Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

What Nutraceuticals Can Do for Duchenne Muscular Dystrophy: Lessons Learned from Amino Acid Supplementation in the Mouse Model

Version 1 : Received: 29 June 2023 / Approved: 30 June 2023 / Online: 30 June 2023 (07:13:00 CEST)

A peer-reviewed article of this Preprint also exists.

De Paepe, B. What Nutraceuticals Can Do for Duchenne Muscular Dystrophy: Lessons Learned from Amino Acid Supplementation in Mouse Models. Biomedicines 2023, 11, 2033. De Paepe, B. What Nutraceuticals Can Do for Duchenne Muscular Dystrophy: Lessons Learned from Amino Acid Supplementation in Mouse Models. Biomedicines 2023, 11, 2033.

Abstract

Duchenne muscular dystrophy (DMD), the severest form of muscular dystrophy, is characterized by progressive muscle weakness with fatal outcome most often before the fourth decade of life. Despite recent addition of molecular treatments, DMD remains a disease without a cure, and the need persists for the development of supportive therapies aimed to help improve patients’ quality of life. This review focusses on the therapeutical potential of amino acid and derivative supplements, summarizing results obtained in preclinical studies in the murine disease model. Several promising compounds have come forward, with L-arginine, N-acetylcysteine and taurine featuring among the most intensively investigated. Beneficial effects include improved muscle function and reduced muscle fiber necrosis and reduced inflammatory and oxidative damage to muscle tissues, however mild side effects have also surfaced. In order to identify amino acid formulae that are safe and of true benefit to DMD patients, more explorative, placebo-controlled and long-term clinical trials need to be conducted, documenting therapeutic outcomes.

Keywords

N-acetylcysteine; amino acid supplements; L-arginine; Duchenne muscular dystrophy; mdx mouse; osmolytes; supportive therapy; taurine

Subject

Medicine and Pharmacology, Neuroscience and Neurology

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