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Publication : Dimethyl fumarate modulates the dystrophic disease program following short-term treatment.

First Author  Timpani CA Year  2023
Journal  JCI Insight Volume  8
Issue  21 PubMed ID  37751291
Mgi Jnum  J:343612 Mgi Id  MGI:7566685
Doi  10.1172/jci.insight.165974 Citation  Timpani CA, et al. (2023) Dimethyl fumarate modulates the dystrophic disease program following short-term treatment. JCI Insight 8(21)
abstractText  New medicines are urgently required to treat the fatal neuromuscular disease Duchenne muscular dystrophy (DMD). Dimethyl fumarate (DMF) is a potent immunomodulatory small molecule nuclear erythroid 2-related factor 2 activator with current clinical utility in the treatment of multiple sclerosis and psoriasis that could be effective for DMD and rapidly translatable. Here, we tested 2 weeks of daily 100 mg/kg DMF versus 5 mg/kg standard-care prednisone (PRED) treatment in juvenile mdx mice with early symptomatic DMD. Both drugs modulated seed genes driving the DMD disease program and improved force production in fast-twitch muscle. However, only DMF showed pro-mitochondrial effects, protected contracting muscles from fatigue, improved histopathology, and augmented clinically compatible muscle function tests. DMF may be a more selective modulator of the DMD disease program than PRED, warranting follow-up longitudinal studies to evaluate disease-modifying impact.
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