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Exon 44 of the DMD gene is a critical therapeutic target in Duchenne muscular dystrophy, as skipping this exon using antisense oligonucleotide or gene editing strategies can restore the reading frame for certain out-of-frame mutations, enabling the production of a truncated but partially functional dystrophin protein. This approach benefits DMD patients with deletions amenable to exon 44 skipping (e.g., exon 45, exons 45–54), representing roughly 6–12% of DMD cases. Therapies targeting “dystrophin exon 44” do not interact directly with the dystrophin protein, but modify the DMD mRNA splicing pattern to mitigate disease severity.
Antisense-mediated exon skipping, restoring the reading frame in dystrophin mRNA by promoting the skipping of exon 44 during splicing, producing a truncated but partially functional dystrophin protein. Gene editing (CRISPR-Cas9): removal or editing of exon 44 to restore an in-frame transcript.
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