Assessing the Use of the sGC Stimulator BAY-747, as a Potential Treatment for Duchenne Muscular Dystrophy

Autor: Jörg Hüser, Lisa Dietz, Alexandros Vakalopoulos, Roland Seifert, Ilka Mathar, Peter Sandner, Shalini M Krishnan, Petra Haning, Elke Hartmann, Johannes Nordlohne
Jazyk: angličtina
Rok vydání: 2021
Předmět:
0301 basic medicine
Myeloid
Duchenne muscular dystrophy
Endogeny
Grip strength
Mice
mdx/mTRG2 mice
0302 clinical medicine
Soluble Guanylyl Cyclase
Fibrosis
Biology (General)
Spectroscopy
General Medicine
Computer Science Applications
skeletal muscle damage
Chemistry
medicine.anatomical_structure
medicine.symptom
medicine.medical_specialty
QH301-705.5
Enzyme Activators
skeletal muscle function
Inflammation
Mice
Transgenic

Catalysis
Article
Inorganic Chemistry
03 medical and health sciences
Immune system
Internal medicine
medicine
Animals
Physical and Theoretical Chemistry
Muscle
Skeletal

Molecular Biology
QD1-999
duchenne muscular dystrophy
business.industry
sGC stimulator
Organic Chemistry
fibrosis
Skeletal muscle
medicine.disease
Muscular Dystrophy
Duchenne

030104 developmental biology
Endocrinology
inflammation
Mice
Inbred mdx

business
030217 neurology & neurosurgery
Zdroj: International Journal of Molecular Sciences
Volume 22
Issue 15
International Journal of Molecular Sciences, Vol 22, Iss 8016, p 8016 (2021)
ISSN: 1422-0067
DOI: 10.3390/ijms22158016
Popis: Duchenne muscular dystrophy (DMD) is a severe and progressive muscle wasting disorder, affecting one in 3500 to 5000 boys worldwide. The NO-sGC-cGMP pathway plays an important role in skeletal muscle function, primarily by improving blood flow and oxygen supply to the muscles during exercise. In fact, PDE5 inhibitors have previously been investigated as a potential therapy for DMD, however, a large-scale Phase III clinical trial did not meet its primary endpoint. Since the efficacy of PDE5i is dependent on sufficient endogenous NO production, which might be impaired in DMD, we investigated if NO-independent sGC stimulators, could have therapeutic benefits in a mouse model of DMD. Male mdx/mTRG2 mice aged six weeks were given food supplemented with the sGC stimulator, BAY-747 (150 mg/kg of food) or food alone (untreated) ad libitum for 16 weeks. Untreated C57BL6/J mice were used as wild type (WT) controls. Assessments of the four-limb hang, grip strength, running wheel and serum creatine kinase (CK) levels showed that mdx/mTRG2 mice had significantly reduced skeletal muscle function and severe muscle damage compared to WT mice. Treatment with BAY-747 improved grip strength and running speed, and these mice also had reduced CK levels compared to untreated mdx/mTRG2 mice. We also observed increased inflammation and fibrosis in the skeletal muscle of mdx/mTRG2 mice compared to WT. While gene expression of pro-inflammatory cytokines and some pro-fibrotic markers in the skeletal muscle was reduced following BAY-747 treatment, there was no reduction in infiltration of myeloid immune cells nor collagen deposition. In conclusion, treatment with BAY-747 significantly improves several functional and pathological parameters of the skeletal muscle in mdx/mTRG2 mice. However, the effect size was moderate and therefore, more studies are needed to fully understand the potential treatment benefit of sGC stimulators in DMD.
Databáze: OpenAIRE
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