Evidence map›Paper›PMID 40308063›Full record

ReviewMolecular therapy : the journal of the American Society of Gene Therapy2025

Clinical applications of exon-skipping antisense oligonucleotides in neuromuscular diseases.

Laia Torres-Masjoan, Sara Aguti, Haiyan Zhou, Francesco Muntoni

Abstract readReview
In one paragraph

Review in Molecular therapy : the journal of the American Society of Gene Therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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  19. Development of Antisense Gapmers for the Treatment of Huntington's Disease.Methods in molecular biology (Clifton, N.J.) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Laia Torres-MasjoanGenetic Therapy Accelerator Centre, Institute of Neurology, University College London, London WC1N 1EH, UK.
Sara AgutiGenetic Therapy Accelerator Centre, Institute of Neurology, University College London, London WC1N 1EH, UK.
Haiyan ZhouNational Institute for Health and Care Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre, London WC1N 1EH, UK; Genetics and Genomic Medicine Research and Teaching Department, Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
Francesco MuntoniGenetic Therapy Accelerator Centre, Institute of Neurology, University College London, London WC1N 1EH, UK; National Institute for Health and Care Research (NIHR) Great Ormond Street Hospital Biomedical Research Centre, London WC1N 1EH, UK; The Dubowitz Neuromuscular Centre, Molecular Neurosciences Section, Developmental Neurosciences Research and Teaching Department, Great Ormond Street Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK. Electronic address: f.muntoni@ucl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Four exon-skipping antisense oligonucleotides (ASOs) have been approved by the US Food and Drug Administration (FDA) for the treatment of Duchenne muscular dystrophy (DMD), including eteplirsen, golodirsen, viltolarsen, and casimersen. Current data from long-term real-world usage of these ASOs suggests a broad safety profile and a delay in muscle deterioration. Nevertheless, the exon-skipping efficacy and dystrophin protein production of these ASOs are limited, suggesting the need for more efficient ASOs. Over the past decade, many studies have focused on improving ASO efficacy by incorporating novel chemical modifications or bioconjugations of a variety of moieties including peptides or antibodies to increase their cellular uptake by muscle cells, their endosomal escape, and their nuclear import to boost therapeutic efficacy. Many of these newly developed exon-skipping ASOs have been studied in clinical trials in DMD patients, and early findings suggest clear improvements in molecular efficacy compared to the earlier version of ASOs, although the safety track record may not be the same as the first-generation compounds. Here, we summarize the recent preclinical and clinical developments of ASOs and discuss the future challenges of exon-skipping therapies for DMD and other neuromuscular diseases.

Indexed as

ExonsGenetic TherapyMuscular Dystrophy, DuchenneNeuromuscular DiseasesOligonucleotides, AntisenseAnimalsClinical Trials as TopicDystrophinHumansRNA SplicingDystrophinOligonucleotides, Antisensecell-penetrating peptideclinical trialsDuchenne muscular dystrophyendosomal escapeexon skippingnext-generation ASOsphosphorodiamidate morpholino oligomertargeted deliverytransferrin receptor antibody

Identifiers

PMID40308063
PMCPMC12172284

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.