Maruyama Rika, Yokota Toshifumi
Department of Medical Genetics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2H7, Canada.
The Friends of Garrett Cumming Research & Muscular Dystrophy Canada, HM Toupin Neurological Science Research Chair, Edmonton, AB T6G 2H7, Canada.
J Pers Med. 2020 Sep 16;10(3):129. doi: 10.3390/jpm10030129.
With the development of novel targeted therapies, including exon skipping/inclusion and gene replacement therapy, the field of neuromuscular diseases has drastically changed in the last several years. Until 2016, there had been no FDA-approved drugs to treat Duchenne muscular dystrophy (DMD), the most common muscular dystrophy. However, several new personalized therapies, including antisense oligonucleotides eteplirsen for DMD exon 51 skipping and golodirsen and viltolarsen for DMD exon 53 skipping, have been approved in the last 4 years. We are witnessing the start of a therapeutic revolution in neuromuscular diseases. However, the studies also made clear that these therapies are still far from a cure. Personalized genetic medicine for neuromuscular diseases faces several key challenges, including the difficulty of obtaining appropriate cell and animal models and limited its applicability. This Special Issue "Molecular Diagnosis and Novel Therapies for Neuromuscular/Musculoskeletal Diseases" highlights key areas of research progress that improve our understanding and the therapeutic outcomes of neuromuscular diseases in the personalized medicine era.
随着包括外显子跳跃/包含和基因替代疗法在内的新型靶向疗法的发展,在过去几年中,神经肌肉疾病领域发生了巨大变化。直到2016年,还没有美国食品药品监督管理局(FDA)批准的治疗杜氏肌营养不良症(DMD,最常见的肌营养不良症)的药物。然而,在过去4年里,几种新的个性化疗法已获批准,包括用于DMD外显子51跳跃的反义寡核苷酸eteplirsen以及用于DMD外显子53跳跃的golodirsen和viltolarsen。我们正在见证神经肌肉疾病治疗革命的开端。然而,研究也清楚表明,这些疗法仍远非治愈方法。神经肌肉疾病的个性化基因医学面临几个关键挑战,包括难以获得合适的细胞和动物模型以及其适用性有限。本期特刊“神经肌肉/肌肉骨骼疾病的分子诊断与新型疗法”重点介绍了研究进展的关键领域,这些进展增进了我们在个性化医学时代对神经肌肉疾病的理解以及治疗效果。