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Dermatomyositis (DM)
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Dermatomyositis (DM)

Dermatomyositis (DM) is a rare, idiopathic inflammatory myopathy characterized by distinctive skin rashes and progressive muscle weakness. Protheragen provides comprehensive, one-stop preclinical drug and therapy development services tailored to address the complex challenges associated with Dermatomyositis (DM).

Introduction to Dermatomyositis

Dermatomyositis (DM) is a rare autoimmune disorder characterized by progressive muscle weakness and distinctive skin manifestations. It involves immune-mediated inflammation of skin and muscle microvasculature, leading to cutaneous rashes (e.g., Gottron's papules, heliotrope rash), proximal myopathy, and systemic complications. DM pathogenesis involves type I interferon (IFN) signatures, autoantibodies (e.g., anti-Mi2, anti-TIF1γ), and genetic susceptibility (e.g., HLA-DRB1 alleles). Incidence ranges from 1–10 per million annually, with higher prevalence in females and children/adults over 40.

The proposed general pathogenetic model of the anti-MDA5 syndrome.Fig.1 Proposed general pathogenetic model of the anti-MDA5 syndrome. (Fuzzi, et al., 2022)

Biomarkers Development for Dermatomyositis

  • Genetic Biomarkers: While no single gene mutation directly causes DM, specific HLA alleles (e.g., HLA-DRB103:01, HLA-DQA105:01) are associated with increased susceptibility. Research focuses on genetic variants that modulate immune responses, particularly those related to type I interferon pathways, offering insights into disease risk and phenotype.
  • Protein Biomarkers: MSAs (e.g., anti-MDA5, anti-NXP2, anti-Mi-2, anti-synthetase) are crucial for diagnosis, classifying disease subtypes, and predicting clinical manifestations. Elevated levels of inflammatory cytokines and chemokines in serum or muscle biopsies serve as indicators of disease activity and therapeutic response.

Therapeutics Development for Dermatomyositis

Therapeutic Strategy Target / Intervention Key Findings / Rationale Development Stage
Tofacitinib JAK1/3 inhibition Suppresses IFN-γ/IL-6 in MDA5+ PBMC models; synergizes with antifibrotics Phase III
Baricitinib JAK1/2 inhibition Reduces IFN signature (MxA+ keratinocytes) in skin biopsies Phase II
Abatacept CTLA-4-Fc (blocks CD80/86-CD28) Decreases T cell expansion in muscle tissue (ASTRAE trial) Phase III
Lenabasum CB2 agonist (modulates macrophages) Shifts M1to M2 polarization in dermal lesions; decreased IL-1β in 3D skin models Phase III
KZR-616 Immunoproteasome inhibitor (NF-κB suppression) Inhibits DC maturation & autoantigen presentation (MRC improvement) Phase II
Imsidolimab Anti-IL-36R mAb Blocks IL-36-driven neutrophil recruitment in pustular rash models Phase II

Disclaimer: Protheragen focuses on providing preclinical research services. This table is for information exchange purposes only. This table is not a treatment plan recommendation. For guidance on treatment options, please visit a regular hospital.

Our Services

Protheragen offers a full range of services with focused therapeutic development and disease model development services to advance therapies for Dermatomyositis to support your projects. Leverage our expertise in dermatology and autoimmune therapeutics to accelerate your DM pipeline. Our integrated platforms deliver validated, clinically translatable insights.

Therapeutics Development Platforms for Dermatomyositis

Disease Models Development for Dermatomyositis

Protheragen's preclinical solutions for Dermatomyositis are designed to accelerate the translation of groundbreaking therapies from bench to bedside. Our in vitro studies leverage proprietary 2D cell models and 3D skin models to dissect DM-driven molecular pathologies, including immune cell infiltration, muscle inflammation, and skin barrier dysregulation.

For in vivo validation, we employ genetically relevant animal models and humanized xenograft platforms that faithfully replicate DM-specific phenotypes, such as muscle weakness and dermatological manifestations. These models undergo rigorous phenotypic and molecular validation to ensure clinical relevance.

2D Cell Models & 3D Skin Models

  • Patient-Specific Fibroblasts and Keratinocytes
  • Myocyte and Immune Cell Co-culture Models
  • 3D Muscle Organoids from DM iPSCs
  • DM Reconstructed Human Skin Models

Animal Models Development

  • Humanized IFNα-Transgenic Mice
  • MDA5 Antibody-Expressing NSG Mice
  • Muscle-Specific TIF1γ-KO Mice
  • CXCR3-Dependent Myositis Models

Drug Safety Evaluation & DMPK Services for Dermatomyositis

In Vitro ADME Services

  • Metabolic Stability Assay
  • CYP Inhibition Screening
  • Muscle Cell Uptake
  • Skin Permeability Assay
  • Plasma Protein Binding

In Vivo Pharmacokinetics Services

  • Muscle Distribution Study
  • Skin Concentration Analysis
  • Capillary Permeability Test
  • Blood-to-Plasma Ratio
  • Metabolite Profiling

By seamlessly integrating gene-edited disease models, multi-omics analytics, and high-throughput screening, we deliver end-to-end preclinical solutions, spanning disease modeling to drug safety evaluation and DMPK services to de-risk your therapeutic development pipeline with actionable insights. Contact us to explore how our end-to-end preclinical expertise can advance your dermatomyositis research.

References

  • Fuzzi, E., et al. "Anti-Mda5 Dermatomyositis: An Update from Bench to Bedside." Curr Opin Rheumatol 34.6 (2022): 365-73.
  • Yasui, M., T. Iwamoto, and S. Furuta. "New Therapies in Anti-Mda5 Antibody-Positive Dermatomyositis." Curr Opin Rheumatol 36.1 (2024): 61-68.

All of our services and products are intended for preclinical research use only and cannot be used to diagnose, treat or manage patients.