Duchenne muscular dystrophy: recent insights in brain related comorbidities

Nat Commun. 2025 Feb 3;16(1):1298. doi: 10.1038/s41467-025-56644-w.

Abstract

Duchenne muscular dystrophy (DMD), the most common childhood muscular dystrophy, arises from DMD gene mutations, affecting the production of muscle dystrophin protein. Brain dystrophin-gene products are also transcribed via internal promoters. Their deficiency contributes to comorbidities, including intellectual disability ( ~ 22% of patients), autism ( ~ 6%) and attention deficit disorders ( ~ 18%), representing a major unmet need for patients and families. Thus, improvement of their diagnosis and treatment is needed. Dystrophic mouse models exhibit similar phenotypes, where genetic therapies restoring brain dystrophins improve their behaviour. This suggests that future genetic therapies could address both muscle and brain dysfunction in DMD patients.

Publication types

  • Review

MeSH terms

  • Animals
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / genetics
  • Autistic Disorder / epidemiology
  • Autistic Disorder / genetics
  • Brain* / metabolism
  • Brain* / pathology
  • Brain* / physiopathology
  • Comorbidity
  • Disease Models, Animal
  • Dystrophin / genetics
  • Dystrophin / metabolism
  • Genetic Therapy
  • Humans
  • Intellectual Disability / epidemiology
  • Intellectual Disability / genetics
  • Mice
  • Muscular Dystrophy, Duchenne* / epidemiology
  • Muscular Dystrophy, Duchenne* / genetics
  • Muscular Dystrophy, Duchenne* / therapy
  • Mutation

Substances

  • Dystrophin