Synthetic bottlebrush block copolymer prevents disease onset in Duchenne muscular dystrophy

H Houda Cohen (Department of Integrative Biology and Physiology, University of Minnesota Medical School) A Addeli Bez Batti Angulski (Department of Integrative Biology and Physiology, University of Minnesota Medical School) J Joseph D. Quick (Department of Integrative Biology and Physiology, University of Minnesota Medical School) T Taylor S. Kuebler (Department of Integrative Biology and Physiology, University of Minnesota Medical School) B Brian R. Thompson (Department of Integrative Biology and Physiology, University of Minnesota Medical School) J John Bauer (Department of Integrative Biology and Physiology, University of Minnesota Medical School) D Dongwoo Hahn (Department of Integrative Biology and Physiology, University of Minnesota Medical School) D DeWayne Townsend (Department of Integrative Biology and Physiology, University of Minnesota Medical School) J Joseph F. Hassler (Department of Chemical Engineering and Materials Science, University of Minnesota) B Benjamin J. Hackel (Department of Chemical Engineering and Materials Science, University of Minnesota) T Timothy P. Lodge (Department of Chemical Engineering and Materials Science, University of Minnesota) Y Yuk Y. Sham (Department of Integrative Biology and Physiology, University of Minnesota Medical School) F Frank S. Bates (Department of Chemical Engineering and Materials Science, University of Minnesota) J Joseph M. Metzger (Department of Integrative Biology and Physiology, University of Minnesota Medical School)

Abstract

Duchenne muscular dystrophy (DMD) is a fatal genetic disease of progressive muscle deterioration with no cure. DMD treatment requires a body-wide approach to target all diseased striated muscles: limb, respiratory, and heart. To address this, we focus studies on blocking the onset of muscle membrane instability, the primary defect in DMD, as a promising yet unmet druggable target. Here, data show the remarkable potency of a synthetic poly(ethylene oxide)/poly(propylene oxide) side chain–based bottlebrush block copolymer, ~150,000 times more potent than linear polymers, to rapidly restore contractile function to DMD skeletal muscle fibers in vitro. Strikingly, upon bottlebrush polymer delivery to DMD animals, results show highly efficacious prevention of the onset of skeletal and diaphragm muscle damage and the blocking of stress-induced cardiac injury and death in vivo. These data suggest bottlebrush polymers as a potent stand-alone muscle membrane-stabilizing therapeutic for DMD. Given DMD’s early childhood onset, together with newborn screening for DMD, bottlebrush macromolecules could be envisioned as an early therapy to preserve and protect viable muscle and potentially for other acquired or inherited diseases involving membrane damage.

Article Details

Volume / Issue Vol. 122, Issue 42
Published October 21, 2025
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (14)

H

Houda Cohen

Department of Integrative Biology and Physiology, University of Minnesota Medical School

A

Addeli Bez Batti Angulski

Department of Integrative Biology and Physiology, University of Minnesota Medical School

J

Joseph D. Quick

Department of Integrative Biology and Physiology, University of Minnesota Medical School

T

Taylor S. Kuebler

Department of Integrative Biology and Physiology, University of Minnesota Medical School

B

Brian R. Thompson

Department of Integrative Biology and Physiology, University of Minnesota Medical School

J

John Bauer

Department of Integrative Biology and Physiology, University of Minnesota Medical School

D

Dongwoo Hahn

Department of Integrative Biology and Physiology, University of Minnesota Medical School

D

DeWayne Townsend

Department of Integrative Biology and Physiology, University of Minnesota Medical School

J

Joseph F. Hassler

Department of Chemical Engineering and Materials Science, University of Minnesota

B

Benjamin J. Hackel

Department of Chemical Engineering and Materials Science, University of Minnesota

T

Timothy P. Lodge

Department of Chemical Engineering and Materials Science, University of Minnesota

Y

Yuk Y. Sham

Department of Integrative Biology and Physiology, University of Minnesota Medical School

F

Frank S. Bates

Department of Chemical Engineering and Materials Science, University of Minnesota

J

Joseph M. Metzger

Department of Integrative Biology and Physiology, University of Minnesota Medical School