Article (Scientific journals)
X-linked myotubular myopathy: an untreated treatable disease.
Martin, Cristina; Servais, Laurent
2025In Expert Opinion on Biological Therapy, 25 (4), p. 379 - 394
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Keywords :
X-linked myotubular myopathy; adeno-associated viral vectors; centronuclear myopathy; congenital myopathy; gene therapy; myotubularin; neuromuscular junction; Humans; Animals; Phenotype; Disease Models, Animal; Myopathies, Structural, Congenital/genetics; Myopathies, Structural, Congenital/therapy; Myopathies, Structural, Congenital/physiopathology; Genetic Therapy; Pharmacology; Drug Discovery; Clinical Biochemistry
Abstract :
[en] [en] INTRODUCTION: X-linked myotubular myopathy (XLMTM) is a life-threatening congenital disorder characterized by severe respiratory and motor impairment. This disease presents significant therapeutic challenges, with various strategies being explored to address its underlying pathology. Among these approaches, gene replacement therapy has demonstrated substantial functional improvements in clinical trials. However, safety issues emerged across different therapeutic approaches, highlighting the need for further research. AREAS COVERED: This review provides a comprehensive analysis of the data gathered from natural history studies, preclinical models and clinical trials, with a particular focus on gene replacement therapy for XLMTM. The different therapeutic strategies are addressed, including their outcomes and associated safety concerns. EXPERT OPINION: Despite the encouraging potential of gene therapy for XLMTM, the occurrence of safety challenges emphasizes the urgent need for a more comprehensive understanding of the disease's complex phenotype. Enhancing preclinical models to more accurately mimic the full spectrum of disease manifestations will be crucial for optimizing therapeutic strategies and reducing risks in future clinical applications.
Disciplines :
Pediatrics
Author, co-author :
Martin, Cristina;  Department of Paediatrics, MDUK Oxford Neuromuscular Centre & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK
Servais, Laurent ;  Université de Liège - ULiège > Département des sciences cliniques ; Department of Paediatrics, MDUK Oxford Neuromuscular Centre & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK
Language :
English
Title :
X-linked myotubular myopathy: an untreated treatable disease.
Publication date :
April 2025
Journal title :
Expert Opinion on Biological Therapy
ISSN :
1471-2598
eISSN :
1744-7682
Publisher :
Taylor and Francis Ltd., England
Volume :
25
Issue :
4
Pages :
379 - 394
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 11 April 2025

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