| RNAi-mediated knockdown of dystrophin expression in adult mice does not lead to overt muscular dystrophy pathology.
 
 Hum Mol Genet. 2008 May 28.
 hmg.oxfordjournals.org
 
 Ghahramani Seno MM, Graham IR, Athanasopoulos T, Trollet C,
 Pohlschmidt M, Crompton MR, Dickson G.
 School of Biological Sciences, Royal Holloway – University of
 London, Egham, TW20 0EX, UK.
 
 Duchenne muscular dystrophy (DMD) is a fatal muscle wasting
 disorder caused by mutations in the dystrophin gene. DMD has a
 complex and as yet incompletely defined molecular
 pathophysiology. The peak of the pathology attributed to
 dystrophin deficiency happens between 3 and 8 weeks of age in
 mdx mice, the animal model of DMD. Accordingly, we
 hypothesized that the pathology observed with dystrophin
 deficiency may be developmentally regulated. Initially, we
 demonstrated that profound siRNA-mediated dystrophin knockdown
 could be achieved in mouse primary muscle cultures. The use of
 adeno-associated virus (AAV) vectors to express shRNAs
 targeting dystrophin in skeletal muscle in vivo yielded a
 potent and specific dystrophin knockdown, but only after
 approximately 5 months, indicating the very long half-life of
 dystrophin. Interestingly, and in contrast to what is observed
 in congenital dystrophin deficiency, long-term ( approximately
 1 year) dystrophin knockdown in adult mice did not result, per
 se, in overt dystrophic pathology or up-regulation of
 utrophin. This supports our hypothesis and suggests new
 pathophysiology for the disease. Furthermore, taking into
 account the rather long half-life of dystrophin, and the
 notion that the development of pathology is age-dependent, it
 indicates that a single gene therapy approach before the onset
 of pathology might convey a long term cure for DMD.
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