Therapeutic Strategy and Clinical Path of Facioscapulohumeral Muscular Dystrophy: Review of the Current Literature

Facioscapulohumeral muscular dystrophy (FSHD) is an autosomal dominant genetic disease, which is caused by the mistaken expression of double homeobox protein 4 protein 4 (DUX4) in skeletal muscle. Patients with FSHD are usually accompanied by degenerative changes in the face, shoulders, and upper mu...

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Main Authors: Qi Xie, Guangmei Ma, Yafeng Song
Format: Article
Language:English
Published: MDPI AG 2024-09-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/14/18/8222
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author Qi Xie
Guangmei Ma
Yafeng Song
author_facet Qi Xie
Guangmei Ma
Yafeng Song
author_sort Qi Xie
collection DOAJ
description Facioscapulohumeral muscular dystrophy (FSHD) is an autosomal dominant genetic disease, which is caused by the mistaken expression of double homeobox protein 4 protein 4 (DUX4) in skeletal muscle. Patients with FSHD are usually accompanied by degenerative changes in the face, shoulders, and upper muscles, gradually accumulating in the lower limb muscles. The severity of patients is quite different, and most patients end up using wheelchairs and losing their self-care ability. At present, the exploration of treatment strategies for FSHD has shifted from relieving symptoms to gene therapy, which brings hope to the future of patients, but the current gene therapy is only in the clinical trial stage. Here, we conducted a comprehensive search of the relevant literature using the keywords FSHD, DUX4, and gene therapy methods including ASOs, CRISPR, and RNAi in the PubMed and Web of Science databases. We discussed the current advancements in treatment strategies for FSHD, as well as ongoing preclinical and clinical trials related to FSHD. Additionally, we evaluated the advantages and limitations of various gene therapy approaches targeting DUX4 aimed at correcting the underlying genetic defect.
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spelling doaj-art-e1bdcdcc9bef4f54a7d1db3d8e98fd2f2025-08-20T01:55:58ZengMDPI AGApplied Sciences2076-34172024-09-011418822210.3390/app14188222Therapeutic Strategy and Clinical Path of Facioscapulohumeral Muscular Dystrophy: Review of the Current LiteratureQi Xie0Guangmei Ma1Yafeng Song2School of Sports Science, Beijing Sport University, Beijing 100084, ChinaDepartment of Physical Education Teaching and Research, Xinjiang University, Wulumuqi 830046, ChinaChina Institute of Sport and Health Science, Beijing Sport University, Beijing 100084, ChinaFacioscapulohumeral muscular dystrophy (FSHD) is an autosomal dominant genetic disease, which is caused by the mistaken expression of double homeobox protein 4 protein 4 (DUX4) in skeletal muscle. Patients with FSHD are usually accompanied by degenerative changes in the face, shoulders, and upper muscles, gradually accumulating in the lower limb muscles. The severity of patients is quite different, and most patients end up using wheelchairs and losing their self-care ability. At present, the exploration of treatment strategies for FSHD has shifted from relieving symptoms to gene therapy, which brings hope to the future of patients, but the current gene therapy is only in the clinical trial stage. Here, we conducted a comprehensive search of the relevant literature using the keywords FSHD, DUX4, and gene therapy methods including ASOs, CRISPR, and RNAi in the PubMed and Web of Science databases. We discussed the current advancements in treatment strategies for FSHD, as well as ongoing preclinical and clinical trials related to FSHD. Additionally, we evaluated the advantages and limitations of various gene therapy approaches targeting DUX4 aimed at correcting the underlying genetic defect.https://www.mdpi.com/2076-3417/14/18/8222facioscapulohumeral muscular dystrophygenetic treatmentoligonucleotidesCrisprDUX4
spellingShingle Qi Xie
Guangmei Ma
Yafeng Song
Therapeutic Strategy and Clinical Path of Facioscapulohumeral Muscular Dystrophy: Review of the Current Literature
Applied Sciences
facioscapulohumeral muscular dystrophy
genetic treatment
oligonucleotides
Crispr
DUX4
title Therapeutic Strategy and Clinical Path of Facioscapulohumeral Muscular Dystrophy: Review of the Current Literature
title_full Therapeutic Strategy and Clinical Path of Facioscapulohumeral Muscular Dystrophy: Review of the Current Literature
title_fullStr Therapeutic Strategy and Clinical Path of Facioscapulohumeral Muscular Dystrophy: Review of the Current Literature
title_full_unstemmed Therapeutic Strategy and Clinical Path of Facioscapulohumeral Muscular Dystrophy: Review of the Current Literature
title_short Therapeutic Strategy and Clinical Path of Facioscapulohumeral Muscular Dystrophy: Review of the Current Literature
title_sort therapeutic strategy and clinical path of facioscapulohumeral muscular dystrophy review of the current literature
topic facioscapulohumeral muscular dystrophy
genetic treatment
oligonucleotides
Crispr
DUX4
url https://www.mdpi.com/2076-3417/14/18/8222
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AT guangmeima therapeuticstrategyandclinicalpathoffacioscapulohumeralmusculardystrophyreviewofthecurrentliterature
AT yafengsong therapeuticstrategyandclinicalpathoffacioscapulohumeralmusculardystrophyreviewofthecurrentliterature