2017
DOI: 10.1016/j.drudis.2017.07.011
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Myotonic dystrophy: candidate small molecule therapeutics

Abstract: Myotonic dystrophy type 1 (DM1) is a rare multisystemic neuromuscular disorder caused by expansion of CTG trinucleotide repeats in the noncoding region of the DMPK gene. Mutant DMPK transcripts are toxic and alter gene expression at several levels. Chiefly, the secondary structure formed by CUGs has a strong propensity to capture and retain proteins, like those of the muscleblind-like (MBNL) family. Sequestered MBNL proteins cannot then fulfill their normal functions. Many therapeutic approaches have been expl… Show more

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Cited by 47 publications
(39 citation statements)
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“…MyoD-transduced DM1 fibroblasts have already been used to test the efficacy of antisense oligonucleotides in reducing ribonuclear foci (54). MBNL is being considered as a target for treating DM1 (55), and the data herein suggest that this target may be less useful for treating DM2. iPSC-CMs have successfully modeled cardiac arrhythmic disorders and serve as a tool for high-throughput and selective drug screening (56).…”
Section: Discussionmentioning
confidence: 89%
“…MyoD-transduced DM1 fibroblasts have already been used to test the efficacy of antisense oligonucleotides in reducing ribonuclear foci (54). MBNL is being considered as a target for treating DM1 (55), and the data herein suggest that this target may be less useful for treating DM2. iPSC-CMs have successfully modeled cardiac arrhythmic disorders and serve as a tool for high-throughput and selective drug screening (56).…”
Section: Discussionmentioning
confidence: 89%
“…Whether ageing is intrinsic to the cells or is a reflection of the cellular response to the ageing environment is under debate. (Seow et al, 2012;reviewed in Overby et al, 2018); Mexiletine (Nguyen and Campbell, 2016); adding muscleblind-like protein 1 (reviewed in Konieczny et al, 2017…”
Section: Satellite Cell Defects In Muscular Dystrophiesmentioning
confidence: 99%
“…This repeat DNA produces the toxic CUG repeat RNA which forms a complex with the alternative-splicing regulator muscleblind-like protein (MBNL), leading to splicing defects and disease symptoms. Thus, abnormal extended CTG or CUG repeats are considered to be one of the important targets for DM1 and several promising compounds have been developed ( 17 , 18 ). For example, TAT derivatives, which can bind the CTG or CUG repeats, strongly inhibit the transcription or formation of the complex with MBNL ( 19 ).…”
Section: Introductionmentioning
confidence: 99%