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In the dystroglycanopathies prednisone seems to be ready for a clinical trial, and should be tested in fukutin and FKRP mouse models. Further questions to address are the applicability of LARGE upregulation, as well as its limitations since its transgenic upregulation on disease backgrounds has been shown to be deleterious [58,59], modeling cardiac disease in the mouse model, and the question whether the CNS diseases can be influenced by therapeutic interventions. The applicability of AAV-mediated gene transfer therapy could be assessed in various genetic models.
For LAMA2 -CMD, the critical question remaining unanswered is to identify the different driving mechanisms at different stages of the disease.