailles Saint-Quentin-en-Yvelines (FR), Université Paris-Est Créteil (FR), Sorbonne Université (FR), Centre de recherche en Epidémiologie et Santé des Populations (FR), Institut de Myologie (FR), Centre de Recherche en Myologie, UMS Phénotypage du petit animal (FR)
Good health and well-being
Openalex Percentile: Top 4%
Muscle Physiology and Disorders
5.64
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