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BBC NEWS

Muscular dystrophy reversal clue
US scientists have found a way to reverse muscular dystrophy (MD) in
mice, offering hope of a cure for humans with muscle-wasting diseases.

The animals in the Nature Genetics study had myotonic dystrophy - the
most common form of MD in adults.

The therapy targets a particular kind of toxic molecule to "silence"
its presence in the diseased muscle.

The University of Virginia team showed the treatment fully restored
heart and skeletal muscle function in mice.

In myotonic dystrophy, like the other types of MD, faulty DNA is to
blame for the abnormalities that occur.

Weakness

Myotonic dystrophy occurs because of a large expansion of DNA code,
which most likely causes an accumulation of toxic messenger RNA
molecules in cells.

Messenger or mRNA is a copy of the information carried by a gene on
the DNA. If the DNA code is faulty then the mRNA will be faulty too.

These abnormalities lead to the progressive muscle weakness and 
wasting and heart problems seen in myotonic dystrophy.

 The results of the research are encouraging for finding a 
treatment for myotonic dystrophy
Dr Marita Pohlschmidt
Muscular Dystrophy Campaign

Dr Mani Mahadevan and his team reasoned that eliminating the toxic
mRNA molecules might help reverse the disease.

They created mice with faulty DNA that could be turned on and off by
adding or removing an antibiotic to their drinking water.

In the "on" phase the mice showed all the cardinal features of 
myotonic dystrophy. When the DNA was turned off, normal skeletal and
cardiac muscle function was restored in many, but not all of the mice.

Proof of principle

Although the treatment was not 100% effective, the researchers 
believe their results provide the proof scientists have been waiting
for to demonstrate that it might be possible to reverse muscular
dystrophy.

They said: "The results represent the first in vivo proof of 
principle for a therapeutic strategy for treatment of myotonic 
dystrophy by ablating or silencing expression of the toxic RNA 
molecules."

Their work also suggests that it is indeed the toxic mRNA that causes
the pathology.

They said: "The fact that the course of the disease can be reversed
both overtly and at the molecular level suggests that the toxic RNA
functions as a reversible metabolic toxin."

Dr Marita Pohlschmidt, of the Muscular Dystrophy Campaign, said: "The
results of the research are encouraging for finding a treatment for
myotonic dystrophy.

"It might be possible to reverse the symptoms of myotonic dystrophy
when the toxic substance causing the condition is neutralised.

"However, there is still a lot that needs to be done before we can be
sure that this will be successful."

Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/2/hi/health/5223314.stm

Published: 2006/07/30 23:02:53 GMT

© BBC MMVI




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