Muscle Histology Flashcards

1
Q

What is Duchenne muscle dystrophy

A

Muscle weakness due to absence of dystrophin protein, leading to damage beyond repair.

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2
Q

What is the difference between Duchenne and Becker muscle dystrophy

A
Duchenne = absence of dystrophin 
Becker= decrease in dystrophin however it is not absent, so is less severe than Duchenne
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3
Q

Explain the function of dystrophin protein

A

Forms a dystrophin glycoprotein complex that binds cytoskeleton of muscle fiber to the basal lamina.

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4
Q

Why is there muscle weakness in the absence of dystrophin?

A

No dystrophin glycoprotein complex, myofiber is not bound to basal lamina, leading to transient tears in the muscle during contraction. Excess Calcium influx occurs leading to distrubtions signaling.

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5
Q

How does the body compensate for the muscle tear

A

replaces the muscle with collagen and fat

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6
Q

What do the muscle fibers look like under a microscope

A

Some atrophied and some hypertrophied

Absence of endomysium

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7
Q

Describe the clinical picture of Duchenne muscle dystrophy.

A
Protruding belly due to weak abdominal muscles 
Walking on toes
Big calf (collagen and fat)
Weak glutes 
Shoulders pushed back abnormally
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8
Q

What type of fibers are predominant in endomysium?

A

Reticular fibers.

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9
Q

What type of collagen are reticular fibers?

A

Type III Collagen.

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10
Q

What is reticular connective tissue?

A

Connective tissue formed of predominantly reticular fibers.

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11
Q

Where can reticular fibers be found in the body

A

In the endomysium for mechanical support of muscles
Surrounding adipocytes
Surrounding arterioles

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