Vol. 93, Issue 2, 407-417, August 2002
INVITED REVIEW
Functional characteristics of dystrophic skeletal muscle:
insights from animal models
Jon F.
Watchko1,
Terrence L.
O'Day1, and
Eric P.
Hoffman2
1 Department of Pediatrics, Magee-Women's Research
Institute, Duchenne Muscular Dystrophy Research Center, University of
Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213; and
2 Research Center for Genetic Medicine, Children's
National Medical Center, Duchenne Muscular Dystrophy Research
Center, Washington, DC 20010
 |
ABSTRACT |
Muscular dystrophies are a
clinically and genetically heterogeneous group of disorders that
show myofiber degeneration and regeneration. Identification of animal
models of muscular dystrophy has been instrumental in research on the
pathogenesis, pathophysiology, and treatment of these disorders. We
review our understanding of the functional status of dystrophic
skeletal muscle from selected animal models with a focus on
1) the mdx mouse model of Duchenne muscular
dystrophy, 2) the Bio 14.6
-sarcoglycan-deficient hamster model of limb-girdle muscular dystrophy, and 3) transgenic
null mutant murine lines of sarcoglycan (
,
,
, and
)
deficiencies. Although biochemical data from these models suggest that
the dystrophin-sarcoglycan-dystroglycan-laminin network is critical for
structural integrity of the myofiber plasma membrane, emerging studies
of muscle physiology suggest a more complex picture, with specific
functional deficits varying considerably from muscle to muscle and
model to model. It is likely that changes in muscle structure and
function, downstream of the specific, primary biochemical deficiency,
may alter muscle contractile properties.
dystrophin; mdx mouse; sarcoglycanopathies
 |
INTRODUCTION |
MUSCULAR DYSTROPHIES ARE A GROUP of
human and animal disorders that show myofiber degeneration and
regeneration, typically associated with progressive muscle weakness.
Clinically and genetically, they are a heterogeneous group of inherited
diseases. Mutations in several individual genes are now known to
underlie the pathogenesis of different types of muscular dystrophy
(Table 1) (37, 45). Some of
these gene mutations involve proteins expressed throughout the body,
yet appear to preferentially affect skeletal muscle. These disorders
include defects in nuclear envelope and mRNA metabolism. Specifically,
defects in two membrane components of the nuclear envelope cause
different forms of Emery-Dreifus muscular dystrophy: 1)
emerin (X-linked recessive Emery-Dreifuss muscular dystrophy) and
2) lamin A/C (autosomal dominant Emery-Dreifuss muscular
dystrophy) (8). Three genes involved in generalized mRNA
metabolism cause specific dystrophies, again despite the fact that the
biochemical deficiency should be expressed throughout the body.
Mutations in poly(A) binding protein 2 cause oculopharyngeal muscular
dystrophy (87), whereas expression of long trinucleotide
repeats in specific mRNAs disrupts mRNA splicing and regulation and
leads to two different forms of myotonic dystrophy (55).
The mechanisms underlying the muscle-specific phenotype of these
generically expressed proteins are not understood, and this question
remains a challenge for researchers.
Other types of muscular dystrophies are caused by genes expressed
specifically in muscle and involve myofiber plasma membrane function
(dysferlin, calpain III, calveolin) or structural support (see below).
Three proteins, dysferlin, calpain III, and calveolin, appear to be
involved in plasma membrane maintenance and/or traffic and cause
Miyoshi limb-girdle muscular dystrophy (LGMD) 2B, LGMD-2A, and LGMD-1C,
respectively (59, 65, 81). A mouse model for dysferlin
deficiency (SJL mice) has been used as a model for both heart failure
and autoimmune disease, depending on the background strain harboring
the mutation (3). The limited knowledge of the role of
these proteins in muscle cell biology has hindered the understanding of
the pathophysiology of these types of muscular dystrophies, and no
physiological studies of muscle function have been reported.
The most common and devastating types of muscular dystrophies are also
those that are most fully characterized; each involves a defect of the
muscle membrane cytoskeleton. There are thought to be at least two
membrane cytoskeleton systems: 1) the
vinculin-integrin-laminin network and 2) the
dystrophin-dystroglycan-laminin network (45). These two
networks appear to be at least in part functionally redundant, and this
may be why patients with mutations in any one of these components
survive to birth, yet evidence muscle abnormalities during postnatal
development (11, 43). The one component shared by both
networks is laminin. Laminins are a major component of the basal
lamina, and the functional protein is a heterotrimer containing alpha,
beta, and gamma subunits. There are different genes for each of the
subunit types, and these show tissue- and cell-type-specific
expression. Muscle laminin is composed of alpha-2, beta-1, and gamma-1
proteins, with this trimer often called "merosin." Mutations in the
alpha-2 gene cause a very severe form of muscular dystrophy that shows
a neonatal or even prenatal onset (congenital muscular dystrophy)
(31, 74). The loss of this muscle protein in patients is
associated with large-scale degeneration of myofibers at or around the
time of birth, with subsequent failure of muscle regeneration and
profound weakness. A mouse model for this disorder has been known for
many years [dy/dy mice (96)], as
well as recently characterized murine laminin alpha-2 chain null
mutants, all of which similarly show early lethality (66).
One would expect that both the dystrophin-dystroglycan-laminin and
vinculin-integrin-laminin networks would be defective in these patients
and mice, and this may explain the severe nature of this disorder.
The most common and extensively studied muscular dystrophies are those
that involve mutations of the dystrophin-dystroglycan-laminin network.
Considerable effort has been expended on understanding the physiology
and cellular biology of this network, and the remainder of this review
discusses the proteins specifically affecting the dystrophin-based
membrane cytoskeleton. The organization of the dystrophin-based
membrane cytoskeleton of muscle fibers is shown in Fig.
1 and demonstrates the relationship
between dystrophin and the other dystrophin-associated proteins within
the cytoskeletal oligomeric protein complex. The dystrophin-associated
proteins include the dystroglycan (
-dystroglycan and
-dystroglycan), sarcoglycan (SG;
-,
-,
-,
-SG), and
cytoplasmic (syntrophin) subcomplexes. The dystroglycan complex
consists of
-dystroglycan, which associates with the basal-lamina
protein merosin in the extracellular matrix, and
-dystroglycan, a
transsarcolemmal protein that binds
-dystroglycan and dystrophin.
