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Dual S100A1 and ARC gene therapy as a treatment for DMD cardiomyopathy.

作者信息

Hammers David W, Hart Cora C, Lee Young Il, Sleeper Margaret M, Sweeney H Lee

机构信息

Department of Pharmacology & Therapeutics and Myology Institute, University of Florida College of Medicine; Gainesville, FL USA.

Small Animal Clinical Sciences, University of Florida College of Veterinary Medicine, Gainesville, FL USA.

出版信息

bioRxiv. 2025 Aug 23:2025.08.23.671924. doi: 10.1101/2025.08.23.671924.


DOI:10.1101/2025.08.23.671924
PMID:40894611
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12393574/
Abstract

Duchenne muscular dystrophy (DMD) is a lethal pediatric striated muscle disease caused by loss of dystrophin for which there is no cure. Cardiomyopathy is the leading cause of death amongst individuals with DMD, and effective therapeutics to treat DMD cardiomyopathy are a major unmet clinical need. This work investigated adeno-associated viral (AAV) gene therapy approaches to treat DMD cardiomyopathy by overexpression of the calcium binding proteins S100A1 and apoptosis repressor with caspase recruitment domains (ARC). Using the severe D2 mouse model of DMD, we identified that S100A1 gene therapy improves the diastolic dysfunction associated with DMD cardiomyopathy, whereas ARC gene therapy prolongs survival. The combination of both S100A1 and ARC in a single bicistronic vector improves the long-term cardiac outcome of D2. mice, development of heart failure caused by micro-dystrophin expression, and exhibits safety via intracoronary delivery in a canine model of DMD. Furthermore, S100A1-ARC gene therapy provides functional benefits when expressed in D2. skeletal muscle. Together, these findings indicate that S100A1-ARC gene therapy represents an effective treatment for DMD cardiomyopathy and may be effective in treating other forms of cardiomyopathy and muscle pathologies.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/be306bae908d/nihpp-2025.08.23.671924v1-f0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/b561e24ae9f3/nihpp-2025.08.23.671924v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/0875b58cce7d/nihpp-2025.08.23.671924v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/7e13fffe5ed3/nihpp-2025.08.23.671924v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/a334a5dc180a/nihpp-2025.08.23.671924v1-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/e890f1e5731d/nihpp-2025.08.23.671924v1-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/be306bae908d/nihpp-2025.08.23.671924v1-f0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/b561e24ae9f3/nihpp-2025.08.23.671924v1-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/0875b58cce7d/nihpp-2025.08.23.671924v1-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/7e13fffe5ed3/nihpp-2025.08.23.671924v1-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/a334a5dc180a/nihpp-2025.08.23.671924v1-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/e890f1e5731d/nihpp-2025.08.23.671924v1-f0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3566/12393574/be306bae908d/nihpp-2025.08.23.671924v1-f0006.jpg

相似文献

[1]
Dual S100A1 and ARC gene therapy as a treatment for DMD cardiomyopathy.

bioRxiv. 2025-8-23

[2]
Dystrophinopathies

1993

[3]
Prescription of Controlled Substances: Benefits and Risks

2025-1

[4]
Corticosteroids for the treatment of Duchenne muscular dystrophy.

Cochrane Database Syst Rev. 2016-5-5

[5]
Inhibition of mitochondrial fission protein Drp1 ameliorates skeletal myopathy in the D2-mdx model of Duchenne muscular dystrophy.

Am J Physiol Cell Physiol. 2025-7-1

[6]
Antioxidants to prevent respiratory decline in people with Duchenne muscular dystrophy and progressive respiratory decline.

Cochrane Database Syst Rev. 2021-11-8

[7]
Antioxidants to prevent respiratory decline in people with Duchenne muscular dystrophy and progressive respiratory decline.

Cochrane Database Syst Rev. 2021-12-1

[8]
Long-Term Survival and Myocardial Function Following Systemic Delivery of Delandistrogene Moxeparvovec in DMD Rats.

Hum Gene Ther. 2024-12

[9]
Transcriptomic profiling of skeletal muscle in the DMD rat model of Duchenne muscular dystrophy.

Sci Rep. 2025-8-11

[10]
Cardiomyopathy in Duchenne Muscular Dystrophy and the Potential for Mitochondrial Therapeutics to Improve Treatment Response.

Cells. 2024-7-9

本文引用的文献

[1]
Cardiac-Targeted AAV5-S100A1 Gene Therapy Protects Against Adverse Remodeling and Contractile Dysfunction in Postischemic Hearts.

Circ Heart Fail. 2025-7

[2]
Effect of Tadalafil on cardiac function and left ventricular dimensions in Duchenne muscular dystrophy: safety and cardiac MRI substudy results from a randomized, placebo-controlled trial.

BMC Cardiovasc Disord. 2025-4-11

[3]
Boys With Duchenne Muscular Dystrophy Have Diastolic Dysfunction Based on CMR.

Circ Cardiovasc Imaging. 2024-12

[4]
AAV gene therapy for Duchenne muscular dystrophy: the EMBARK phase 3 randomized trial.

Nat Med. 2025-1

[5]
Role of apoptosis repressor with caspase recruitment domain in human health and chronic diseases.

Ann Med. 2024-12

[6]
Cardiomyopathy in Duchenne Muscular Dystrophy and the Potential for Mitochondrial Therapeutics to Improve Treatment Response.

Cells. 2024-7-9

[7]
Potential limitations of microdystrophin gene therapy for Duchenne muscular dystrophy.

JCI Insight. 2024-5-7

[8]
Safety and efficacy of givinostat in boys with Duchenne muscular dystrophy (EPIDYS): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial.

Lancet Neurol. 2024-4

[9]
Death after High-Dose rAAV9 Gene Therapy in a Patient with Duchenne's Muscular Dystrophy.

N Engl J Med. 2023-9-28

[10]
Meeting Report: 2022 Muscular Dystrophy Association Summit on 'Safety and Challenges in Gene Transfer Therapy'.

J Neuromuscul Dis. 2023

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