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CRISPR-Cas9-Mediated Upregulation of Utrophin Ameliorates Duchenne Muscular Dystrophy - PubMed

5 hours ago
  • #Duchenne Muscular Dystrophy
  • #Gene Therapy
  • #CRISPR-Cas9
  • CRISPR-Cas9 was used to upregulate utrophin, a dystrophin paralogue, as a potential therapy for Duchenne muscular dystrophy (DMD).
  • The strategy involved disrupting repressor binding sites, particularly the micro-RNA Let-7c binding site, to relieve repression of the UTRN gene.
  • Cas9-generated indels were as effective as complete removal of the Let-7c binding site in upregulating UTRN expression, with minimal off-target effects.
  • In a 3D tissue-engineered human skeletal muscle model of DMD, this editing strategy improved calcium regulation and muscle contraction.
  • In mdx mice, local or systemic delivery of recombinant adeno-associated viruses encoding Cas9 and gRNA targeting the Let-7c site resulted in utrophin upregulation and improved muscle histopathology and function.
  • This approach provides a mutation-independent, potentially universal gene editing therapeutic strategy for DMD.