The SG complex consists of four transsarcolemmal proteins,
-,
-,
-, and
-SG, that associate with each other and likely function as
a single unit, with
-SG serving as the link to
-dystroglycan of
the dystroglycan complex. Within the cytoplasmic subcomplex, the
COOH-terminal region of dystrophin is bound to syntrophin, whereas the
amino-terminus of dystrophin binds F-actin.

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Fig. 1.
Schematic organization of the dystrophin membrane cytoskeleton of
muscle fibers. Dystrophin-associated proteins include the dystroglycan
( -dystroglycan and -dystroglycan), sarcoglycan ( -, -, -,
and -sarcoglycan), and cytoplasmic (syntrophin) subcomplexes. The
dystroglycan complex consists of -dystroglycan, which associates
with the basal-lamina protein laminin-2 (merosin) in the extracellular
matrix, and -dystroglycan, a transsarcolemmal protein that binds
-dystroglycan and dystrophin. The sarcoglycan complex consists of
four transsarcolemmal proteins ( -, -, -, and -sarcoglycan)
that associate with each other and likely function as a single unit
with -sarcoglycan serving as the link to -dystroglycan of the
dystroglycan complex. Within the cytoplasmic subcomplex, the
COOH-terminal region of dystrophin is bound to syntrophin, whereas the
NH2 terminus of dystrophin binds F-actin.
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|
Abnormalities of dystrophin are the most common cause of muscular
dystrophy (27, 45), accounting for both the Duchenne and
Becker phenotypes. Duchenne muscular dystrophy (DMD) is a devastating
muscular dystrophy and the most common inherited childhood-lethal disorder of humans worldwide (45). DMD is caused by
mutations in the dystrophin gene that precludes the production of
stable dystrophin molecules and results in sarcolemmal instability and contraction-induced myofiber necrosis. Dystrophin is highly conserved through vertebrate evolution, the dystrophin gene is X-linked in
placental mammals, and dystrophin deficiency appears to be completely
specific for DMD (46, 48). Thus any animal that manifests
dystrophin deficiency as an X-linked inherited trait is a candidate
model of DMD. Among other causes of muscular dystrophy are
1) Becker muscular dystrophy, a disorder known to be allelic (due to a different mutation in the same gene) to DMD
(54), and 2) genetic defects of the SG
subcomplex (
,
,
,
) of the myofiber cytoskeleton
(sarcoglycanopathies), a common cause of LGMD-2C, -2D, -2E, and -2F
(1, 27, 37, 40, 86).
Identification of animal models for DMD and the sarcoglycanopathies has
been instrumental in research on the pathogenesis, pathophysiology, and
treatment of these disorders. Indeed, the past 15 yr have been witness
to a virtual explosion of knowledge regarding the molecular pathology
of DMD, Becker muscular dystrophy, and LGMD in humans and their
mammalian counterparts (45). This knowledge, in turn, is
being used to develop novel approaches to the treatment of these
disorders, including gene therapy (47, 93, 95), myoblast
transfer (71), and new pharmacological interventions
(38). There remains, however, a gap between our knowledge
of the molecular pathology of muscular dystrophy and downstream
biomechanical events. Given that most muscular dystrophies are
associated with primary defects of the muscle membrane cytoskeleton and
characterized phenotypically by muscle weakness, a host of potential
functional targets exist beyond those involved in the cascade leading
to muscle cell death (45, 78). Targets include the
metabolic pathways involved in intracellular calcium regulation (t
tubule system, sarcoplasmic reticulum, and excitation-contraction coupling), myosin molecular motor function, and bioenergetics (mitochondria and phosphocreatine-creatine kinase energy
shuttle), among others. An expanded knowledge of these secondary
consequences of muscular dystrophy will enhance our understanding of
these disorders and dystrophic skeletal muscle dysfunction. Moreover, the aforementioned novel therapeutic approaches will ultimately be
judged by their ability to enhance dystrophic skeletal muscle function.
To date, such therapies have been almost exclusively applied and tested
in animal models. Below, we discuss our current understanding
of the functional status of dystrophic skeletal muscle from selected
animal models used in the study of muscular dystrophy with a specific
focus on 1) the mdx mouse model of DMD, 2) the Bio 14.6
-SG-deficient hamster model of LGMD, and
3) transgenic null mutant murine lines of SG (
,
,
,
and
) deficiencies. In addition to characterizing the
force-generating capacity of dystrophic muscle in the isometric and
miometric (shortening) modes, dystrophic muscle function assessed
during repetitive lengthening activations, a paradigm of mechanical
stress, is detailed (23, 36, 75). The latter measurement
is thought to be particularly important because evidence suggests that
a function of the dystrophin-based membrane skeleton is to protect
against stress-induced muscle damage (75).
 |
ANIMAL MODELS OF DMD: MDX MOUSE |
The most widely used animal model of muscular dystrophy is the
mdx mouse, the first animal model of DMD identified
(9, 45, 48). This mouse line occurred spontaneously on a
C57BL/10 background and was fortuitously identified during a screen for red blood cell defects in a C57BL/10 colony (9). Serum
creatine kinase levels were strikingly elevated in this line,
suggesting a dystrophic process. Dystrophin deficiency in the
mdx muscle was subsequently identified (46) and
shown to result from a stop codon mutation in exon 23 (89) of the dystrophin gene. More recently, a series of
new alleles of the mdx strain were induced by mutagenesis;
all demonstrate a phenotype consistent with the original mdx
allele (52).
Isometric contractile characteristics.
Most studies of mdx mouse muscle have been performed on limb
and diaphragm muscle in the isometric mode. These studies generally evidence twitch contraction kinetics that approximate those of age-matched C57BL/10 control muscle (29, 72, 76, 80). Some
studies have reported a slowing in twitch contraction and half-relaxation times associated with an increase in the proportion of
type I fibers (72, 76), whereas others have shown the
opposite (83). Absolute peak twitch force (Pt)
approximates that observed in C57BL/10 control muscle (77)
whereas specific twitch force (Pt/CSA), i.e.,
Pt normalized for an estimate of muscle cross-sectional area (CSA) is consistently decreased in mdx muscle relative
to control (76, 77). Similarly, absolute peak tetanic
force (Po) is comparable to or exceeds that observed in
C57BL/10 muscle (32, 60), but specific peak tetanic force
(Po/CSA), i.e., Po normalized for CSA, is
consistently lower in mdx mouse vs. C57BL/10 muscle (7, 20, 21, 29, 60, 61, 63, 77, 83). Fatigue resistance
during repetitive isometric contractions is either at control levels or
greater (76, 83), the latter response presumably related
to a shift in myosin heavy chain phenotype to slower isoforms with
greater oxidative capacity and lower myofibrillar ATPase activity
(76).
