Breakthrough to Cures

Page 40

2021 HARRINGTON UK RARE DISEASE SCHOLAR

PIETRO FRATTA, MD, PhD MRC Senior Clinical Fellow University College London

A MUSCLE-BOUND THERAPY

TO STOP A RARE DISEASE FOCUS: A muscle-targeted gene therapy for Kennedy’s disease, a rare neuromuscular disease. Kennedy’s disease (KD), or Spinal

A genetic disease, KD is caused by an

Dr. Fratta says. “Thus, benefits would

Bulbar Muscular Atrophy, is a rare,

abnormal expansion of DNA in the

be provided to the neuromuscular

slowly progressing adult onset

androgen receptor gene (AR) found on

symptoms while avoiding the threat of

neuromuscular disorder characterized

the X chromosome. Studies have shown

side-effects. This method would require

by the degeneration of neurons within the

that silencing the androgen receptor

just one dosage, which is a godsend for

spinal cord and brainstem, accompanied

gene in muscles is able to fully rescue

such a long-term condition.”

by atrophy of skeletal muscle. Only males

the disease. However, this approach may

are affected, developing progressive

reduce AR in other tissues and organs,

As Dr. Fratta’s lab is among the largest

weakness and wasting of muscles in

inducing significant side effects.

KD clinics in the world, they are also

arms and legs, as well as in the facial

working on providing biomarkers and

region, resulting in difficulty with

“We are developing a virally-delivered

outcome measures that will allow for more

swallowing and speech. There are

gene therapy approach where the AR

effective clinical trials with this disease.

currently no effective treatments.

gene is silenced only in muscles,”

“Our Harrington team is brilliant—and so involved, following the project step by step.”

harringtondiscovery.org

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