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SH0322 is a next-generation adeno-associated virus (AAV) gene therapy being developed by StrongHolt Therapeutics for the treatment of Duchenne muscular dystrophy (DMD). The therapy utilizes a myotropic capsid and a novel muscle-specific promoter to deliver a miniaturized utrophin transgene. Utrophin is a structural paralog of dystrophin; its overexpression is intended to compensate for the deficiency of functional dystrophin in DMD patients. This approach offers a potential safety advantage by leveraging central immunological tolerance to utrophin, potentially reducing the risk of immune responses compared to dystrophin-based therapies. Preclinical studies in mdx mice have demonstrated that SH0322 can improve muscle histology, reduce biomarkers of muscle injury, and enhance physical performance, supporting its advancement toward clinical trials.
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