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Canine models of Duchenne muscular dystrophy and their use in therapeutic strategies

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Abstract

Duchenne muscular dystrophy (DMD) is an X-linked recessive disorder in which the loss of dystrophin causes progressive degeneration of skeletal and cardiac muscle. Potential therapies that carry substantial risk, such as gene- and cell-based approaches, must first be tested in animal models, notably the mdx mouse and several dystrophin-deficient breeds of dogs, including golden retriever muscular dystrophy (GRMD). Affected dogs have a more severe phenotype, in keeping with that of DMD, so may better predict disease pathogenesis and treatment efficacy. Various phenotypic tests have been developed to characterize disease progression in the GRMD model. These biomarkers range from measures of strength and joint contractures to magnetic resonance imaging. Some of these tests are routinely used in clinical veterinary practice, while others require specialized equipment and expertise. By comparing serial measurements from treated and untreated groups, one can document improvement or delayed progression of disease. Potential treatments for DMD may be broadly categorized as molecular, cellular, or pharmacologic. The GRMD model has increasingly been used to assess efficacy of a range of these therapies. A number of these studies have provided largely general proof-of-concept for the treatment under study. Others have demonstrated efficacy using the biomarkers discussed. Importantly, just as symptoms in DMD vary among patients, GRMD dogs display remarkable phenotypic variation. Though confounding statistical analysis in preclinical trials, this variation offers insight regarding the role that modifier genes play in disease pathogenesis. By correlating functional and mRNA profiling results, gene targets for therapy development can be identified.

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Acknowledgments

These studies were supported by the following grants: AAV-Mediated Gene Therapy in Canine Muscular Dystrophy, Project 2, University of Pittsburgh Wellstone MDCRC (1U54AR50733; NIAMS) (Xiao); Gene Therapy in Golden Retriever Muscular Dystrophy Model, Project 2, University of North Carolina-Chapel Hill Wellstone MDCRC (5U54AR056953; NIAMS) (Xiao); the Co-operative Program in Translational Research: Proposal for Establishment of the National Center for Canine Models of Duchenne Muscular Dystrophy (NCDMD) (1U24NS059696-01A1; NINDS) (Kornegay); Natural History and Immunological Parameters in the German Shorthaired Pointer Muscular Dystrophy (GSHPMD) Dog, Translational Research Advisory Committee (TRAC) of the Muscular Dystrophy Association (Kornegay); F32 NRSA grant 1F32AR060703-01 (NIAMS) (Nghiem); and the National Center for Medical Rehabilitation Research Core (5R24HD050846; NCMRR) (Hoffman).

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Kornegay, J.N., Bogan, J.R., Bogan, D.J. et al. Canine models of Duchenne muscular dystrophy and their use in therapeutic strategies. Mamm Genome 23, 85–108 (2012). https://doi.org/10.1007/s00335-011-9382-y

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