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Cardiac Disease in Duchenne and Becker Muscular Dystrophies: The Dystrophinopathies

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Molecular Genetics of Cardiac Electrophysiology

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 231))

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Abstract

The muscular dystrophies are a clinically and genetically heterogeneous group of skeletal muscle wasting diseases that differ widely in their frequency and pattern of cardiac involvement. Clinically, muscular dystrophies are characterized by progressive muscle weakness and atrophy. Pathologically, muscle histology reveals fiber size variability, central nuclei, as well as muscle necrosis with fatty replacement and fibrosis (1,2). Their pattern of muscle involvement, severity, mode of inheritance, unique clinical features, and primary gene defect distinguish individual types of muscular dystrophy (3).

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References

  1. Dubowitz V: Muscle Biopsy: A Practical Approach. In The Muscular Dystrophies, London: Baillière Tindall; 1985:289–404.

    Google Scholar 

  2. Engel AG, Yamamoto M, Fischbeck KH: Dystrophinopathies. In Myology, 2nd ed. Engel AG, Franzini-Armstrong C, eds. New York: McGraw Hill; 1994:1133–1187

    Google Scholar 

  3. Cox GF, Kunkel LM: Dystrophies and heart disease. Curr Opin Cardiol 1997;12:329–343.

    Article  PubMed  CAS  Google Scholar 

  4. Koenig M, Beggs AH, Moyer M, et al.: The molecular basis for Duchenne versus Becker muscular dystrophy: Correlation of severity with type of deletion. Am J Hum Genet 1989,45:498–506.

    PubMed  CAS  Google Scholar 

  5. Koenig M, Hoffman EP, Bertelson CJ, Monaco AP, Feener C, Kunkel LM: Complete cloning of the Duchenne muscular dystrophy (DMD) cDNA and preliminary genomic organization of the DMD gene in normal and affected individuals. Cell 1987;50:509–517.

    Article  PubMed  CAS  Google Scholar 

  6. Monaco AP, Bertelson CJ, Liechti GS, Moser H, Kunkel LM: An explanation for the phenotypic differences between patients bearing partial deletions of the DMD locus. Genomics 1988;2:90–95.

    Article  PubMed  CAS  Google Scholar 

  7. Yoshida K, Ikeda S, Nakamura A, et al: Molecular analysis of the Duchenne muscular dystrophy gene in patients with Becker muscular dystrophy presenting with dilated cardiomyopathy. Muscle Nerve 1993;16:1161–1166.

    Article  PubMed  CAS  Google Scholar 

  8. Cox GA, Sunada Y, Campbell KP, Chamberlain JS: Dp71 can restore the dystrophin-associated glycoprotein complex in muscle but fails to prevent dystrophy. Nature Genet 1994;8:333–339.

    Article  PubMed  CAS  Google Scholar 

  9. Greenberg DS, Sunada Y, Campbell KP, Yaffe D, Nudel U: Exogenous Dp71 restores the levels of dystrophin associated proteins but does not alleviate muscle damage inmdx mice. Nature Genet 1994;8:340–344.

    Article  PubMed  CAS  Google Scholar 

  10. Worton R: Muscular dystrophies: diseases of the dystrophin-glycoprotein complex. Science 1995;270:755–756.

    Article  PubMed  CAS  Google Scholar 

  11. Bönnemann CG, McNally EM, Kunkel LM: Beyond dystrophin: current progress in the muscular dystrophies. Curr Opin Pediatr 1997;8:569–582.

    Article  Google Scholar 

  12. Vainzof M, Passos-Bueno MR, Moreira ES, et al.: The sarcoglycan complex in the six autosomal recessive limb-girdle muscular dystrophies. Hum Molec Genet 1996;5:1963–1969.

    Article  PubMed  CAS  Google Scholar 

  13. Ervasti JM, Campbell KP: A role for the dystrophin-glycoprotein complex as a transmembrane linker between laminin and actin. J Cell Biol 1993;122:809–823.

    Article  PubMed  CAS  Google Scholar 

  14. Carlson, George C: The Dystrophinopathies: An Alternative to the Structural Hypothesis. Neurobiol Dis 1998;5:3–15.

    Article  PubMed  CAS  Google Scholar 

  15. Politano L, Nigro V, Nigro G, et al: Development of cardiomyopathy in female carriers of Duchenne and Becker muscular dystrophies. JAMA 1996;275:1335–1338.

    Article  PubMed  CAS  Google Scholar 

  16. Nigro G, Comi LI, Politano L, et al.: Evaluation of the cardiomyopathy in Becker muscular dystrophy. Muscle Nerve 1995; 18:283–291.

    Article  PubMed  CAS  Google Scholar 

  17. Song KS, Scherer PE, Tang Z, et al: Expression of caveolin-3 in skeletal, cardiac, and smooth muscle cells. Caveolin-3 is a component of thesarcolemma and co-fractionates with dystrophin and dystrophin-associated glycoproteins. J Biol Chem 1996;271:15160–15165.

