Organoids to understand the limited effectiveness of gene therapy in DMD

Researchers at Généthon and the Institute of Myology* have developed muscle organoids, called ‘MYOrganoids’, that reproduce Duchenne muscular dystrophy (DMD) in order to study gene therapy in greater detail.

  • The ‘MYOrganoids’ were obtained from skeletal muscle cells derived from induced pluripotent stem cells from DMD patients co-cultured with fibroblasts from patients to accelerate their structural and contractile maturation while reproducing muscle weakness and fibrosis.
  • Tested within these three-dimensional structures, microdystrophin gene therapy improved muscle function but only partially restored the glycoprotein complex components associated with dystrophin and did little to reduce fibrosis.
  • An antifibrotic treatment could improve the effectiveness of gene therapy.

 

Disease exacerbation in human DMD MYOrganoids enables gene therapy evaluation and unveils persistence of fibrotic activity. Palmieri L, Bimbi G, Ferrand M et al. NPJ Regen Med. 2026 Jan.

 

* Riyad El-Khoury and Guy Brochier – Morphological Unit at the Neuromuscular Investigation Center
Anne Bigot – Cellular and molecular orchestration in muscle regeneration, during ageing and in pathologies team at the Center of Research in Myology