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BLS-M22 is an investigational oral therapeutic vaccine developed for the treatment of Duchenne muscular dystrophy (DMD). It consists of a recombinant strain of *Lactobacillus casei* engineered to express a modified human myostatin gene, using the MucoMax technology platform. The therapy works by inducing the production of anti-myostatin antibodies in the host, thereby inhibiting myostatin—a negative regulator of muscle growth and member of the transforming growth factor-beta superfamily. Preclinical studies in *mdx* mice (a model for DMD) have shown that oral administration of BLS-M22 increases anti-myostatin IgG titers, reduces serum creatine kinase levels, improves muscle histology, and enhances motor function. The drug has received orphan drug designation for DMD but remains investigational with no reported approvals[1][3][6].
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