    Article  PubMed  CAS  Google Scholar 

  18. Bredt DS. Knocking signaling out of the dystrophin complex. Nature Cell Biology 1999;1:E89–91.

    Article  Google Scholar 

  19. Fadic R, Sunada Y, Waclawik AJ, et al: Deficiency of a dystrophin-associated glycoprotein (adhalin) in a patient with muscular dystrophy and cardiomyopathy. N Engl J Med 1996;334:362–6.

    Article  PubMed  CAS  Google Scholar 

  20. Roberds SL, Ervasti JM, Anderson RD, et al: Disruption of the dystrophin-glycoprotein complex in the cardiomyopathic hamster. J Biol Chem 1993;268:11469–11499.

    Google Scholar 

  21. Hoffman EP, Arahata K, Minetti C, Bonilla E, Rowland LP: Dystrophinopathy in isolated cases of myopathy in females. Neurology 1992;42:967–975.

    Article  PubMed  CAS  Google Scholar 

  22. Lyon MF: X-chromosome inactivation and developmental patterns in mammals. Biol Rev 1972;47:1–35.

    Article  PubMed  CAS  Google Scholar 

  23. Mirabella M, Servidei S, Manfredi G, et al: Cardiomyopathy may be the only clinical manifestation in female carriers of Duchenne muscular dystrophy. Neurology 1993;43:2342–2345.

    Article  PubMed  CAS  Google Scholar 

  24. Clerk A, Rodillo E, Heckmatt JZ, Dubowitz, V, Strong PN, Sewry CA. Characterisation of dystrophin in carriers of Duchenne muscular dystrophy. J Neurol Sci 1991; 102:197–205.

    Article  PubMed  CAS  Google Scholar 

  25. Kunkel LM, Snyder JR, Beggs AH, Boyce FM, Feener CA: Searching for dystrophin gene deletions in patients with atypical presentations. In Etiology of Human Disease at the DNA level. Lindsten J, Ed. Raven Press; 1991:51–59.

    Google Scholar 

  26. Petrof BJ, Shrager JB, Stedman HH, Kelly AM, Sweeney HL: Dystrophin protects the sarcolemma from stresss developed during muscle contraction. Proc Nat Acad Sci 1993;90:3710–3714.

    Article  PubMed  CAS  Google Scholar 

  27. Hoffman EP, Brown RJ, Kunkel LM: Dystrophin: the protein product of the Duchenne muscular dystrophy locus. Cell 1987;51:919–928.

    Article  PubMed  CAS  Google Scholar 

  28. Koenig M, Monaco AP, Kunkel LM: The complete sequence of dystrophin predicts a rod-shaped cytoskeletal protein. Cell 1988;53:219–226.

    Article  PubMed  CAS  Google Scholar 

  29. Meng H, Leddy J, Frank J, Holland P, Tuana B: The Association of Cardiac Dystrophin with Myofibrils/Z-disk Regions in Cardiac Muscle Suggests a Novel Role in the Contractile Apparatus. J BiolChem 1996;271:12364–12371.

    CAS  Google Scholar 

  30. Sadoulet-Puccio HM, Kunkel LM: Dystrophin and its isoforms. Brain Pathology 1996;6:25–35.

    Article  PubMed  CAS  Google Scholar 

  31. Ahn AH, Kunkel LM: The structural and functional diversity of dystrophin. Nat Genet 1993;3:283–291.

    Article  PubMed  CAS  Google Scholar 

  32. Muntoni F, Wilson L, Marrosu G, et al: A mutation in the dystrophin gene selectively affecting dystrophin expression in heart. J Clin Invest 1995;96:693–699.

    Article  PubMed  CAS  Google Scholar 

  33. Milasin J, Muntoni F, Severini M, et al.: A point mutation in the 5’ splice site of the dystrophin gene first intron responsible for X-linked dilated cardiomyopathy. Hum Molec Genet 1996;5:73–79.

    Article  PubMed  CAS  Google Scholar 

  34. Ozawa E, Yoshida M, Hagiwara Y, Suzuki A, Mizuno Y, Noguchi S: Dystroph in-associated proteins in muscular dystrophy. Hum Molec Genet 1995;4:1711–1716.

    PubMed  CAS  Google Scholar 

  35. Nigro V, Okazaki Y, Belsito A, et al.: Identification of the Syrian hamster cardiomyopathy gene. Hum Molec Genet 1997;6:601–607.

    Article  PubMed  CAS  Google Scholar 

  36. Badorf C, Lee G-H, Lamphear BJ, Martone ME, Campbell KP, Rhoads RE, Knowlton KU. Enteroviral protease 2A cleaves dystrophin. Evidence of cytoskeletal disruption in an acquired cardiomyopathy. Nat Med 1999;5:320–326.