The lower Pt/CSA and Po/CSA in mdx
muscle likely reflects an increasing contribution of degenerating
and/or necrotic fibers to mdx muscle CSA (32)
compared with control C57BL/10 muscle. Indeed, DMD in humans is
characterized by increased bulk in selected muscles that, early in the
disease process, results from true hypertrophy of muscle fibers
(45). This hypertrophy in DMD patients later evolves into
pseudohypertrophy as the muscle is gradually replaced by first fibrotic
tissue and then fat (45). Skeletal muscle from
mdx mice generally shows increased mass (77,
83), although this can be later in onset and variable across
specific muscle and age groups (72, 73). Thus cycles of
muscle fiber degeneration typically seen as early as 3-5 wk of
life in mdx mice are apparently balanced by fiber
regeneration, leading to hypertrophic changes followed later in life in
selected muscles by atrophy (73). Muscle hypertrophy in
mdx limb muscle is effective in maintaining control values
of absolute force (60). In contrast to mdx limb
muscle, the mdx diaphragm demonstrates more progressive cycles of fiber degneneration and fiber loss throughout the lifespan of
the mdx mouse. The proportion of viable fibers in diaphragm decreases from ~70% in 4- to 6-mo-old animals to 40% in 24-mo-old animals (63, 76). Thus one difference between
mdx limb muscle and mdx diaphragm is that
mdx diaphagm evinces greater and more progressive decrements
in Po/CSA with age (29). In addition to
injured or necrotic fibers, other potential mechanism(s) that could
contribute to a reduced Po/CSA in mdx muscle
includes adverse changes in excitation-contraction coupling, reduced
calcium sensitivity (altered thin-filament regulation), lower
contractile protein concentration, altered cross-bridge cycling
kinetics, and/or lower average force per cross bridge. These possible
mechanisms merit further investigation because there are limited, and
at times conflicting, data on such phenomenon in mdx muscle
(15, 35, 36).
Dynamic shortening activations.
A more limited number of studies have characterized the dynamic
shortening properties, i.e., force velocity, power, and work functions
of mdx muscle. These studies consistently report a downward shifted force-velocity relationship and diminished maximum power and
work output in mdx muscle (15, 20, 21, 32, 60, 61, 63,
91). Unfortunately, there are limited data with respect to the
mechanism(s) that may underlie these functional deficits. Investigators
have reported a shift in myosin heavy chain expression to slower
isoforms (76) and abnormalities in cross-bridge properties characterized by both a reduction in total number of cross bridges and
the force produced per cross bridge in mdx muscle to account for these deficits (15). The latter, in turn, may be
related to defective energy transport in mdx muscle
(6) and/or altered calcium handling due to chronic calcium
overload (35, 47, 79). The observed changes in myosin
heavy chain isoform composition (and presumably actomyosin ATPase
activity), however, do not appear to be of sufficient degree to fully
account for the observed reduced force per cross bridge in
mdx muscle (15). Changes in cross-bridge cycling kinetics could contribute to the impaired dynamic shortening properties of mdx muscle (15). In this regard,
Coirault et al. (15) report that both the duration of the
cross-bridge cycle and the rate constant for cross-bridge detachment
are significantly lower in mdx mice compared with C57BL/10
controls. These authors conclude that impaired dynamic shortening in
mdx muscle is a result of myosin molecular motor dysfunction
(15). Additional study is necessary to confirm and further
define the mechanism(s) of impaired dynamic shortening activation in
dystrophic muscle.
Response to repetitive lengthening activations.
Several studies have assessed the contractile response of
mdx muscle to repetitive dynamic lengthening activations
(i.e., "eccentric contractions"), a paradigm of mechanical stress
(23, 44, 75). The rationale for such study resides in
1) reports demonstrating that skeletal muscle injury is
greatest after exercise that involves lengthening of activated muscle
(greater than that which follows intense isometric or shortening
contractions) and 2) evidence suggesting that a function of
the dystrophin-based membrane cytoskeleton is to protect against
stressed-induced muscle damage (75). As predicted, several
reports demonstrate that mdx muscle does demonstrate an
enhanced susceptibility to injury during repetitive lengthening
activation, as assessed by both contraction-induced sarcolemmal rupture
and force deficits (7, 22, 23, 36, 44, 67, 75). Indeed,
the literature would suggest that enhanced susceptibility to
lengthening-activation injury, as assessed by force deficit, is a
hallmark of dystrophin-deficient muscle function (36, 75).
Until recently, it has been unclear why mdx muscle is so
susceptible to lengthening-activation force deficits. Previous study has shown that mdx diaphragm evidences enhanced passive
stiffness relative to controls (90, 91). Whether this
characteristic predisposes or protects against lengthening-activation
injury remains undocumented. Recent reports taken together, however, confirm that the locus of contraction-induced injury in mdx
muscle resides in the sarcolemma (62) and suggest that
reduced elasticity of mdx muscle itself may predispose
muscle to an enhanced susceptibility of lengthening-activation force
decrements. Specifically, the amount of negative work done during the
lengthening phase of activation has been identified as an important
factor in modulating the extent of lengthening-activation force
deficits (51). Moreover, investigators have reported that
the amount of negative work performed by mdx diaphragm
increases dramatically with increases in muscle length in association
with its enhanced passive stiffness (91), significantly more so than control muscle. These findings suggest that reduced muscle
elasticity may predispose mdx muscle to injury during
lengthening activations. This area of study merits further
investigation, particularly in light of data (see below)
suggesting that dystrophic muscle from the closely biochemically
related sarcoglycanopathies do not evidence similar heightened
susceptibility to lengthening-activation force deficits
(39).
Other animal models of DMD.
Other animal models of DMD have been identified, although a relative
paucity of functional studies on their respective limb or respiratory
musculature exist. These include a canine X-linked or golden retriever
muscular dystrophy (17, 18, 24, 56) that show dystrophin
deficiency as an X-linked trait (17, 18) associated with a
splicing mutation in exon 8 (88).
Dystrophin-deficient dogs show a rapidly progressive course of muscle
weakness, wasting, and contracture, with onset at ~3 mo of age and
death occurring anywhere from the neonatal period to adulthood
(17, 56). Independent alleles have been identified in a
series of breeds, including rottweilers, wire-hair fox terriers,
shelties, and German short-haired pointers (45). Varying
degrees of muscle involvement and marked temporal differences in the
dystrophic phenotype across individual dogs have limited the utility of
this model for functional studies. In addition, at least two
independent isolates of dystrophinopathy have also been identified in
domestic cats (12, 34, 94). Dystrophin-deficient
cats show marked muscular hypertrophy that becomes so severe that they
succumb to dehydration because of lingual hypertrophy or to starvation
because of crural diaphragm hypertrophy (33, 34). Cats
also demonstrate considerable skeletal muscle stiffness and cardiac
involvement but never lose mass and thus are better able to conserve
muscle force-generating capacity.
