Rare & Orphan Lab · DeCure for X

DeCure for Autosomal dominant centronuclear myopathy

DeCure's autonomous Rare AI scientist is researching a drug-repurposing hypothesis for autosomal dominant centronuclear myopathy — screening already-approved drugs against its 7-gene Open Targets disease module to publish open-access research. Research is fast; the path to publication is funded in milestone stages.

Disease module7 genesLead labRare & Orphan
All cures
Rare & OrphanDOID:0111217$DeCureRare

The disease map

Disease moduleAutosomal dominant centronuclear myopathy maps to a 7-gene Open Targets module — the target space DeCure's AI scientist screens approved drugs against.
DeCure.ai methodSignature reversal (LINCS) plus network proximity (STRING) rank already-approved drugs likely to perturb this module — the same engine that produces DeCure.ai's repurposing hypotheses.
Repurposing thesisScreening approved medicines against this disease module, then publishing the evidence for the strongest candidate. Known pharmacology and human exposure data make the first question sharper — they do not establish safety or efficacy in a new indication.

Research record

01
ResearchComing soon
Candidate research + dossier — target rationale, drug-repurposing thesis and evidence pack.proof: Published dossier + on-chain hash
02
ValidationComing soon
In-vitro biological validation at a contract research org (CRO).proof: CRO contract + in-vitro report
03
Peer review & paperComing soon
Peer-reviewed paper published open-access (preprint + journal).proof: DOI + open-access link + on-chain hash

Current lead

No approved-drug candidate for autosomal dominant centronuclear myopathy is corroborated in the literature DeepSearch retrieved. Some conditions are managed with non-pharmacological care — a device, surgery or physical therapy — rather than a medicine; that may be the case here, or the literature we found may simply be too sparse yet to support a drug-repurposing angle.

Molecular view

bridging integrator 1 (BIN1)BIN1 is one of the genes genetically linked to this disease in Open Targets — shown as context, not as a drug target we're pursuing: no approved-drug candidate for this disease is yet corroborated in the literature we found.

Loading structure…
helix sheet apo structuredrag to rotate · scroll to zoom

RCSB Protein Data Bank · entry 2FIC · 1.99 Å · ligand none (apo structure). Experimental structure, not a prediction.

What the evidence adds up to

The three abstracts provide no treatment data, no drug names, and no interventional results for autosomal dominant centronuclear myopathy. The 2006 imaging study examined 11 patients with RYR1-linked central core disease and 5 patients from two families with core myopathies not linked to RYR1, ACTA1, or MYH7. It found distinct patterns of muscle involvement between the genetic groups but did not test any therapy. The two 1997 reports describe a single new family whose clinical features initially suggested facioscapulohumeral syndrome, adding to the 13 previously reported families with autosomal dominant centronuclear myopathy. No numbers for survival, response rates, or sample sizes beyond these family counts appear in any abstract. The abstracts state that autosomal forms usually have a later onset and milder course than the X-linked form, but they offer no evidence that any drug alters that course.

No drug was mentioned, no trial was conducted, and no outcome was measured in any of these abstracts. The only information relevant to the disease is its genetic heterogeneity and the existence of unidentified causative genes. There is no basis in these abstracts for claiming efficacy of any compound.

What is still missing: any drug candidate tested in this population, any clinical trial design, any biomarker or patient stratification strategy, and any funding for such work. The abstracts simply document the phenotype and genetic uncertainty that would need to be resolved before a repurposing study could be designed.

Evidence

Retrieved by DeepSearch across 234,678,978 indexed works and resolved on OpenAlex — ranked by citations, including the results that did not work.

Neurology · 2006 · 32 citations

Muscle imaging in dominant core myopathies linked or unlinked to the ryanodine receptor 1 gene

AbstractOBJECTIVE: To characterize the muscle involvement of patients with central core disease (CCD) caused by mutations in the ryanodine receptor 1 gene (RYR1) and to compare these findings with those from patients with core myopathies unlinked to the RYR1 gene. METHODS: We performed a systematic muscular imaging assessment in 11 patients with an RYR1 gene mutation and compared these findings with those of 5 patients from two unrelated families with autosomal dominant core myopathies not linked to RYR1, ACTA1, or MYH7 gene loci. RESULTS: All patients with RYR1 CCD had a characteristic pattern with predominant involvement of the gluteus maximus, adductor magnus, sartorius, vastus intermediolateralis, soleus, and lateral gastrocnemius muscles. In contrast, muscle CT in the first family not linked to RYR1 showed predominant affection of the gluteus minimus and hamstring muscles, whereas the second family presented with predominant involvement of the gluteus minimus, vastus intermediolateralis, tibialis anterior, and medial gastrocnemius muscles. In addition to muscle imaging data, we present detailed information on the clinical and pathologic findings of these novel phenotypes of core myopathies not linked to RYR1. CONCLUSIONS: Our data suggest genetic heterogeneity in autosomal dominant core myopathies and the existence of additional unidentified genes.

https://doi.org/10.1212/01.wnl.0000249151.45200.71
Muscle & Nerve · 1997 · 12 citations

Autosomal dominant centronuclear myopathy: Report of a new family with clinical features simulating facioscapulohumeral syndrome

AbstractThe centronuclear myopathies are a clinically and genetically heterogeneous group of disorders which share similar histological features on muscle biopsy. The familial cases have been classified genetically as X-linked or autosomal in inheritance. The autosomal forms usually have a later onset and milder course as compared to the X-linked form. Thirteen families with autosomal dominant centronuclear myopathy have been previously described. We describe an additional family with unique clinical features which initially suggested a facioscapulohumeral syndrome.

https://doi.org/10.1002/(sici)1097-4598(199709)20:9<1194::aid-mus19>3.0.co;2-t
Muscle & Nerve · 1997 · 0 citations

Autosomal dominant centronuclear myopathy: Report of a new family with clinical features simulating facioscapulohumeral syndrome

AbstractThe centronuclear myopathies are a clinically and genetically heterogeneous group of disorders which share similar histological features on muscle biopsy. The familial cases have been classified genetically as X-linked or autosomal in inheritance. The autosomal forms usually have a later onset and milder course as compared to the X-linked form. Thirteen families with autosomal dominant centronuclear myopathy have been previously described. We describe an additional family with unique clinical features which initially suggested a facioscapulohumeral syndrome. © 1997 John Wiley & Sons, Inc. Muscle Nerve 20:1194–1196, 1997

https://doi.org/10.1002/(sici)1097-4598(199709)20:9<1194::aid-mus19>3.3.co;2-w

Disease module: DeepOracle (Open Targets). Structures: RDKit from PubChem SMILES. Literature: retrieved by DeepSearch across 234,678,978 indexed works (targeted per-candidate search), resolved on OpenAlex.

DeCure is a research and publication project, not medical advice and not a treatment. "DeCure for X" describes a research goal, not a claim that a cure exists. Backing a cure is a contribution to fund the research — it is not an investment, and confers no yield, royalty, equity or IP ownership. Papers are published open-access by the DeCure.ai DAO.