Triumphs, Trials, and Future Considerations in Genetic Therapies for Hereditary Neuromuscular Diseases.

Missouri medicine Pub Date : 2025-01-01
W David Arnold, Kajri Majithia
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Abstract

Neuromuscular diseases include conditions that affect the spinal motor neurons, peripheral nerves, neuromuscular junctions, and muscles, and they can result from acquired and inherited causes. The number of genetic therapies targeting the inherited causes of neuromuscular diseases has surged in the last decade. This review aims to highlight the current state of genetic therapies within the framework of precision medicine, focusing on the achievements and the gaps that remain. A major emphasis is on spinal muscular atrophy, Duchenne muscular dystrophy, and amyotrophic lateral sclerosis, as these neuromuscular diseases have seen tremendous recent advancements. We will also discuss the future considerations necessary to accelerate the development of next-generation genetic therapies and enhance therapeutic outcomes for patients with neuromuscular diseases.

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遗传性神经肌肉疾病基因治疗的成功、试验和未来考虑。
神经肌肉疾病包括影响脊髓运动神经元、周围神经、神经肌肉连接和肌肉的疾病,它们可以由获得性和遗传性原因引起。在过去十年中,针对神经肌肉疾病遗传原因的基因疗法数量激增。本文综述了精准医学框架下基因治疗的现状,重点介绍了其取得的成就和存在的差距。主要的重点是脊髓性肌萎缩症,杜氏肌营养不良症和肌萎缩侧索硬化症,因为这些神经肌肉疾病最近取得了巨大的进展。我们还将讨论加速下一代基因疗法的发展和提高神经肌肉疾病患者的治疗效果所必需的未来考虑因素。
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