The "appropriateness" of these animal dystrophinopathies for
providing insights regarding human DMD has generated considerable debate within the scientific community. Clearly, the clinical phenotype
of each animal model differs from the human disease and from each
other. Nevertheless, all of the aforementioned models have
loss-of-function mutations in the same highly conserved dystrophin gene, so they are certainly genetically homologous. They all lack the
highly conserved dystrophin protein in muscle tissue, so they are
biochemically homologous. Muscle tissue itself is exceedingly highly
conserved through evolution, and, in fact, all animal models share many
of the histological features of human DMD, including fiber size
variation and the degeneration/regeneration of myofibers. All have
striking elevations in serum creatine kinase. The phenotypic differerences reside in the progressive aspects of the disease, particularly with respect to connective tissue proliferation in muscle,
and failure of regeneration over time. All dystrophin-deficient species
show marked hypertrophy at a young age, but, in dogs and humans, the
hypertrophy changes to loss of muscle (wasting) and loss of strength.
There is general consensus that the dystrophin-deficient mouse, dog,
and cat are outstanding genetic and biochemical models for DMD despite
phenotypic differences. The fact that they show differences in
phenotype is valuable in that they provide insight into the secondary
consequences of primary dystrophinopathy. However, it can be more
difficult to use these animals as therapeutic models since the
downstream consequences of dystrophin deficiency may vary considerably
from species to species.
 |
SARCOGLYCANOPATHIES |
The autosomal-recessive LGMDs are a heterogeneous group of
muscular diseases characterized by progressive muscle weakness and, in
severe cases, death in the second or third decade of life (1). The more severe phenotypes are often caused by
mutations in the SG genes
(LGMD-2D),
(LGMD-2E),
(LGMD-2F),
and
(LGMD-2C) (4, 5, 27, 28, 53, 58, 69, 86). A
primary deficiency of any single SG leads to partial or complete
absence of all other sarcoglycans on the sarcolemma, suggesting that
sarcoglycans are mutually dependent on each other for assembly and
stability in the plasma membrane (28, 70, 84, 92).
Phenotypically, the SG deficiencies are indistinguishable from the
dystrophin deficiencies (27). However, dystrophinopathies
show secondary deficiencies of all SG proteins, whereas
sarcoglycanopathies usually show normal levels of dystrophin (42,
57). LGMDs, although less common than DMD, represent an
important group in which to study the dystrophic process. Until the
recent discovery of a
-SG mutation in the Bio 14.6 inbred dystrophic
hamster (70, 84) and the generation of
-
(26),
- (2, 30),
- (41), and
-SG (42, 85) null mutant transgenic mouse lines,
study of LGMDs has been hindered by the lack of an animal model.
 |
BIO 14.6 HAMSTER MODEL OF -SG DEFICIENCY |
The inbred Bio 14.6 hamster was identified in 1962 as a
recessively inherited dystrophic myopathy model that affected both cardiac and skeletal muscle (50). The skeletal muscle of
Bio 14.6 hamster displays classical signs of muscular dystrophy,
including necrosis, central nucleation, and variable size of muscle
fibers (10, 49, 50, 57, 92). The genetic cause for the
dystrophic disease in the Bio 14.6 hamster was recently identified as a
loss-of-function mutation of the
-SG gene (70, 84).
-SG is a 35-kDa transmembrane glycoprotein component of the
dystrophin-based membrane cytoskeleton of muscle fibers. It is part of
a functional tetrameric complex that includes
-,
-,
-, and
-SG proteins in equal stoichiometry. As with their human
counterpart, primary loss of
-SG in Bio 14.6 hamster also results in
the secondary deficiency of the other skeletal muscle SGs (
,
,
and
) (49, 57, 92). The shared muscle histopathology
and protein biochemistry between Bio 14.6 hamster and human patients
with LGMD-2F renders this animal as an excellent model to study the
functional consequences of
-SG deficiency. The clinical picture,
however, deviates considerably between affected humans and hamsters,
with the
-SG deficient hamster showing muscle hypertrophy as a
notable finding and early death from cardiac failure. Humans with the
same defect generally show more limited cardiac involvement
(64). Although the cardiac features of the Bio 14.6 hamster have been extensively studied, there is relatively limited data
available on skeletal muscle function (10, 68).
Isometric contractile characteristics.
Bio 14.6 hamster dystrophic muscle evidence twitch-contraction kinetics
that approximate those of age-matched F1B control muscle (10,
68). Absolute peak Pt is generally comparable to
that observed in F1B hindlimb muscle (10, 68, 95), whereas Pt/CSA is decreased in Bio 14.6 dystrophic hamster muscle
relative to control (10, 95). Similarly, absolute
Po is comparable to that of F1B hamster, whereas
Po/CSA is consistently lower in Bio 14.6 dystrophic hamster
vs. F1B muscle (10, 95). The lower Pt/CSA and
Po/CSA in Bio 14.6 hamster muscle may reflect a combination of a greater muscle mass and an increasing contribution of degenerating and/or necrotic fibers to dystrophic muscle CSA compared with control
F1B muscle.
There are no reported data on Bio 14.6 hamster dystrophic-shortening
activations and only unpublished observations (T. L. O'Day,
personal communication) regarding the response of
-SG-deficient Bio
14.6 muscle to repetitive lengthening activations. The latter is of
interest, however, in that the Bio 14.6 muscle does not demonstrate
increased susceptibility to force deficit when compared with F1B
control muscle (Fig. 2). This finding
runs counter to the notion that dystrophic muscle always shows enhanced
susceptibility to lengthening-activation injury and suggests that
nonmechanical events may be operative in the pathogenesis of the
dystrophic process in SG-deficient states (see below)
(39). It is of interest, in this regard, that Bio 14.6 hamster does not show the decreased passive stiffness observed in the
mdx mouse but in fact the opposite as recently reported by
Coirault et al. (16). The later study demonstrates
increased muscle compliance in the
-SG-deficient hamster, results
that contrast sharply with those found in mdx muscle,
suggesting that muscle viscoelastic properties are critically dependent
on the presence or absence of specific cytoskeletal proteins and the
myopathic animal model considered (see below) (16).
