Table 1.
Metabolic targets to treat cardiomyopathy in DMD/BMD patients.
Dysfunctional Metabolism | Molecular Alteration | Therapeutic Target | Available Drugs | Potential Therapeutic Strategy |
---|---|---|---|---|
Lipids | Increased cholesterol-to-phospholipid ratio | Cholesterol synthesis | Statin | |
Mitochondria | Increased O2•− production | |||
Impaired Ca2+ handling | ||||
Impaired oxidative phosphorylation | Respiratory complex I function | Idebenone [24,25,26] | ||
ROS | Increased expression of NOX2 Increased O2•− production | NOX2 | Statin [22] | NOX2 inhibition |
RNS | Lower NO levels Impaired NOS1 activity | NO delivery NO synthesis | NO donors [27] |