scholarly journals Duchenne muscular dystrophy: A immunohistochemical profile and deletion pattern in dystrophin gene in North Indian population

2017 ◽  
Vol 8 (6) ◽  
pp. 13-18
Author(s):  
Rachna Agarwal ◽  
Sujata Chaturvedi ◽  
Neelam Chhillar ◽  
Ishita Pant ◽  
Anuradha Sharma

Background: Duchenne muscular dystrophy (DMD), one of the most common X linked muscular disorder, affecting 1 in 3500 male births and is caused by mutation in dystrophin gene.  65% of DMD cases are caused by large deletion of dystrophin gene, followed by duplication (5-10%) or point mutation (25-30%). There is wide mutation spectrum of the mutations in dystrophin gene. Hence, population specific information is needed on mutation spectrum and frequency of common mutations occurring in that particular population for appropriate counseling, prenatal diagnosis and for developing genetic therapy in future. Aims and Objectives: To find out the frequency and distribution of deletion in dystrophin gene in DMD patients along with contribution of pathology and genetic testing in diagnosis of DMD and Becker muscular dystrophy (BMD) in North Indian population.Materials and Methods: Dystrophin gene was screened for deletion by multiplex polymerase chain reaction (PCR). Out of 41 patients, 09 patients underwent muscle biopsy, on which immunohistochemistry was performed for dystrophin, sarcoglycan, dysferlin and merosin.Results: Majority of the deletions were located in distal hotspot region (26/39 ~66.66%) which includes the exons 45-55 and 15.38% of deletions were located at the proximal hotspot region (2- 19 exons).Conclusion: In the present study, 34% patients only showed deletion. Hence complete work up of any muscular dystrophy requires immnohistochemical analysis to see the expression of muscle proteins along with multipleplex PCR test to detect any exon deletion, multiplex ligation-dependent probe amplification (MLPA) to detect point mutation and duplication and  western blotting to quantify the dystrophin protein.Asian Journal of Medical Sciences Vol.8(6) 2017 13-18

2013 ◽  
Vol 04 (02) ◽  
pp. 227-229 ◽  
Author(s):  
Lakshya J Basumatary ◽  
Marami Das ◽  
Munindra Goswami ◽  
Ashok K Kayal

ABSTRACTDuchenne muscular dystrophy (DMD) is an X‑linked recessive disorder that affects 1 in 3,500 males and is caused by mutations in the dystrophin gene. In this paper, we have reported DNA analysis of DMD patients by multiplex polymerase chain reaction (PCR) from various states of northeast India. Of the 69 clinically suspected patients of DMD, deletion was detected by multiplex PCR in 49 (71%) patients. Majority of the deletions (42/49, 85.7%) were located at distal hot spot region that encompasses exons 44-55 and 14.3% of the deletions were located at the proximal hot spot region (exons 2-19). In this study population, the deletion rate was 71% and was more frequent in the distal end exon.


2010 ◽  
Vol 55 (6) ◽  
pp. 379-388 ◽  
Author(s):  
Yasuhiro Takeshima ◽  
Mariko Yagi ◽  
Yo Okizuka ◽  
Hiroyuki Awano ◽  
Zhujun Zhang ◽  
...  

2010 ◽  
Vol 20 (9-10) ◽  
pp. 659
Author(s):  
Y. Takeshima ◽  
M. Yagi ◽  
H. Awano ◽  
Y. Yamauchi ◽  
R.G. Malueka ◽  
...  

2015 ◽  
Vol 25 ◽  
pp. S255 ◽  
Author(s):  
H. Ryu ◽  
A. Cho ◽  
M. Seong ◽  
S. Park ◽  
J. Lee ◽  
...  

2017 ◽  
Vol 55 (5) ◽  
pp. 727-734 ◽  
Author(s):  
Anna Cho ◽  
Moon-Woo Seong ◽  
Byung Chan Lim ◽  
Hwa Jeen Lee ◽  
Jung Hye Byeon ◽  
...  

2003 ◽  
Vol 118A (3) ◽  
pp. 296-298 ◽  
Author(s):  
Anthonie J. van Essen ◽  
Inge M. Mulder ◽  
Pieter van der Vlies ◽  
Annemarie H. van der Hout ◽  
Charles H.C.M. Buys ◽  
...  

2021 ◽  
Vol 10 (19) ◽  
pp. 4370
Author(s):  
Marta Simone ◽  
Lucia Margari ◽  
Francesco Pompamea ◽  
Andrea De Giacomo ◽  
Alessandra Gabellone ◽  
...  

A diagnosis of autism spectrum disorder is reported in up to 19% of dystrophinopathies. However, over the last ten years, only a few papers have been published on this topic. Therefore, further studies are required to analyze this association in depth and ultimately to understand the role of the brain dystrophin isoform in the pathogenesis of ASD and other neurodevelopmental disorders. In this paper, we report a clinical case of a patient affected by ASD and Duchenne muscular dystrophy, who carries a large deletion of the dystrophin gene. Then we present a brief overview of the literature about similar cases and about the potential role of the dystrophin protein in the neurobiology of autism spectrum disorder.


Author(s):  
Vratko Himič ◽  
Kay E. Davies

AbstractDuchenne muscular dystrophy (DMD) is an X-linked progressive muscle-wasting disorder that is caused by a lack of functional dystrophin, a cytoplasmic protein necessary for the structural integrity of muscle. As variants in the dystrophin gene lead to a disruption of the reading frame, pharmacological treatments have only limited efficacy; there is currently no effective therapy and consequently, a significant unmet clinical need for DMD. Recently, novel genetic approaches have shown real promise in treating DMD, with advancements in the efficacy and tropism of exon skipping and surrogate gene therapy. CRISPR-Cas9 has the potential to be a ‘one-hit’ curative treatment in the coming decade. The current limitations of gene editing, such as off-target effects and immunogenicity, are in fact partly constraints of the delivery method itself, and thus research focus has shifted to improving the viral vector. In order to halt the loss of ambulation, early diagnosis and treatment will be pivotal. In an era where genetic sequencing is increasingly utilised in the clinic, genetic therapies will play a progressively central role in DMD therapy. This review delineates the relative merits of cutting-edge genetic approaches, as well as the challenges that still need to be overcome before they become clinically viable.


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