    Article  Google Scholar 

  37. Grady RM, Grange RW, Lau KS, et al. Role for alpha-dystrobrevin in the pathogenesis of dystrophin-dependent muscular dystrophies. Nat Cell Biol 1999;1:215–220.

    Article  PubMed  CAS  Google Scholar 

  38. Perloff JK, Roberts WC, de Leon Jr AC, O’Doherty D: The distinctive electrocardiogram of Duchenne’s progressive muscular dystrophy. Am J Medicine 1967;42:179–188.

    Article  CAS  Google Scholar 

  39. Nigro G, Comi LI, Politano L, Bain RJI: The incidence and evolution of cardiomyopathy in Duchenne muscular dystrophy. Int J Cardiol 1990;26:271–277.

    Article  PubMed  CAS  Google Scholar 

  40. Perloff, JK: Cardiac Manifestations of Neuromuscular Disease. Atlas of Heart Disease-Cardiomyopathies, myocarditis and pericardial disease. Philadelphia: Curr Medicine; 1995:6.2–6.19.

    Google Scholar 

  41. Coral-Vasquez R, Cohn RD, Moore SA, et al: Disruption of thesarcoglycan-sarcospan complex in vascular smooth muscle: a novel mechanism for cardiomyopathy and muscular dystrophy. Cell 1999;98:465–474.

    Article  Google Scholar 

  42. Melacini P, Fanin M, Danieli GA, et al.: Myocardial involvement is very frequent among patients affected with subclinical Becker’s muscular dystrophy. Circulation 1996;94:3168–3175.

    Article  PubMed  CAS  Google Scholar 

  43. Saito M, Kawai H, Akaike M, Adachi K, Nishida Y, Saito S: Cardiac dysfunction in Becker muscular dystrophy. Am Heart J 1996; 132:642–647.

    Article  PubMed  CAS  Google Scholar 

  44. Nigro G, Comi LI, Politano L, et al.: Evaluation of the cardiomyopathy in Becker muscular dystrophy. Muscle Nerve 1995; 18:283–291.

    Article  PubMed  CAS  Google Scholar 

  45. Quinlivan RM, Dubowitz V: Cardiac transplantation in Becker muscular dystrophy. Neuromusc Dis 1992;2:165–167.

    Article  PubMed  CAS  Google Scholar 

  46. Beggs AH, Hoffman EP, Snyder JR, et al: Exploring the molecular basis for variability among patients with Becker muscular dystrophy: dystrophin gene and protein studies. Am J Hum Genet 1991;49

    Google Scholar 

  47. Nigro G, Politano L, Nigro V, Petratta VR, Comi LI: Mutation of the dystrophin gene and cardiomyopathy. Neuromusc Dis 1994;4:371–379.

    Article  PubMed  CAS  Google Scholar 

  48. Muntoni F, Melis M, Ganau A, Dubowitz V: Transcription of the dystrophin gene in normal tissues and in skeletal muscle of a family with X-linked dilated cardiomyopathy. Am J Hum Genet 1995;56:151–157.

    PubMed  CAS  Google Scholar 

  49. Towbin JA, Hejtmancik JF, Brink P, et al: X-linked dilated cardiomyopathy: molecular genetic evidence of linkage to the Duchenne muscular dystrophy (dystrophin) gene at the Xp21 locus. Circulation 1993;87:1854–1993.

    Article  PubMed  CAS  Google Scholar 

  50. Muntoni F, Cau M, Ganau A, et al: Deletion of the dystrophin muscle-promoter region associated with X-linked dilated cardiomyopathy. N Engl J Med 1993;329:921–925.

    Article  PubMed  CAS  Google Scholar 

  51. Franz WM, Cremer M, Herrmann R, et al: X-linked dilated cardiomyopathy.Novel mutation of the dystrophin gene. Ann New York Acad Sci 1996;752:470–491.

    Article  Google Scholar 

  52. Klamut HJ, Bosnoyan-Collins LO, Worton RG, Ray PN, Davis HL: Identification of a transcriptional enhancer within muscle intron 1 of the human dystrophin gene. HumMolec Genet 1996;5:1599–1606.

    CAS  Google Scholar 

  53. Ortiz-Lopez R, Li H, Su J, Goytia V, Towbin JA. Evidence for a dystrophin missense mutation as a cause of x-linked dilated cardiomyopathy. Circulation 1997;95:2434–2440.

    Article  PubMed  CAS  Google Scholar 

  54. Ferlini A, Galie N, Merlini L, Sewry C, Branzi A, Mutoni F. A novel Alu-like element rearranged in the dystrophin gene causes a splicing mutation in a family with X-linked dilated cardiomyopathy. Am J Hum Genet 1996;63:436–46.

