Muscular Dystrophy Flashcards
Week 3
Duchenne Muscular Dystrophy
Most common form
Dystrophin gene
- sex-linked disorder affected males almost exclusively (X chromosome defect)
- Absence of dystrophin (localized on the inside of sarcolemma)
- symptoms appear before 6 years old and becomes worse with aging eventually degenerating muscles of diaphragm and heart starting by the age of 20
Muscular Dystrophy
Groups of proteins: cytoplasmic, extracellular, and transmembrane that mediate interactions between intracellular cytoskeleton & ECM
Mutant proteins lead to loss in integrity of the muscle cells making one more vulnerable to damage
Visualization of Duchenne’s MD
Differing cell sizes
Nuclei are centered
Build-up of connective tissue
Visualizing early stages
Myonecrosis: muscle cell death
- deeply pink then macrophages enter and remove debris
Macrophages: engulf dying debris
Inflammation: fibroblasts are activated to secrete ECM - making muscles stiff
DMD sarcomeres
Stair-step pattern