Nintedanib preserves muscle in mouse model of limb-girdle muscular dystrophy (LGMD R3)

• A Spanish study has tested the effects of the drug nintedanib, approved for idiopathic pulmonary fibrosis, on the muscle condition of mice model of limb-girdle muscular dystrophy related to SGCA (LGMD R3).

• For 10 weeks, the researchers gave 50 mg/kg of nintedanib orally twice a day to 14 diseased mice, and compared their progress with that of 14 untreated and six untreated diseased mice.

• The study showed that the treatment was well tolerated.

• At the end of the treatment, comparison of treated and untreated mice showed that:

  • they ran 2.6 times farther and had 20% greater forepaw grip strength

     

  • their quadriceps, gastrocnemius and triceps show significantly less fibrosis: the amount of collagen in these muscles is reduced and the expression of genes involved in the fibrotic process is decreased;

     

  • the surface area affected by the dystrophic phenotype is smaller, the fibres are more homogeneous and smaller, and the pathological regeneration process is reduced;

     

  • Macrophagic infiltration is reduced in all muscles, especially in the triceps. The expression of more than 80% of the cytokines analysed is decreased.

• These results suggest the potential usefulness of nintedanib in the therapy of muscular dystrophies, alone or in combination with gene therapy.

 

Nintedanib Reduces Muscle Fibrosis and Improves Muscle Function of the Alpha-Sarcoglycan-Deficient Mice. Alonso-Pérez, J., Carrasco-Rozas, A., Borrell-Pages, M., et al. Biomedicines. 2022 10(10): 2629.