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Cell Press, Trends in Molecular Medicine, 7(21), p. 417-426

DOI: 10.1016/j.molmed.2015.04.006

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The emperor's new dystrophin: Finding sense in the noise

Journal article published in 2015 by S. D. Wilton ORCID, R. N. Veedu, S. Fletcher ORCID
Distributing this paper is prohibited by the publisher
Distributing this paper is prohibited by the publisher

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Abstract

Targeted dystrophin exon removal is a promising therapy for Duchenne muscular dystrophy (DMD); however, dystrophin expression in some reports is not supported by the associated data. As in the account of ‘The Emperor's New Clothes’, the validity of such claims must be questioned, with critical re-evaluation of available data. Is it appropriate to report clinical benefit and induction of dystrophin as dose dependent when the baseline is unclear? The inability to induce meaningful levels of dystrophin does not mean that dystrophin expression as an end point is irrelevant, nor that induced exon skipping as a strategy is flawed, but demands that drug safety and efficacy, and study parameters be addressed, rather than questioning the strategy or the validity of dystrophin as a biomarker.