Relevant to these observations is the fact that dystrophin strongly
binds intracellular actin filaments at multiple sites along the protein
(82). The connection between the intracellular actin
cytoskeleton and the dystrophin-based membrane cytoskeleton is still
intact in SG deficiency but is lost in dystrophin deficiency.

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Fig. 2.
Relative changes (% baseline) in isometric force generation of
control (F1B) and -sarcoglycan-deficient (Bio 14.6) hamster tibialis
anterior muscle at three ages (9 wk, 17 wk, and 22 wk of life) during
repetitive isovelocity lengthening activations in vitro. Muscle
activation (75 Hz) was initiated at 90% of optimal length
(Lo), and for the first 300 ms of each 500-ms
train, length was not changed. During the remaining 200 ms of each
stimulus train, the muscle was lengthened at a constant velocity (1.0 Lo/s) from 90 to 110% of
Lo. Repeated-measures analysis of variance did
not reveal any significant differences across groups in the decline in
force observed during lengthening activations.
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|
 |
-SG TRANSGENIC MURINE NULL MUTANT |
Recent years have seen the genesis of SG-deficient transgenic null
mutant lines. Table 2 shows the
mechanical characteristics of these null mutant lines and how they
compare with those observed in the Bio 14.6
-SG-deficient hamster
and dystrophin-deficient mdx mouse.
-SG null mutant
transgenic mice (gsg
/
) (39, 42, 85) show
contractile properties in vitro that do not differ from their wild-type
counterparts (39). Specifically, muscle [extensor
digitorum longus (EDL)] from gsg
/
demonstrates
comparable muscle mass, CSA, Pt, Po, and
Po/CSA as muscles from wild-type counterparts. Importantly,
gsg
/
EDL also showed force output decline and Procion
orange uptake (a marker of sarcolemmal integrity) at levels comparable
to control muscle during repetitive lengthening activations. These
findings suggest that
-SG deficiency does not enhance the
susceptibility of gsg
/
muscle to lengthening-activation injury. The aforementioned functional response to repetitive
lengthening activations is comparable to that seen in the Bio 14.6
-SG-deficient hamster and suggests that nonmechanical events may be
important in the pathophysiology of muscular dystrophy within the
context of SG deficiency (39). As pointed out by Hack and
colleagues (39, 40), these findings further suggest that
the loss of SGs may contribute to muscle degeneration in both the
dystrophin- and SG-associated muscular dystrophies.
 |
-SG MURINE NULL MUTANT LINE |
-SG null mutant transgenic mice (dsg
/
) have
also been generated (41). This model is analogous to the
Bio 14.6
-SG-deficient hamster, but dsg
/
skeletal
muscle shows some differences in isolated muscle mechanics when
compared with the Bio 14.6 hamster and other transgenic SG-deficient
null mutant lines. As with both the Bio 14.6 hamster and gsg
/
null mutant, dsg
/
mice demonstrate classic
histological findings of dystrophy, including cell death, muscle
regeneration, inflammation, and fibrosis as well as reduced survival
(41). Dsg
/
muscle mass, Pt,
Po, and Po/CSA, however, do not differ from
wild-type muscle (41). Interestingly, dsg
/
muscle does show an enhanced susceptibility to lengthening-activation force deficits (41). These findings suggest
- and
-SG deficiency have different molecular consequences and resultant
functional impacts that may also be species specific. Hack et al.
(39) have proposed that the absence of
lengthening-activation deficits in gsg
/
muscle suggests
a nonmechanical role for
-SG in myocyte survival. The role of
-SG
remains less clear given the species-specific response of
-SG
deficiency on muscle mechanics, both in terms of force generation and
in susceptibility to lengthening-activation force deficits. As stated
by Hack and colleagues (41), however, these functional
differences underscore the important nature of the SG complex and the
need to understand the role of each component in the pathogenesis of
muscular dystrophy. In this regard, recent work suggests that
-SG
deficiency can adversely impact vascular smooth muscle function, induce
ischemic injury in skeletal muscle, and exacerbate muscular
dystrophy (19).
 |
-SG NULL MUTANT MICE |
-SG-deficient null mutant transgenic mice have also been
generated by targeted disruption of the
-SG gene (26).
These mice show the complete absence of
-SG transcript and protein, a complete loss of the SG complex and sarcospan, and demonstrate a
progressive muscular dystrophy (26) similar to its human
homologue, LGMD-2D (27).
-SG
/
mice demonstrate
significant muscle hypertrophy and muscle-specific changes in
contractile properties. Hypertrophic slow-twitch weight-bearing soleus
muscle demonstrates Po values that are greater than control
with a resultant specific force that is not different from control. In
contrast, the hypertrophic fast-twitch EDL (26) and
tibialis anterior (25) muscles demonstrate Po
values that are comparable to control levels and a resultant Po/CSA that is significantly lower than control. Fast- and
slow-twitch
-SG-deficient skeletal muscle also evidences disparate
passive stiffness; soleus muscle shows normal resistance to passive
stretch, whereas the EDL shows reduced elasticity when compared with
control EDL (26). Moreover,
-SG-deficient tibialis
anterior muscle does not demonstrate enhanced susceptibility to
lengthening-activation force deficits (T. L. O'Day, personal
observation). A recent preliminary report on
-SG-deficient diaphragm
demonstrates decreased Po/CSA under both uniaxial and
biaxial loading compared with control muscle (13).
Moreover, in contrast to control muscle, biaxial loading was not
associated with an increase in maximal diaphragm force, indicating an
inability of
-SG
/
diaphragm sarcolemma to transmit forces in
the transverse fiber direction (13). This finding suggests
that the SG complex is important in transmitting force in the
transverse direction to the long axis of muscle. Taken together, these
data suggest that
-SG is an important component of the SG-sarcospan
complex and that the functional consequences of the hypertrophic
response in this model are muscle specific. The mechanisms responsible
for the hypertrophic response and its muscle-specific nature merit
further study.
 |
-SG-DEFICIENT NULL MUTANT MICE |
-SG-deficient mice have also been generated by targeted
mutagenesis (2, 30). Skeletal muscle from
-SG-deficient
mice, like their
- and
-SG-deficient transgenic null mutant
counterparts, demonstrates increased muscle mass (2) and
reduced Po/CSA (30). There are no data on the
passive stiffness of
-SG-deficient muscle nor on the response of
such muscles to repetitive lengthening activations.
 |
SUMMARY |
Mutations in components of the dystrophin-SG-dystroglycan-laminin
network lead to devastating and common muscular dystrophies in humans.
