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Comparison of Mutation Profiles in the Duchenne Muscular Dystrophy Gene among Populations: Implications for Potential Molecular Therapies
Authors:Luz Berenice López-Hernández  Benjamín Gómez-Díaz  Alexandra Berenice Luna-Angulo  Mónica Anaya-Segura  David John Bunyan  Carolina Zú?iga-Guzman  Rosa Elena Escobar-Cedillo  Bladimir Roque-Ramírez  Luis Angel Ruano-Calderón  Héctor Rangel-Villalobos  Julia Angélica López-Hernández  Francisco Javier Estrada-Mena  Silvia García  Ramón Mauricio Coral-Vázquez
Abstract:Novel therapeutic approaches are emerging to restore dystrophin function in Duchenne Muscular Dystrophy (DMD), a severe neuromuscular disease characterized by progressive muscle wasting and weakness. Some of the molecular therapies, such as exon skipping, stop codon read-through and internal ribosome entry site-mediated translation rely on the type and location of mutations. Hence, their potential applicability worldwide depends on mutation frequencies within populations. In view of this, we compared the mutation profiles of the populations represented in the DMD Leiden Open-source Variation Database with original data from Mexican patients (n = 162) with clinical diagnosis of the disease. Our data confirm that applicability of exon 51 is high in most populations, but also show that differences in theoretical applicability of exon skipping may exist among populations; Mexico has the highest frequency of potential candidates for the skipping of exons 44 and 46, which is different from other populations (p < 0.001). To our knowledge, this is the first comprehensive comparison of theoretical applicability of exon skipping targets among specific populations.
Keywords:Ataluren  DMD gene  MLPA  exon skipping  Duchenne  therapies
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