Research Review No. 88. Recent exciting new Developments; 2015-1 A general oveview. The Studies: 1. Fox, D.J., Kumar, A., West, N.A., DiRienzo, A.G., James, K.A. & Joyce Oleszek, J. (2015) Trends With Corticosteroid Use in Males With Duchenne Muscular Dystrophy Born 1982-2001. Journal of Child Neurology. 30(1) 21-26. Comment: The authors from U.S.A. surveyed 521 firstborn males with Duchenne Muscular Dystrophy (DMD). They compared males born between 1982 and 1986 with males born between 1997 and 2001. During those years, steroid use increased from 54% to 72%, while the mean age at steroid initiation decreased from 8.2 to 7.1 years. They found that Hispanic and non-Hispanic black males used steroids less frequently and delayed initiation compared to white males. They urge that such studies should be repeated with males born after 2001 and that these disparities should be taken into consideration when steroid therapy is undertaken. 2. O'Donovan, L., Okamoto, I., Arzumanov, A.A., Williams, D.L., Deuss, P. & Gait, M.J. (2015) Parallel Synthesis of Cell-Penetrating Peptide Conjugates of PMO Toward Exon Skipping Enhancement in Duchenne Muscular Dystrophy. Nucleic Acid Therapeutics. 25(1):1-10. Comment: In this study from the U.K., the authors developed methods of increasing the rate at which phosphorodiamidatemorpholino oligonucleotides (PMO) can be applied to the search for exon-skipping optimization of peptide sequences in conjugates of PMO for therapeutic screening. 3. Ousterout, D.G., Kabadi, A.M., Thakore, P.I., Perez-Pinera, P., Brown, M.T., Majoros, W.H., Reddy, T.E. & Gersbach, C.A. (2015) Correction of dystrophin expression in cells from duchenne muscular dystrophy patients through genomic excision of exon 51 by zinc finger nucleases. Molecular therapy: the journal of the American Society of Gene Therapy. 23(3):523-532. Comment: This study from U.S.A. applies studies for the engineering of site-specific nucleases (DNA affecting enzymes), which can perform changes in the DNA of complex genomes. They use the term ‘designer enzymes’ for the group of enzymes with in which they are particularly interested, so-called zinc finger nucleases (ZFNs). ZFNs are targetable DNA cleavage reagents that have been adopted as gene-targeting tools. ZFN-induced double-strand breaks are subject to cellular DNA repair processes that lead to both targeted mutagenesis and targeted gene replacement at remarkably high frequencies. In this study the authors demonstrate that a clonally derived, genetically corrected population of DMD patient cells using ZFN technology can generate human dystrophin expression in cells, such that it is properly localized to the sarcolemma membrane. They consider that this type of “gene correction by excising exons from the genome may be a viable method for creating an autologous population of corrected cells.” Karl A. Bettelheim 21.3.2015