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  • Genotype‐related respirator...
    Trucco, Federica; Ridout, Deborah; Domingos, Joana; Maresh, Kate; Chesshyre, Mary; Munot, Pinki; Sarkozy, Anna; Robb, Stephanie; Quinlivan, Rosaline; Riley, Mollie; Wallis, Colin; Chan, Elaine; Abel, Francois; De Lucia, Silvana; Hogrel, Jean‐Yves; Niks, Erik H.; Groot, Imelda; Servais, Laurent; Straub, Volker; Ricotti, Valeria; Manzur, Adnan; Muntoni, Francesco

    Muscle & nerve, January 2022, 2022-01-00, 20220101, 2022-01, Letnik: 65, Številka: 1
    Journal Article, Web Resource

    Introduction/Aims Mutations amenable to skipping of specific exons have been associated with different motor progression in Duchenne muscular dystrophy (DMD). Less is known about their association with long‐term respiratory function. In this study we investigated the features of respiratory progression in four DMD genotypes relevant in ongoing exon‐skipping therapeutic strategies. Methods This was a retrospective longitudinal study including DMD children followed by the UK NorthStar Network and international AFM Network centers (May 2003 to October 2020). We included boys amenable to skip exons 44, 45, 51, or 53, who were older than 5 years of age and ambulant at first recorded visit. Subjects who were corticosteroid‐naive or enrolled in interventional clinical trials were excluded. The progression of respiratory function (absolute forced vital capacity FVC and calculated as percent predicted FVC%) was compared across the four subgroups (skip44, skip45, skip51, skip53). Results We included 142 boys in the study. Mean (standard deviation) age at first visit was 8.6 (2.5) years. Median follow‐up was 3 (range, 0.3‐8.3) years. In skip45 and skip51, FVC% declined linearly from the first recorded visit. From the age of 9 years, FVC% declined linearly in all genotypes. Skip44 had the slowest (2.7%/year) and skip51 the fastest (5.9%/year) annual FVC% decline. The absolute FVC increased progressively in skip44, skip45, and skip51. In skip53, FVC started declining from 14 years of age. Discussion The progression of respiratory dysfunction follows different patterns for specific genotype categories. This information is valuable for prognosis and for the evaluation of exon‐skipping therapies.