Dimethyl fumarate modulates the dystrophic disease program following short-term treatment.

Cara A Timpani; Stephanie Kourakis; Danielle A Debruin; Dean G Campelj; Nancy Pompeani; Narges Dargahi; Angelo P Bautista; Ryan M Bagaric; Elya J Ritenis; Lauren Sahakian; Didier Debrincat; Nicole Stupka; Patricia Hafner; Peter G Arthur; Jessica R Terrill; Vasso Apostolopoulos; Judy B de Haan; Nuri Guven; Dirk Fischer; Emma Rybalka
Abstract
New medicines are urgently required to treat the fatal neuromuscular disease Duchenne muscular dystrophy (DMD). Dimethyl fumarate (DMF) is a potent immunomodulatory small molecule nuclear erythroid 2-related factor 2 activator with current clinical utility in the treatment of multiple sclerosis and psoriasis that could be effective for DMD and rapidly translatable. Here, we tested 2 weeks of daily 100 mg/kg DMF versus 5 mg/kg standard-care prednisone (PRED) treatment in juvenile mdx mice with early symptomatic DMD. Both drugs modulated seed genes driving the DMD disease program and improved force production in fast-twitch muscle. However, only DMF showed pro-mitochondrial effects, protected contracting muscles from fatigue, improved histopathology, and augmented clinically compatible muscle function tests. DMF may be a more selective modulator of the DMD disease program than PRED, warranting follow-up longitudinal studies to evaluate disease-modifying impact.
Journal JCI INSIGHT
ISSN 2379-3708
Published 08 Nov 2023
Volume 8
Issue 21
Pages
DOI 10.1172/jci.insight.165974
Type Journal Article
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