    Article  Google Scholar 

  55. Beggs AH, Kunkel LM: Improved diagnosis of Duchenne/Becker muscular dystrophy. J Clin Invest 1990;85:613–619.

    Article  PubMed  CAS  Google Scholar 

  56. Chamberlain JS, Gibbs RA, Ranier JE, Caskey CT: Multiplex PCR for the diagnosis of Duchenne muscular dystrophy. In PCR protocols: a guide to methods and applications, New York, Academic Press; 1990:272–281.

    Google Scholar 

  57. Koenig M, Beggs AH, Moyer M, et al.: The molecular basis for Duchenne versus Becker muscular dystrophy: Correlation of severity with type of deletion. Am J Hum Genet 1989;45:498–506.

    PubMed  CAS  Google Scholar 

  58. Gardner RJ, Bobrow M, Roberts RM: The identification of point mutations in Duchenne muscular dystrophy patients by using reverse-transcription PCR and the protein-truncation test. Am J Hum Genet 1995;57:311–320.

    PubMed  CAS  Google Scholar 

  59. Michels VV, Pastores GM, Moll PP, et al.: Dystrophin analysis in idiopathic dilated cardiomyopathy. J Med Genet 1993;30:955–957.

    Article  PubMed  CAS  Google Scholar 

  60. Tinsley JM, Blake DJ, Zuellig RA, Davies KE: Increasing complexity of the dystrophin-associated protein complex. Proc Nat Acad Sci 1994;91:8307–8313.

    Article  PubMed  CAS  Google Scholar 

  61. Bönnemann CG, Modi R, Noguchi S, et al.: Beta-sarcoglycan (A3b) mutations cause autosomal recessive muscular dystrophy with loss of the sarcoglycan complex. Nat Genet 1995;11:266–273.

    Article  PubMed  Google Scholar 

  62. Nigro V, de Sa Moriera E, Piluso G, et al: The 5q autosomal recessive limb-girdle muscular dystrophy (LGMD 2F) is caused by a mutation in the sarcoglycan gene. Nat Genet 1996; 14:195–98.

    Article  PubMed  CAS  Google Scholar 

  63. Helbling-Leclerc A, Zhang X, Topaloglu H, et al.: Mutations in the laminin alpha 2-chain gene (LAMA2) cause merosin-deficient congenital muscular dystrophy. Nat Genet 1995; 11:216–218.

    Article  PubMed  CAS  Google Scholar 

  64. Munoz-Mármol AM, Strasser G, Isamat M, et al: A dysfunctional desmin mutation in a patient with severe generalized myopathy. Proc Natl Acad Sci USA 1998;96:11312–11317.

    Article  Google Scholar 

  65. Mizuno Y, Noguchi S, Yamamoto H, et al.: Selective defect of sarcoglycan complex in severe childhood autosomal recessive muscular dystrophy muscle. Biochem Biophys Res Comm 1994;203:979–983.

    Article  PubMed  CAS  Google Scholar 

  66. Sakamoto A, Ono K, Abe M, et al: Both hypertrophic and dilated cardiomyopathies are caused by mutation of the same gene, d-sarcoglycan, in hamster: An animal model of disrupted dystrophin-associated glycoprotein complex. Proc Natl Acad Sci USA 1997;94:13873–13878.

    Article  PubMed  CAS  Google Scholar 

  67. Partridge TA, Morgan JE, Coulton GR, Hoffman EP, Kunkel LM: Conversion ofmdx myofibers from dystrophin negative to positive by injection of normal myoblasts. Nature 1989;337:176–179.

    Article  PubMed  CAS  Google Scholar 

  68. Phelps SF, Hauser MA, Cole NM, et al: Expression of full-length and truncated dystrophin mini-genes in transgenic mdx mice. Hum Molec Genet 1995;4:1251–1258.

    Article  PubMed  CAS  Google Scholar 

  69. Wells DJ, Wells KE, Asante EA, et al: Expression of human full-length and minidystrophin in transgenic mdx mice: implications for gene therapy of Duchenne muscular dystrophy. HumMolec Genet 1995;4:1245–1250.

    CAS  Google Scholar 

  70. Mendell JR, Kissel JT, Amato AA, et al.: Myoblast transfer in the treatment of Duchenne Muscular Dystrophy. New Engl J Med 1995;333:832–838.

    Article  PubMed  CAS  Google Scholar 

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Smoot, L.B., Cox, G. (2000). Cardiac Disease in Duchenne and Becker Muscular Dystrophies: The Dystrophinopathies. In: Berul, C.I., Towbin, J.A. (eds) Molecular Genetics of Cardiac Electrophysiology. Developments in Cardiovascular Medicine, vol 231. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4517-0_16

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  • DOI: https://doi.org/10.1007/978-1-4615-4517-0_16

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