Duchenne muscular dystrophy is the
most severe form of muscular dystrophy. It affects about one in
every 3500 boys who are born – about 100 boys a
year. It is a sex-linked genetic condition which means the boys
cannot make a protein called dystrophin, a protein which is vitally
important for maintaining healthy muscles. Without it the muscles
weaken and waste away, so that by their early teens most affected
boys are confined to a wheelchair and their life expectancy is only
20-30 years.
The faulty gene causing this condition is very large, which makes
normal gene therapy techniques difficult. However, researchers in
the United States and in Britain have found ways of using parts
of a healthy gene, called mini-genes, to repair the damaged
DNA, enabling the muscles to produce dystrophin and to function
in a much more normal way. What is more, the effect has been long
term – the protein was still being made a year after
the gene was inserted. The only problem is that the gene therapy
technique has so far only been tried in mice.
But
the results from a group of scientists at the Hammersmith Hospital
in London are so encouraging that there are hopes it will not be
long before the technique can be tried in human volunteers. The
problem is that gene therapy has not yet been fully successful in
overcoming any genetic diseases, so it will be brave patients – and
their parents – who undergo the first trials of
this new treatment which could, just possibly, completely change
their lives.
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