The current models suggest that this network is critical for structural
integrity of the myofiber plasma membrane. Although considerable data,
such as dye-exclusion studies, support this model, emerging studies of
muscle physiology in the animal models suggest a more complex picture,
with specific functional deficits varying considerably from muscle to
muscle and model to model. It is likely that changes of muscle
structure and function, downstream of the specific primary biochemical
deficiency, may alter muscle contractile properties (45, 47,
78). A full understanding of the apparently variable
consequences of single biochemical defects on muscle contractile
function may require genome-wide approaches to understanding the
response of muscle to injury and compensatory molecular mechanisms
invoked by the muscle. Expression profiling and proteomic approaches
will likely soon provide us with a more complete picture
(14).
 |
ACKNOWLEDGEMENTS |
This work was supported by National Institute of Arthritis and
Musculoskeletal and Skin Diseases Grant AR-45925, the Parent Project
USA, the Mario Lemieux Centers for Patient Care and Research, and the
25 Club of Magee-Women's Hospital.
 |
FOOTNOTES |
Address for reprint requests and other correspondence:
J. F. Watchko, Division of Neonatology and Developmental
Biology, Dept. of Pediatrics, Magee-Women's Hospital, 300 Halket St.,
Pittsburgh, PA 15213 (E-mail:
jwatchko{at}mail.magee.edu).
10.1152/japplphysiol.01242.2001
 |
REFERENCES |
1.
Angelini, C,
Fanin M,
Freda MP,
Duggam DJ,
Siciliano G,
and
Hoffman EP.
The clinical spectrum of sarcoglycanopathies.
Neurology
52:
176-179,
1999.
2.
Araishi, K,
Sasaoka T,
Imamura M,
Noguchi S,
Hama H,
Wakabayashi E,
Yoshida M,
Hori T,
and
Ozawa E.
Loss of the sarcoglycan complex and sarcospan leads to muscular dystrophy in
-sarcoglycan-deficient mice.
Hum Mol Genet
8:
1589-1598,
1999.
3.
Bittner, RE,
Anderson LV,
Burkhardt E,
Bashir R,
Vafiadaki E,
Ivanova S,
Raffelsberger T,
Maerk I,
Hoger H,
Jung M,
Karbasiyan M,
Storch M,
Lassmann H,
Moss JA,
Davison K,
Harrison R,
Bushby KM,
and
Reis A.
Dysferlin deletion in SJL mice (SJL-Dysf) defines a natural model for limb girdle muscular dystrophy 2B.
Nat Genet
23:
141-142,
1999.
4.
Bonnemann, CG,
McNally EM,
and
Kunkel LM.
Beyond dystrophin: current progress in the muscular dystrophies.
Curr Opin Pediatr
8:
569-582,
1996.
5.
Bonnemann, CG,
Passos-Bueno MR,
McNally EM,
Vainzof M,
de Sa Moreira E,
Marie SK,
Pavanello RC,
Noguchi S,
Ozawa E,
Zatz M,
and
Kunkel LM.
Genomic screening for beta-sarcoglycan gene mutations: missense mutations may cause severe limb-girdle muscular dystrophy type 2E (LGMD 2E).
Hum Mol Genet
5:
1953-1961,
1996.
6.
Braun, U,
Paju K,
Eimre M,
Seppet E,
Orlova E,
Kadaja L,
Trumbeckaite S,
Gellerich FN,
Zierz S,
Jockusch H,
and
Seppet EK.
Lack of dystrophin is associated with altered integration of the mitochondria and ATPases in slow-twitch muscle cells of MDX mice.
Biochim Biophys Acta
1505:
258-270,
2001.
7.
Brooks, SV.
Rapid recovery following contraction-induced injury to in situ skeletal muscles in mdx mice.
J Muscle Res Cell Motil
19:
179-187,
1998.
8.
Brown, SC,
Muntoni F,
and
Sewry CA.
Non-sarcolemmal muscular dystrophies.
Brain Pathol
11:
193-205,
2001.
9.
Bulfield, G,
Siller WG,
Wight PAL,
and
Moore KJ.
X chromosome-linked muscular dystrophy (mdx) in the mouse.
Proc Natl Acad Sci USA
81:
1189-1192,
1984.
10.
Burbach, JA,
Schlenker EH,
and
Johnson JL.
Morphometry, histochemistry, and contractility of dystrophic hamster diaphragm.
Am J Physiol Regulatory Integrative Comp Physiol
253:
R275-R284,
1987.
11.
Burkin, DJ,
Wallace GQ,
Nicol KJ,
Kaufman DJ,
and
Kaufman SJ.
Enhanced expression of the alpha 7 beta 1 integrin reduces muscular dystrophy and restores viability in dystrophic mice.
J Cell Biol
152:
1207-1218,
2001.
12.
Carpenter, JL,
Hoffman EP,
Romanul FCA,
Kunkel LM,
Rosales RK,
Ma NSF,
Dasbach JJ,
Rae JF,
Moore FM,
McAfee MB,
and
Pearce LK.
Feline muscular dystrophy with dystrophin deficiency.
Am J Pathol
135:
909-919,
1989.
13.
Chaudhry, I,
Lopez M,
Jain A,
Engvall E,
and
Boriek A.
Isometric contractile properties of
-sarcoglycan deficient diaphragm during uniaxial and biaxial loading (Abstract).
Am J Respir Crit Care Med
163:
A510,
2001.
14.
Chen, Y,
Zhao P,
Borup R,
and
Hoffman EP.
Expression profiling in the muscular dystrophies: identification of novel aspects of molecular pathophysiology.
J Cell Biol
151:
1321-1336,
2000.
15.
Coirault, C,
Lambert F,
Marchand-Adam S,
Attal P,
Chemla D,
and
Lecarpentier Y.
Myosin molecular motor dysfunction in dystrophic mouse diaphragm.
Am J Physiol Cell Physiol
277:
C1170-C1176,
1999.
16.
Coirault, C,
Samuel JL,
Chemla D,
Pourny JC,
Lambert F,
Marotte F,
and
Lecarpentier Y.
Increased compliance in diaphragm muscle of the cardiomyopathic Syrian hamster.
J Appl Physiol
85:
1762-1769,
1998.
17.
Cooper, BJ,
Valentine BA,
Wilson S,
Patterson DF,
and
Concannon PW.
Canine muscular dystrophy: confirmation of X-linked inheritance.
J Hered
79:
405-408,
1988.
18.
