Lee Machado
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drleemachado.bsky.social
Lee Machado
@drleemachado.bsky.social
Professor of Molecular Medicine @uninorthants researching #infection, #immunity and #cancer. Deputy Chair @BeaCitySixth
Looking forward to popping over for a nose at some point! 😉
October 27, 2025 at 9:16 PM
8/8 Key message:
🧬 DMD is not uniformly oncogenic or tumour suppressive.
🧩 Isoform Dp71ab may be central.
📈 Any therapeutic approach must consider tumour context.

febs.onlinelibrary.wiley.com/doi/10.1002/...
FEBS Press
We propose a context-dependent model where the Duchenne muscular dystrophy (DMD) gene acts as a tumour suppressor in aggressive tumours and as an oncogene in less aggressive ones. We propose this mod...
febs.onlinelibrary.wiley.com
August 21, 2025 at 12:48 PM
7/8 For me, this project reflects pivoting in research. Learning bioinformatics during COVID provided the tools to take this forward, and collaborating with @Weekademia, it has now matured into a published study and a new framework to functionally test.
August 21, 2025 at 12:48 PM
6/8 Supporting evidence:
Aggressive cancers often downregulate/mutate DMD.

Less aggressive cancers retain intact DMD.

So, DMD’s role is context-dependent.
August 21, 2025 at 12:48 PM
5/8 From this, we propose a dual model:

In aggressive cancers, DMD acts as a tumour suppressor.

In less aggressive cancers, DMD can play an oncogenic role.
August 21, 2025 at 12:48 PM
4/8 Pathway analysis revealed two contrasting patterns:

High DMD protective → ECM integrity & adhesion preserved.

High DMD harmful → morphogenesis & cellular plasticity promoted.
August 21, 2025 at 12:48 PM
3/8 Isoform analysis was crucial:

Dp71ab was the dominant transcript and mirrored survival patterns.

Dp40 also appeared consistently.

This suggests isoforms, not just total DMD drive the biology.
August 21, 2025 at 12:48 PM
2/8 Using TCGA data (33 cancers), we found DMD expression significantly linked to survival in 9 cancers.

But the direction split:

High DMD = ⬆️ survival (breast, lung, pancreas, AML, uveal melanoma)

High DMD = ⬇️ survival (glioma, thymoma, kidney and rectal)
August 21, 2025 at 12:48 PM
1/8 The Duchenne muscular dystrophy gene (DMD) is well known in muscle biology, but in cancer its role has been puzzling.

Some studies showed high DMD = better survival. Others showed the opposite.

We set out to explain why.
August 21, 2025 at 12:48 PM