New Therapeutic Approaches to Duchenne Muscular Dystrophy
نویسندگان
چکیده
Duchenne型筋ジストロフィー(Duchenne muscular dystrophy:DMD)は,小児期発症の最も頻度の高い遺伝性筋疾患であり,進行性で重症の筋萎縮と筋力低下を特徴とし,致死性の心不全,呼吸不全を呈する希少性疾患である.その治療法として我々はモルフォリノ核酸(phosphorodiamidate morpholino oligomer:PMO)を用いてフレームシフト変異をmRNA(messenger ribonucleic acid)レベルで修正して,疾患を治療する核酸医薬品,ビルトラルセンを国内企業と協力して開発した.医師主導治験として早期探索相試験を行い,その後,国内企業による後期相臨床試験が行われた結果,国内開発の核酸医薬品として初めて,条件付き薬事承認され,米国でも迅速承認されている.公知申請された合成副腎皮質ホルモン剤を除き,国内初めての筋ジストロフィー治療薬である.新たな治療薬の開発により,希少性疾患に対する医薬品開発の基盤が築かれただけでなく,医療体制にも影響を及ぼす可能性がでてきた.
منابع مشابه
Duchenne muscular dystrophy An overview of Duchenne muscular dystrophy
Duchenne muscular dystrophy (DMD) affects approximately 1 in 3,500 live male births [1]. It is caused by a large variety of mutations in the dystrophin gene. Because of these mutations, the body can no longer make dystrophin which is a protein important for stabilisation of the muscle cell during a contraction. Without dystrophin, muscle cells are damaged and slowly replaced by fat and scar tis...
متن کاملP164: Adeno-Associated Viral Vectors in Duchenne Muscular Dystrophy
Duchenne muscular dystrophy (BMD) is an inherited X-link disease. The incidence of this muscle-wasting disease is 1:5000 male live births. Mutation in the gene coding for dystrophin is the main cause of BMD. Most cases of this disease succumb to respiratory and cardiac failure in 3rd to 4th decades. The slow progression of BMD and recent achievement of gene therapies make it as an appropriate c...
متن کاملDuchenne muscular dystrophy.
Progress in understanding the role of dystrophin raises promising hopes for a treatment for Duchenne muscular dystrophy. In addition, great improvements have been made in the ability to diagnose this disease using simple molecular methods.
متن کاملDuchenne muscular dystrophy.
To cite: Behera V, Behera MK, Chauhan R, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014205296 DESCRIPTION A 15-year-old boy presented with progressive proximal weakness of the lower limbs starting at 4 years of age followed by involvement of the upper limbs. He is the product of a consanguineous marriage; he had a family history of similar disease in ...
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ژورنال
عنوان ژورنال: Nihon Naika Gakkai zasshi
سال: 2022
ISSN: ['1883-2083', '0021-5384']
DOI: https://doi.org/10.2169/naika.111.315