Cooper, BJ,
Winand NJ,
Stedman H,
Valentine BA,
Hoffman EP,
Kunkel LM,
Scott MO,
Fishbeck KH,
Kornegay JN,
Avery RH,
Williams JR,
Schmickel RD,
and
Sylvester JE.
The homologue of the Duchenne locus is defective in X-linked muscular dystrophy of dogs.
Nature
334:
154-156,
1988.
19.
Coral-Vasquez, R,
Cohn RD,
Moore SA,
Hill JA,
Weiss RM,
Davisson RL,
Straub V,
Barresi R,
Bansal D,
Hrstka RF,
Williamson R,
and
Campbell KP.
Disruption of the sarcoglycan-sarcospan complex in vascular smooth muscle: a novel mechanism for cardiomyopathy and muscular dystrophy.
Cell
98:
465-474,
1999.
20.
Corrado, K,
Rafael JA,
Mills PL,
Cole NM,
Faulkner JA,
Wang K,
and
Chamberlain JA.
Transgenic mdx mice expressing dystrophin with a deletion in the actin-binding domain display a "mild Becker" phenotype.
J Cell Biol
134:
873-884,
1996.
21.
Cox, GA,
Cole NM,
Matsumura K,
Phelps S,
Haushka SD,
Campbell KP,
Faulkner JA,
and
Chamberlain JS.
Overexpression of dystrophin in transgenic mdx mice eliminates dystrophic symptoms without toxicity.
Nature
364:
725-729,
1993.
22.
Deconinck, N,
Ragot T,
Marechal G,
Perricaudet M,
and
Gillis JM.
Functional protection of dystrophic mouse (mdx) muscles after adenovirus-mediated transfer of a dystrophin minigene.
Proc Natl Acad Sci USA
93:
3570-3574,
1996.
23.
Deconinck, N,
Tinsley J,
De Backer F,
Fisher R,
Kahn D,
Phelps S,
Davies K,
and
Gillis JM.
Expression of truncated utrophin leads to major functional improvements in dystrophin-deficient muscles of mice.
Nat Med
3:
1216-1221,
1997.
24.
De Lahunta, A.
Veterinary Neuroanatomy and Clinical Neurology (2nd ed.). Philadelphia, PA: Saunders, 1983.
25.
Dressman, D,
O'Day T,
Watchko JF,
Liu L,
Engvall E,
Araishi K,
Imamura M,
Sasaoka T,
Ozawa E,
and
Hoffman EP.
Functional recovery and differential cellular immune response following AAV gene delivery to
- and
-sarcoglycan deficient muscle (Abstract).
Am J Hum Genet
67:
428,
2000.
26.
Duclos, F,
Straub V,
Moore SA,
Venzke DP,
Hrstka RF,
Crosbie RH,
Durbeej M,
Lebakken CS,
Ettinger AJ,
van der Meulin J,
Holt KH,
Lim LE,
Sanes JR,
Davidson BL,
Faulkner JA,
Williamson R,
and
Campbell KP.
Progressive muscular dystrophy in
-sarcoglycan-deficient mice.
J Cell Biol
142:
1461-1471,
1998.
27.
Duggan, DJ,
Gorospe JRM,
Fanin M,
Hoffman EP,
and
Angelini C.
Mutations in the sarcoglycan genes in myopathy patients.
N Engl J Med
336:
618-624,
1997.
28.
Duggan, DJ,
and
Hoffman EP.
Autosomal recessive muscular dystrophy and mutations of the sarcoglycan complex.
Neuromuscul Disord
6:
475-482,
1996.
29.
Dupont-Versteegden, EE,
and
McCarter RJ.
Differential expression of muscular dystrophy in diaphragm versus hindlimb muscles of mdx mice.
Muscle Nerve
15:
1105-1110,
1992.
30.
Durbeej, M,
Cohn RD,
Hrstka RF,
Moore SA,
Allamand V,
Davidson BL,
Williamson RA,
and
Campbell KP.
Disruption of the
-sarcoglycan gene reveals pathogenetic complexity of the limb-girdle muscular dystrophy type 2E.
Mol Cell
5:
141-151,
2000.
31.
Fardeau, M,
Tome FM,
Helbling-Leclerc A,
Evangelista T,
Ottolini A,
Chevallay M,
Barois A,
Estournet B,
Harpey JP,
Faure S,
Guicheney P,
and
Hillaire D.
Congenital muscular dystrophy with merosin deficiency: clinical, histopathological, immunocytochemical and genetic analysis.
Rev Neurol (Paris)
152:
11-19,
1996.
32.
Faulkner, JA,
Brooks SV,
Dennis RG,
and
Lynch GS.
The functional status of dystrophic muscles and functional recovery by skeletal muscles following myoblast transfer.
Bas Appl Myol
7:
257-264,
1997.
33.
Gaschen, F,
Gaschen L,
Seiler G,
Welle M,
Jaunin VB,
Jmaa DG,
Neiger-Aeschbacher G,
and
Ade-Damilano M.
Lethal peracute rhabdomyolysis associated with stress and general anesthesia in three dystrophin-deficient cats.
Vet Pathol
35:
117-123,
1998.
34.
Gaschen, F,
Hoffman EP,
Gorospe JR,
Uhl EW,
Senior DF,
Cardinet GH,
and
Pearce LK.
Dystrophin deficiency causes lethal muscle hypertrophy in cats.
J Neurol Sci
110:
149-159,
1992.
35.
Gillis, JM.
Understanding dystrophinopathies: an inventory of the structural and functional consequences of the absence of dystrophin in muscles of the mdx mouse.
J Muscle Res Cell Motil
20:
605-625,
1999.
36.
Gillis, JM,
and
Deconinck N.
The physiological evaluation of gene therapies of dystrophin-deficient muscles.
In: Mechanisms of Work Production and Work Absorption in Muscle, edited by Sugi H,
and Pollack GH.. New York: Plenum, 1998, p. 411-417.
37.
Gordon, ES,
and
Hoffman EP.
The ABC's of limb-girdle muscular dystrophy: alpha-sarcoglycanopathy, Bethlem myopathy, calpainopathy and more.
Curr Opin Neurol
14:
567-73,
2001.
38.
Granchelli, JA,
Pollina C,
and
Hudecki MS.
Pre-clinical screening of drugs using the mdx mouse.
Neuromuscul Disord
10:
235-239,
2000.
39.
Hack, AA,
Cordier L,
Shoturma DI,
Lam MY,
Sweeney HL,
and
McNally EM.
