Table 4.
Therapeutic interventions
| Human Barth Patients | TAZKD Mouse Model | |
|---|---|---|
| Gene replacement | ModRNA (full-length human tafazzin cDNA) in Barth iPSC-derived cardiomyocytes AAV-mediated gene therapy tested in dermal fibroblasts |
Cardiomyopathy reversible when DOX inducer is removed Des-TAZ vector gene therapy AAV9-TAZ gene therapy CL-Nanodisk as lipid replacement therapy |
| Pharmacological | Bezafibrate tested in lymphocytes and current clinical trials Resveratrol tested in lymphocytes Elamipretide clinical trials MitoTempo (antioxidant) tested in iPSC-derived cardiomyocytes Linoleic acid tested in fibroblasts and iPSC-derived cardiomyocytes |
Bezafibrate ROS scavengers |
| Cardiovascular | Angiotensin converting enzyme inhibitors (ACEi), angiotensin receptor blockers (ARB), β-blockers Berlin EXCOR device Heart transplant Implantable cardioverter defibrillators |
|
| Skeletal myopathy | Exercise training | Endurance training |
| Neutropenia | Granulocyte colony stimulating factor (G-CSF) | |
| References | 13, 36, 65, 84, 85, 88, 92, 96, 99, 101 | 1, 32, 33, 71, 78, 88, 89, 92, 99 |
AAV, adeno-associated virus; CL, cardiolipin; DOX, doxycycline; iPSC, induced pluripotent stem cells; TAZ, tafazzin; TAZKD, knock down expression of tafazzin mRNA.