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OK, now for the good stuff. I have been extensively researching several therapies and research ever since Micah’s diagnosis. One of the hot subjects right now is called “exon skipping” therapy. The dystrophin gene is a very large gene sequence, and if you zoom in on that particular gene, you will see 79 parts like links in a chain. These links are called “exons.” Micah is missing link #50, which means the body starts to execute the instructions to produce dystrophin, gets to link #49 in the chain and then quits because the chain is broken. So you say why not just link up #49 to #51 and keep on going? Well, that is the idea behind the therapy, but the problem is that linking #49 to #51 is like trying to put a square peg into a round hole. So the way this works is an “AON”, which is the drug, goes in and finds the closest chain link to hook up, in effect, skipping several exons to re-link the chain. So in Micah’s case, he would need to skip exons 50 and 51 to fit the “round peg” of #49 into the “round hole” of #52. This creates a shorter chain of dystrophin, but a little dystropin is better than none! In fact Dr. Wong said that muscles only need 27% dystrophin production to maintain normal muscle motor function! This therapy has been showing anywhere from 40% to 100% dystrophin production in clinical trials, so I’d say they are doing pretty good!! This therapy has been very encouraging, but so far the clinical trials have only been conducted overseas in the Netherlands and surrounding countries. Matt said we could move to the Netherlands and he would trim tulips and make wooden shoes if that means we would have access to this therapy. But behold! It looks like we won’t have to. Micah is currently too young to participate in the trails, but the good news is that if the trials go well, by the time he will need intervention, this therapy will probably be available to him!!! God is working!!! Yay!
Here we are this summer...with apologies to YMT...I have THE hot wife;)
I suppose the upside is that it would have been worse if things had progressed further before discovering these problems (ie. a later start on the next generation of research) or even if this had ended up becoming an unsafe drug (ie. that could have been deadly).