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Department of * Physiology and Biophysics and Genetic defects in a number of components
of the dystrophin-glycoprotein complex (DGC) lead to
distinct forms of muscular dystrophy. However, little is
known about how alterations in the DGC are manifested in the pathophysiology present in dystrophic muscle tissue. One hypothesis is that the DGC protects
the sarcolemma from contraction-induced damage. Using tracer molecules, we compared sarcolemmal integrity in animal models for muscular dystrophy and in
muscular dystrophy patient samples. Evans blue, a low
molecular weight diazo dye, does not cross into skeletal
muscle fibers in normal mice. In contrast, mdx mice, a
dystrophin-deficient animal model for Duchenne muscular dystrophy, showed significant Evans blue accumulation in skeletal muscle fibers. We also studied
Evans blue dispersion in transgenic mice bearing different dystrophin mutations, and we demonstrated that
cytoskeletal and sarcolemmal attachment of dystrophin
might be a necessary requirement to prevent serious fiber damage. The extent of dye incorporation in transgenic mice correlated with the phenotypic severity of
similar dystrophin mutations in humans. We furthermore assessed Evans blue incorporation in skeletal
muscle of the dystrophia muscularis (dy/dy) mouse and
its milder allelic variant, the dy2J/dy2J mouse, animal
models for congenital muscular dystrophy. Surprisingly, these mice, which have defects in the laminin
Department of Neurology, Howard Hughes Medical Institute, University of
Iowa College of Medicine, Iowa City, Iowa 52242; and § Department of Human Genetics, University of Michigan Medical School,
Ann Arbor, Michigan 48109
2-chain, an extracellular ligand of the DGC, showed little
Evans blue accumulation in their skeletal muscles.
Taken together, these results suggest that the pathogenic mechanisms in congenital muscular dystrophy are
different from those in Duchenne muscular dystrophy,
although the primary defects originate in two components associated with the same protein complex.
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