Duchenne muscular dystrophy (DMD) is a rare genetic disorder caused by mutations in the dystrophin gene, essential for muscle function. Without sufficient dystrophin, muscle cells weaken and deteriorate over time. DMD primarily affects males, as the dystrophin gene is located on the X chromosome. Females with one mutated copy of the gene are typically carriers but may exhibit mild symptoms. Mutations can be inherited from a carrier parent or occur spontaneously in families with no prior history.
Over 7,000 unique mutations in the dystrophin gene have been identified. Genetic testing, using blood or saliva, is critical for diagnosing DMD and identifying deletions, duplications, or small changes in the gene. Results are typically available within three weeks and are instrumental for patient care and family planning. Comprehensive testing detects mutations in 95% of cases, though additional tests may be necessary for others.
Companies like Sarepta Therapeutics, while primarily focused on developing DMD treatments such as Elevidys, also provide genetic testing resources and support through their patient assistance programs.
Conventional DMD treatments include corticosteroids like prednisone and deflazacort, which slow muscle degeneration and improve motor function. Physical therapy, assistive devices, and respiratory support also play vital roles in managing symptoms and improving quality of life.
Recent advancements in gene therapy show promise. The FDA approved Elevidys in 2023 for children aged 4–5 years, with expanded approval in 2024 for older individuals. Elevidys delivers a modified dystrophin gene via a viral vector, producing a functional, shortened version of the protein. Administered as a single intravenous dose, it stabilizes symptoms and enhances strength. However, long-term efficacy and safety require further study, with some reports of severe immune reactions.
Ongoing research and innovation offer hope for better outcomes, empowering individuals and families impacted by this debilitating disease.