DUCHENNE-OPEDIA

Learn about terms that are commonly used when discussing dystrophin and Duchenne treatment.

Meet Diego—he is living with Duchenne and he is a paid ambassador.

Diego smiling at the camera

A-F A B C D E F

  • Adverse event

    An unintended or unwanted outcome from use of a medication.

  • Becker muscular dystrophy (BMD)

    A disease caused by a mutation in the dystrophin gene that results in progressive muscle weakness. BMD is similar to Duchenne muscular dystrophy (DMD), but is less severe.

  • Cardiac MRI

    A special type of test that gives doctors a very detailed picture of the heart. It can take 30-90 minutes and requires remaining still during the test. 

  • Cardiologist 

    A doctor who specializes in heart care. 

  • Cardiomyopathy

    A disease that weakens the heart muscle, affecting its ability to pump blood effectively.

  • Cooperative International Neuromuscular Research Group (CINRG)

    An organization that established the largest long-term study to track the progression of DMD in people over time, including their use of medical services and any issues they experienced. The study took place globally and enrolled more than 550 participants.

  • DNA (deoxyribonucleic acid)

    The molecule that carries the genetic information for an organism’s development and functioning.

  • Duchenne muscular dystrophy (DMD)

    A muscle disorder caused by a mutation in the dystrophin gene (“DMD gene”) that leads to a progressive decline of muscle function, as well as heart problems and lung issues.

  • Durability

    The ability of a treatment to provide long-term benefits.

  • Dystrophin

    Part of a group of proteins (a protein complex) that all work together to strengthen and protect muscles as they contract and relax.

  • Electrocardiogram

    A simple and quick test that records the electrical signals that make someone’s heart beat to check for signs of damage. 

  • Exon

    A region of DNA with genetic information for making a protein.

  • Exon-skipping dystrophin

    Dystrophin that’s produced by exon-skipping therapies. This form of dystrophin is larger than the micro-dystrophin that’s produced by gene therapies. With exon-skipping therapy, the muscle cells of a person with Duchenne make a blueprint for their dystrophin protein that’s 84% to 97% (for the most common mutations) as long as the full-length dystrophin made by someone who doesn't have DMD.

  • Exon-skipping therapy

    A therapy that helps people with Duchenne "skip over" exons so that compatible exons can connect and create a shorter but usable dystrophin protein.

G-M G H I J K L M

  • Gene mutations

    Changes in a person’s DNA sequence.

  • Gene therapy

    A therapy that inserts an engineered micro-dystrophin gene into a person with Duchenne to help their muscle cells produce a micro-dystrophin protein. With gene therapy, the dystrophin blueprint made in muscle cells of a person with Duchenne is 32% to 40% as long as the full-length dystrophin made by someone without DMD.

  • Genes

    Sequences of DNA containing information for making proteins that perform specific biological functions.

  • Genetic testing

    Analyzing a person’s DNA sample in a laboratory to detect changes or mutations that may be linked to genetic disease.

  • Gower’s sign or maneuver 

    A specific pattern of movements used by people with Duchenne to raise themselves
    from the floor, using their hands as support to push themselves to an upright position.

  • Heart failure

    When the heart can’t pump enough blood to meet the body’s needs, which can happen as a complication of cardiomyopathy in people with Duchenne.

  • In-frame mutation

    A mutation that occurs when adding or removing genetic information from a gene,
    resulting in a semi-functional protein. In-frame mutations can result in BMD.

  • Left ventricular ejection fraction (LVEF)

    A measurement used to assess how well the heart is pumping blood throughout the body.

  • Micro-dystrophin

    A micro-dystrophin protein created through gene therapy that’s 32% to 40% as long as the dystrophin protein made by someone without DMD.

  • Motor function tests

    Standardized tests typically given to a person with Duchenne to assess the impact
    of their DMD based on their performance in specific activities requiring motor skills and strength. Motor function tests have been validated in clinical trials to monitor DMD progression. They can also be used to monitor progress of DMD treatment and support ongoing reimbursement with payors.

N-T N O P Q R S T

  • Neuromuscular specialist

    A doctor who specializes in caring for brain and muscular conditions.

  • Occupational therapy (OT)

    The goal of OT is to help people with Duchenne maximize their functional independence in everyday activities. OT can also help with addressing tasks for school or work, maintaining skills for hobbies and leisure, and facilitating social integration with peers.

  • Out-of-frame mutation

    A mutation that occurs when adding or removing genetic information from a gene,
    resulting in a nonfunctional (dysfunctional) protein.

  • Physical therapy (PT)

    The goal of PT is to help people with Duchenne preserve their range of motion, motor function, and overall strength. People with Duchenne should receive PT to encourage their mobility and help prevent or reduce risk of muscle contractures. PT for people with Duchenne typically involves passive stretching exercises at the ankles, knees, and hips, 4 to 6 times a week. These can help prevent or reduce contractures of the Achilles tendons, iliotibial bands, and hip flexors. In later DMD stages, additional stretching may be needed at the wrist, hands, and neck.

  • Polypharmacy

    Using multiple drugs for one or more conditions in a single person.

  • Postinfusion monitoring

    Watching a person for any adverse reactions after a treatment infusion.

  • Proteins

    Biological molecules that perform specific functions for the body.

  • Steroids

    Steroids are medicines that help reduce inflammation in the body. The steroids used to treat DMD are systemic, which means that they circulate through the bloodstream to various sites in the body. Steroids are often used for people with Duchenne to help slow their muscle loss and reduce severity of spine deformities (scoliosis).

  • Time to climb 4 stairs (TTCLIMB)

    A motor function test that measures how long it takes for a person with Duchenne to climb 4 stairs.

  • Time to run/walk 10 meters (TTRW)

    A motor function test that measures how long it takes for a person with Duchenne to run or walk 10 meters (about 32 feet).

  • Time to stand (TTSTAND)

    A motor function test that measures how long it takes for a person with Duchenne to go from lying on their back to standing.

U-Z U X Y Z

  • Washout period

    The time it takes for a medication to be fully eliminated from a person’s body, often used in clinical trials to ensure accurate results.

  • Western blot

    A laboratory technique used to identify proteins and help predict the severity of a disease.

  • X-linked recessive inheritance

    A genetic disease associated with mutations in genes on the X chromosome.

  • 6-minute walk test (6MWT)

    A motor function test that measures how far a person with Duchenne can walk in 6 minutes on a flat surface.