Duchenne muscular dystrophy: an historical treatment review

ABSTRACT In this review, we discuss the therapies used in the treatment of patients with Duchenne muscular dystrophy since the first description of the disease. A short description is given of the various theories based on disease pathogenesis, which give the substrates for the many therapeutic inte...

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Main Authors: Lineu Cesar Werneck, Paulo José Lorenzoni, Renata Dal-Prá Ducci, Otto Hernández Fustes, Cláudia Suemi Kamoi Kay, Rosana Herminia Scola
Format: Article
Language:English
Published: Thieme Revinter Publicações
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000800579&lng=en&tlng=en
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author Lineu Cesar Werneck
Paulo José Lorenzoni
Renata Dal-Prá Ducci
Otto Hernández Fustes
Cláudia Suemi Kamoi Kay
Rosana Herminia Scola
author_facet Lineu Cesar Werneck
Paulo José Lorenzoni
Renata Dal-Prá Ducci
Otto Hernández Fustes
Cláudia Suemi Kamoi Kay
Rosana Herminia Scola
author_sort Lineu Cesar Werneck
collection DOAJ
description ABSTRACT In this review, we discuss the therapies used in the treatment of patients with Duchenne muscular dystrophy since the first description of the disease. A short description is given of the various theories based on disease pathogenesis, which give the substrates for the many therapeutic interventions. A brief review of the methods of evaluation used in therapeutic trials is made. Of all the treatments, the only drugs that are still considered able to modify the course of the disease are the corticosteroids (prednisone/prednisolone/deflazacort). Other drugs (coenzyme Q10 and creatine) have had a little effect in a few functions without adverse reactions. Idebenone seems to improve the respiratory function in the long term. The trials with mRNA transcription, through nonsense mutations or exon 51 skipping, show some beneficial results in a few functional tests, but they are limited to a small set of DMD patients.
format Article
id doaj-art-0ff7a6c639d44d41bc12ce4e63377a54
institution OA Journals
issn 1678-4227
language English
publisher Thieme Revinter Publicações
record_format Article
series Arquivos de Neuro-Psiquiatria
spelling doaj-art-0ff7a6c639d44d41bc12ce4e63377a542025-08-20T02:02:32ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-422777857958910.1590/0004-282x20190088S0004-282X2019000800579Duchenne muscular dystrophy: an historical treatment reviewLineu Cesar WerneckPaulo José LorenzoniRenata Dal-Prá DucciOtto Hernández FustesCláudia Suemi Kamoi KayRosana Herminia ScolaABSTRACT In this review, we discuss the therapies used in the treatment of patients with Duchenne muscular dystrophy since the first description of the disease. A short description is given of the various theories based on disease pathogenesis, which give the substrates for the many therapeutic interventions. A brief review of the methods of evaluation used in therapeutic trials is made. Of all the treatments, the only drugs that are still considered able to modify the course of the disease are the corticosteroids (prednisone/prednisolone/deflazacort). Other drugs (coenzyme Q10 and creatine) have had a little effect in a few functions without adverse reactions. Idebenone seems to improve the respiratory function in the long term. The trials with mRNA transcription, through nonsense mutations or exon 51 skipping, show some beneficial results in a few functional tests, but they are limited to a small set of DMD patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000800579&lng=en&tlng=enMuscular dystrophyDuchenne dystrophymuscular diseases
spellingShingle Lineu Cesar Werneck
Paulo José Lorenzoni
Renata Dal-Prá Ducci
Otto Hernández Fustes
Cláudia Suemi Kamoi Kay
Rosana Herminia Scola
Duchenne muscular dystrophy: an historical treatment review
Arquivos de Neuro-Psiquiatria
Muscular dystrophy
Duchenne dystrophy
muscular diseases
title Duchenne muscular dystrophy: an historical treatment review
title_full Duchenne muscular dystrophy: an historical treatment review
title_fullStr Duchenne muscular dystrophy: an historical treatment review
title_full_unstemmed Duchenne muscular dystrophy: an historical treatment review
title_short Duchenne muscular dystrophy: an historical treatment review
title_sort duchenne muscular dystrophy an historical treatment review
topic Muscular dystrophy
Duchenne dystrophy
muscular diseases
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2019000800579&lng=en&tlng=en
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AT ottohernandezfustes duchennemusculardystrophyanhistoricaltreatmentreview
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