Myology research highlights

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Compliance with non-invasive ventilation is not related to respiratory parameters in DM1

Dutch researchers studied compliance with non-invasive mechanical ventilation (NIV) prescribed as part of respiratory management for patients with Steinert’s disease (DM1). 101 patients who had been prescribed this equipment were monitored for at least one year, at the end of the year, 58 of them showed little or no compliance, these results being in line … [Read more]

Low-carb ketogenic diet and McArdle’s disease: results of an international survey

An international survey was conducted among 183 people with McArdle’s disease in 18 countries, including France, to gather their experiences with the low-carbohydrate, high-fat ketogenic diet. The results show that : a third of participants have tried this diet, of these, almost 90% reported positive effects on McArdle’s disease symptoms (exertional intolerance, muscle pain and … [Read more]

Duchenne muscular dystrophy: the possibility of necroptosis inhibition

In the dystrophin-deficient muscle of mouse, rat and dog models of Duchenne muscular dystrophy, there is activation of necroptosis, RIPK1 and RIPK3, key signaling molecules of programmed necrosis, as well as MLKL, a downstream effector of RIPK1 and 3. However, two studies have shown that inhibition of necroptosis can lead to impaired myogenesis and muscle … [Read more]

A CRISPR-Cas9 system induces multiple exon skipping in DMD

Genome editing is an emerging approach to the targeted treatment of Duchenne muscular dystrophy (DMD). Japanese researchers have conducted experiments using the CRISPR-Cas9 tool in induced pluripotent stem cells (iPSc): unlike other genome-editing tools that target one exon of the DMD gene, the system used can skip many exons at once, up to a total … [Read more]

Myopathology of DMD reveals intrinsic senescence of muscle stem cells

A Franco-Italian team has studied the regeneration processes, fibro-adipogenic precursors and muscle stem cells in 24 muscle biopsies from patients with Duchenne muscular dystrophy (DMD): by establishing the myopathological trajectory of DMD, she demonstrated the existence of an increase in fibro-adipogenic cells parallel to a decrease in muscle regenerative capacity; this is correlated with impaired … [Read more]

Corticosteroids improve the efficacy of preventive treatment of left ventricular failure in DMD

A retrospective study of the occurrence of left ventricular damage in 455 boys with Duchenne muscular dystrophy, born between 1982 and 2009 and followed for an average of 10 years with a mean age at last check-up of 14.8 years shows that : 40.7% had left ventricular failure (ejection fraction less than 55% or shortening … [Read more]

A large-scale natural history study of Becker’s myopathy

The records of 225 Japanese patients with Becker’s myopathy, with an average age of 31, were examined to gain a better understanding of the natural history of this disease. The results show that : muscular dystrophy begins with muscular symptoms, hyperCKemia and central nervous system disorders, 53.8% of patients have walking difficulties, with wheelchair use … [Read more]

Growth hormone to offset corticosteroid-induced growth retardation in DMD

Four boys suffering from Duchenne muscular dystrophy treated with corticosteroids (deflazacort or prednisone) had growth retardation with height varying between -3.24 and -1.85 standard deviations, growth velocity ranging from 0 to 3.25 cm/year and bone age retardation of two to four years. Treatment with growth hormone at a rate of 0.24mg/kg/week accelerated growth from 3 … [Read more]

Identification of the causes of death of the only patient treated in the first CRISPR-Cas9 gene therapy trial for DMD

American researchers have analysed the causes of death of a 27-year-old Duchenne muscular dystrophy (DMD) patient who took part in the first trial using the CRISPR-Cas9 system for therapeutic purposes in this disease: the patient had received a single intravenous injection of an AAV9-mediated genome-editing product at a dose of 1×1014 vector-genome per kilo of … [Read more]

When a smartphone app reliably assesses peak cough flow

A study carried out in Spain on 50 patients suffering from Charcot’s disease (n=26), autoimmune myasthenia (n=9) or genetic myopathy (n=15) shows that sound analysis of coughing, via a smartphone application developed by the Hiroshima Institute of Engineering (Japan) : reliably assesses the peak cough flow (PCF) measured with a flowmeter associated with an oronasal … [Read more]