Development of CRISPR-Mediated Systems in the Study of Duchenne Muscular Dystrophy

Hum Gene Ther Methods. 2019 Jun;30(3):71-80. doi: 10.1089/hgtb.2018.187. Epub 2019 May 27.

Abstract

Duchenne muscular dystrophy (DMD) is a severe type of X-linked recessive degenerative muscle disease caused by mutations in the dystrophin (DMD) gene on the X chromosome. The DMD gene is complex, consisting of 79 exons, and mutations cause changes in the DMD mRNA so that the reading frame is altered, and the muscle-specific isoform of the dystrophin protein is either absent or truncated with variable residual function. The emerging CRISPR-Cas9-mediated genome editing technique is being developed as a potential therapeutic approach to treat DMD because it can permanently replace the mutated dystrophin gene with the normal gene. Prenatal DNA testing can inform whether the female fetus is a carrier of DMD, and the male fetus has inherited a mutation from his mother (50% chance of both). This article summarizes the present status of current and future treatments for DMD.

Keywords: CRISPR-Cas9; Duchenne muscular dystrophy (DMD); dystrophin; gene therapy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • CRISPR-Cas Systems*
  • Exons
  • Gene Editing
  • Humans
  • Morpholinos / therapeutic use
  • Muscular Dystrophy, Duchenne / genetics
  • Muscular Dystrophy, Duchenne / therapy*
  • Oxadiazoles / therapeutic use

Substances

  • Morpholinos
  • Oxadiazoles
  • eteplirsen
  • ataluren