CYCLOSPORINE INCREASES MUSCULAR FORCE GENERATION IN DUCHENNE MUSCULAR-DYSTROPHY

被引:65
作者
SHARMA, KR [1 ]
MYNHIER, MA [1 ]
MILLER, RG [1 ]
机构
[1] CALIF PACIFIC MED CTR, DEPT NEUROMUSCULAR RES, SAN FRANCISCO, CA 94118 USA
关键词
D O I
10.1212/WNL.43.3_Part_1.527
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We investigated the effect of cyclosporine (CsA) on force generation in 15 boys with Duchenne muscular dystrophy (DMD) by obtaining monthly measures of tetanic force and maximum voluntary contraction (MVC) of both anterior tibial muscles. During 4 months of a natural history phase, both tetanic force and MVC declined significantly. During 8 weeks of CsA treatment (5 mg/kg/day), significantly increased tetanic force (25.8 +/- 6.6%) and MVC (13.6 +/- 4.0%) occurred within 2 weeks. The maximum mean increase during treatment was 35.2 +/- 5.9% (tetanic force) and 19.0 +/- 4.6% (MVC). Side effects from CsA, gastrointestinal and flu-like symptoms, were transient and self-limiting. Thus, as previously reported with prednisone, CsA increases muscular force generation in the anterior tibial muscles of DMD patients.
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页码:527 / 532
页数:6
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