1. A highly sensitive and quantitative assay for dystrophin protein using Single Molecule Count Technology.
- Author
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Ishii, Misawa Niki, Quinton, Maria, and Kamiguchi, Hidenori
- Subjects
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SINGLE molecules , *DYSTROPHIN , *DUCHENNE muscular dystrophy , *RECOMBINANT proteins , *MYOTONIA atrophica , *FIBRODYSPLASIA ossificans progressiva - Abstract
• Dystrophin expression is designed to replace dystrophin in patients with DMD. • Existing platforms, such as western blotting, are not sensitive and lack specificity. • Highly sensitive immunoassay using Single Molecule Counting Technology was developed. • Successfully measured muscle dystrophin levels in patients with DMD. Duchenne muscular dystrophy (DMD) is a genetic disease characterized by progressive muscle loss caused by mutations in dystrophin, resulting in decreased dystrophin levels. Dystrophin protein expression is a biomarker used to evaluate treatments that restore patient dystrophin levels. Currently, a semiquantitative assay using western blotting, which normalizes dystrophin expression to that of a control population, is used for regulatory filing. However, the current methods are limited in terms of sensitivity, quantification, and reproducibility. To address this, a highly sensitive and quantitative sandwich immune assay using Single Molecule Counting technology was established, with recombinant dystrophin protein as the calibrator. Capture and detection antibodies were selected to detect full-length dystrophin. Using this optimized assay, dystrophin levels in muscle samples from Myotonic Dystrophy (n = 9) and DMD (n = 8) subjects were 93.2 ± 31.9 (range: 49.4–145.3) and 14.5 ± 6.8 (range: 6.18–22.6) fmol/total protein mg, respectively. The lowest concentration of dystrophin measured in the DMD samples was 5 times higher than that in the lower limit of quantitation, a level not detected by western blotting. These data indicate that this assay accurately and sensitively measured dystrophin protein and may be useful in clinical trials assessing dystrophin restoration therapies. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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