杜氏肌营养不良症分子治疗药物最新进展

ISSN:2705-098X(P)

EISSN:2705-0505(O)

语言:中文

作者
金紫荷,王 荣
文章摘要
杜氏肌营养不良症是一种导致进行性肌肉丢失和过早死亡的毁灭性疾病。虽然医疗管理主要集中在对症治疗,但数十年的研究已经产生了能够恢复受影响的抗肌萎缩蛋白转录本的阅读框或从载体诱导合成截短的抗肌萎缩蛋白蛋白的疗法,以及在临床前或临床发展中基于基因治疗和细胞信号传导的其他策略。本文重点介绍了目前上市的外显子跳跃及基因治疗药物,以期对DMD患者的治疗提供帮助。
文章关键词
杜氏肌营养不良症;外显子跳跃;基因治疗
参考文献
[1] 鲍梦馨.尿石素A对Duchenne型肌营养不良模型小鼠的治疗作用及机制研究[D].山东大学,2023.DOI:10.27272/d.cnki.gshdu.2023.000566. [2] 许金波,娄丹.基于Dystrophin治疗杜氏肌营养不良症的研究进展[J].药物生物技术,2024,31(02):199-205.DOI:10.19526/j.cnki.1005-8915.20240217. [3] 顾宇杰,李敏,奚炜.杜氏肌营养不良症的基因疗法研究进展[J].中国医院药学杂志,2024,44(02):227-233.DOI:10.13286/j.1001-5213.2024.02.17. [4] Mendell JR, et al. Eteplirsen for the treatment of Duchenne muscular dystrophy. Ann Neurol. 2013;74(5):637–47. [5] Mitelman O, et al. A combined prospective and retrospective comparison of long-term functional outcomes suggests delayed loss of ambulation and pulmonary decline with long-term eteplirsen treatment. J Neuromuscul Dis. 2022;9(1):39–52. [6] McDonald CM, et al. Open-label evaluation of eteplirsen in patients with Duchenne muscular dystrophy amenable to exon 51 skipping: PROMOVI trial. J Neuromuscul Dis. 2021;8(6):989–1001. [7] Assefa M, et al.Casimersen (AMONDYS 45™): An Antisense Oligonucleotide for Duchenne Muscular Dystrophy. Biomedicines. 2024 Apr 20;12(4):912. doi: 10.3390/biomedicines12040912. [8] Frank DE, et al. Increased dystrophin production with golodirsen in patients with Duchenne muscular dystrophy. Neurology. 2020;94(21):e2270–82. [9] Nicolau S, et al. Increase in Full-Length Dystrophin by Exon Skipping in Duchenne Muscular Dystrophy Patients with Single Exon Duplications: An Open-label Study. J Neuromuscul Dis. 2024;11(3):679-685. doi: 10.3233/JND-230107. [10] Scaglioni D,et al. The administration of antisense oligonucleotide golodirsen reduces pathological regeneration in patients with Duchenne muscular dystrophy. Acta Neuropathol Commun. 2021;9(1):7. [11] 陈本川.靶向治疗杜氏肌营养不良症新药--维托拉森(viltolarsen)[J].医药导报,2021,40(04):569-575. [12] Komaki H, et al. Systemic administration of the antisense oligonucleotide NS-065/NCNP-01 for skipping of exon 53 in patients with Duchenne muscular dystrophy. Sci Transl Med. 2018. [13] Komaki H, et al. Viltolarsen in Japanese Duchenne muscular dystrophy patients: a phase 1/2 study. Ann Clin Transl Neurol. 2020;7(12):2393–408. [14] Clemens PR, et al. Safety, tolerability, and efficacy of viltolarsen in boys with Duchenne muscular dystrophy amenable to exon 53 skipping: a phase 2 randomized clinical trial. JAMA Neurol. 2020;77(8):982–91. [15] FDA approves targeted treatment for Rare Duchenne muscular dystrophy mutation. US Food and Drug Administration. 2020. [16]Iannaccone S., et al.Casimersen in Patients with Duchenne Muscular Dystrophy Amenable to Exon 45 Skipping: Interim Results from the Phase 3 ESSENCE Trial. Neuromuscul. Disord. 2022;32:S102. doi: 10.1016/j.nmd.2022.07.248. [17] Wagner KR, Kuntz NL, et al. Safety, tolerability, and pharmacokinetics of casimersen in patients with Duchenne muscular dystrophy amenable to exon 45 skipping: a randomized, double-blind, placebo-controlled, dose-titration trial. Muscle Nerve. 2021;64(3):285–92. [18] Hoy SM. Delandistrogene Moxeparvovec: First Approval. Drugs. 2023 Sep;83(14):1323-1329. doi: 10.1007/s40265-023-01929-x. [19]D'Ambrosio ES, Mendell JR. Evolving Therapeutic Options for the Treatment of Duchenne Muscular Dystrophy. Neurotherapeutics. 2023 Oct;20(6):1669-1681. doi: 10.1007/s13311-023-01423-y. [20] 夏训明.美国FDA批准首款基因疗法药物Elevidys用于治疗儿童杜氏肌营养不良[J].广东药科大学学报,2023,39(04):105. [21] Mendell JR,et al. Practical considerations for delandistrogene moxeparvovec gene therapy in patients with Duchenne muscular dystrophy. Pediatr Neurol. 2024. doi: 10. 1016/j.pediatrneurol.2024.01.003.
Full Text:
DOI