230. Revival of Ethionamide by Alpibectir.
作者: Michel Pieren.;Glenn E Dale.;Marc Gitzinger.;Simon Tiberi.;Sophie L Penman.;Modesto J Remuiñán.;Ilse R Dubbelboer.;Ulrika S H Simonsson.;Caryn M Upton.;Thabo Mabuka.;Andreas H Diacon.
来源: N Engl J Med. 2026年394卷8期818-819页 238. An Antibody-Oligonucleotide Conjugate for Myotonic Dystrophy Type 1.
作者: Nicholas E Johnson.;Li-Jung Tai.;Johanna I Hamel.;John W Day.;Jeffrey M Statland.;Payam Soltanzadeh.;Sankarasubramoney H Subramony.;Charles A Thornton.;W David Arnold.;Matthew Wicklund.;Miriam L Freimer.;Kate Eichinger.;Jeanne Dekdebrun.;Chao-Yin Chen.;Varun Goel.;Bradley McEvoy.;Yiming Zhu.;Steven G Hughes.;Elizabeth J Ackermann.;Arthur A Levin.
来源: N Engl J Med. 2026年394卷8期763-772页
Myotonic dystrophy type 1 is a rare, dominantly inherited, progressive, disabling, neuromuscular disease that leads to decreased life expectancy and has no approved therapies. The disease is caused by a trinucleotide repeat expansion in DMPK, which encodes myotonic dystrophy type 1 protein kinase and imparts a toxic gain of function to the transcribed messenger RNA (mRNA), resulting in dysregulated alternative splicing (missplicing). Delpacibart etedesiran (del-desiran [AOC 1001]) is a monoclonal antibody-oligonucleotide conjugate. The antibody component targets transferrin receptor 1, and the oligonucleotide component targets DMPK mRNA.
239. Hematopoietic Stem-Cell Gene Therapy for Cystinosis.
作者: Bruce A Barshop.;Edward D Ball.;Nadine Benador.;Doris Trauner.;Susan Phillips.;Ranjan Dohil.;Natalie A Afshari.;Sohini Roy.;Beatriz Campo Fernandes.;Donald Kohn.;Katayoon Shayan.;John K Everett.;Frederic D Bushman.;Julian Midgley.;Hong Liang.;Anne Sawyers.;Jon A Gangoiti.;Maulik Panchal.;Imama Ahmed.;Stephanie Cherqui.
来源: N Engl J Med. 2026年394卷8期753-762页
Cystinosis is a multisystemic lysosomal storage disorder caused by pathogenic variants in CTNS, the gene encoding cystinosin, a lysosomal transmembrane cystine transporter. In patients with cystinosis, cystine accumulates within lysosomes in all organs. The cystine-depleting agent cysteamine delays but does not prevent disease progression.
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