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杜氏肌营养不良症的基因疗法研究进展

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杜氏肌营养不良症(Duchenne muscular dystrophy,DMD)是一种X染色体连锁的隐性遗传疾病,由DMD基因突变引起。该基因是目前人类中已知最大的基因,包含79个外显子,编码含有3 685个氨基酸的抗肌萎缩蛋白,其突变类型复杂且异质性高,因此其治疗药物的开发也十分困难。目前DMD的治疗已经从传统治疗药物发展到了基因治疗药物,随着研究逐渐深入多种新型基因治疗药物已在不同国家和地区被批准进入临床开发阶段,但目前该疾病仍无法被治愈。该综述总结了DMD基因疗法的研究新进展,并重点介绍了上市产品最多的密码子通读与外显子跳跃疗法及其治疗机制。此外,还讨论了DMD新药研究面临临床终点选择、药物信息可及性的问题,以及目前基因疗法所面临的困境与挑战,为DMD新药开发提供了新见解。
Advancements in gene therapy for Duchenne muscular dystrophy
Duchenne muscular dystrophy(DMD)is an X-linked recessive genetic disease caused by mutations in the DMD gene.This gene is the largest known gene in humans,consisting of 79 exons that encode a dystrophin protein containing 3685 amino acids.The size of the DMD gene contributes to the complexity and heterogeneity of mutation types,presenting challenges for the development of therapeutic drugs.Significant progress has been made in recent years toward the treatment of this disease,with several novel drugs approved for clinical development in various regions of the world as research advances.However,there is currently no cure for this disease.This review summarizes the new research progress of DMD gene therapy,and focuses on intro-ducing the most widely available codon reading and exon skipping therapies and their therapeutic mechanisms.In addition,the issues of clinical endpoint selection and accessibility of drug information in DMD new drug research were discussed,as well as the challenges and challenges currently faced by gene therapy,providing new insights for DMD new drug development.

Duchenne muscular dystrophygene therapydrug clinical trialstop-codon read-throughexon skipping

顾宇杰、李敏、奚炜

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三峡大学第一临床医学院,湖北宜昌 443000

三峡大学健康医学院,湖北宜昌 443002

三峡大学人民医院湖北省神经系统罕见病医学研究中心,湖北宜昌 443000)

杜氏肌营养不良症 基因疗法 药物临床试验 终止密码子通读 外显子跳跃

中央指导地方科技发展项目

ZYYD2020000202

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(2)
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