Muscle degeneration without mechanical injury in sarcoglycan deficiency.
Proc Natl Acad Sci USA
96:
10723-10728,
1999.
40.
Hack, AA,
Groh ME,
and
McNally EM.
Sarcoglycans in muscular dystrophy.
Microsc Res Tech
48:
167-180,
2000.
41.
Hack, AA,
Lam MY,
Cordier L,
Shoturma DI,
Ly CT,
Hadhazy MA,
Hadhazy MR,
Sweeney HL,
and
McNally EM.
Differential requirement for individual sarcoglycans and dystrophin in the assembly and function of the dystrophin-glycoprotein complex.
J Cell Sci
113:
2535-2544,
2000.
42.
Hack, AA,
Ly CT,
Jiang F,
Clendenin CJ,
Sigrist KS,
Wollamn RL,
and
McNally EM.
-Sarcolgycan deficiency leads to muscle membrane defects and apoptosis independent of dystrophin.
J Cell Biol
142:
1279-1287,
1998.
43.
Hayashi, YK,
Chou FL,
Engvall E,
Ogawa M,
Matsuda C,
Hirabayashi S,
Yokochi K,
Ziober BL,
Kramer RH,
Kaufman SJ,
Ozawa E,
Goto Y,
Nonaka I,
Tsukahara T,
Wang JZ,
Hoffman EP,
and
Arahata K.
Mutations in the integrin alpha-7 gene cause congenital myopathy.
Nat Genet
19:
94-97,
1998.
44.
Head, SI,
Williams DA,
and
Stephenson DG.
Abnormalities in structure and function of limb skeletal muscle fibres of dystrophic mdx mice.
Proc R Soc Lond B Biol Sci
248:
163-169,
1992.
45.
Hoffman, EP.
Dystrophinopathies.
In: Disorders of Voluntary Muscle (7th ed.), edited by Karpati G,
Hilton-Jones D,
and Griggs RC.. Cambridge, UK: Cambridge Univ. Press, 2001, p. 385-432.
46.
Hoffman, EP,
Brown RH, Jr,
and
Kunkel LM.
Dystrophin: the protein product of the Duchenne muscular dystrophy locus.
Cell
51:
919-928,
1987.
47.
Hoffman, EP,
and
Dressman D.
Molecular pathophysiology and targeted therapeutics for muscular dystrophy.
Trends Pharmacol Sci
22:
465-70,
2001.
48.
Hoffman, EP,
and
Gorospe JRM
The animal models of Ducehnne muscular dystrophy: windows on the pathophysiologic consequences of dystrophin deficiency.
Curr Top Membr Transp
38:
113-154,
1991.
49.
Holt, KH,
Lim L,
Straub V,
Venske DP,
Duclos F,
Anderson RD,
Davidson BL,
and
Campbell KP.
Functional rescue of the sarcoglycan complex in the Bio 14.6 hamster using delta-sarcoglycan gene transfer.
Mol Cell
1:
841-848,
1998.
50.
Homburger, F,
Baker JR,
Nixon CW,
and
Whitney R.
Primary, generalized polymyopathy and cardiac necrosis in an inbred line of Syrian hamsters.
Med Exp
6:
339-345,
1962.
51.
Hunter, K,
and
Faulkner JA.
Pliometric contraction-induced injury of mouse skeletal muscle: effect of initial length.
J Appl Physiol
82:
278-283,
1997.
52.
Im, WB,
Phelps SF,
Copen EH,
Adams EG,
Slightom JL,
and
Chamberlain JS.
Differential expression of dystrophin isoforms in strains of mdx mice with different mutations.
Hum Mol Genet
5:
1149-1153,
1996.
53.
Jung, D,
Duclos F,
Apostol B,
Straub V,
Lee JC,
Allamand V,
Venzke DP,
Sunada Y,
Moomaw CR,
Leveille CJ,
Slaughter CA,
Crawford TO,
McPherson JD,
and
Campbell KP.
Characterization of delta-sarcoglycan, a novel component of the oligomeric sarcoglycan complex involved in limb-girdle muscular dystrophy.
J Biol Chem
271:
32321-32329,
1996.
54.
Koenig, M,
Hoffman EP,
Bertelson CJ,
Monaco AP,
Feener C,
and
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
50:
509-517,
1987.
55.
Korade-Mirnics, Z,
Babitzke P,
and
Hoffman EP.
Myotonic dystrophy: molecular windows on a complex etiology.
Nucleic Acids Res
26:
1363-1368,
1998.
56.
Kornegay, JN,
Tuler SM,
Miller DM,
and
Levesque DC.
Muscular dystrophy in a litter of golden retriever dogs.
Muscle Nerve
11:
1056-1064,
1988.
57.
Li, J,
Dressman D,
Tsao YP,
Sakamoto A,
Hoffman EP,
and
Xiao X.
rAAV vector-mediated sarcoglycan gene transfer in a hamster model for limb girdle muscular dystrophy.
Gene Ther
6:
74-82,
1999.
58.
Lim, LE,
Duclos F,
Broux O,
Bourg N,
Sunada Y,
Allamand V,
Meyer J,
Richard I,
Moomaw C,
and
Slaughter C.
Beta-sarcoglcyan: characterization and role in limb-girdle muscular dystrophy linked to 4q12.
Nat Genet
11:
257-265,
1995.
59.
Liu, J,
Aoki M,
Illa I,
Wu C,
Fardeau M,
Angelini C,
Serrano C,
Urtizberea JA,
Hentati F,
Hamida MB,
Bohlega S,
Culper EJ,
Amato AA,
Bossie K,
Oeltjen J,
Bejaoui K,
McKenna-Yasek D,
Hosler BA,
Schurr E,
Arahata K,
de Jong PJ,
and
Brown RH, Jr.
Dysferlin, a novel skeletal muscle gene, is mutated in Miyoshi myopathy and limb girdle muscular dystrophy.
Nat Genet
20:
31-36,
1998.
60.
Lynch, GS,
Hinkle RT,
Chamberlain JS,
Brooks SV,
and
Faulkner JA.
Force and power output of fast and slow skeletal muscles from mdx mice 6-28 months old.
J Physiol
535:
591-600,
2001.
61.
Lynch, GS,
Hinkle RT,
and
Faulkner JA.
Force and power output of diaphragm muscle strips from mdx and control mice after clenbuterol treatment.
Neuromuscul Disord
11:
192-196,
2001.
62.
Lynch, GS,
Rafael JA,
Chamberlain JS,
and
Faulkner JA.
Contraction-induced injury to single permeabilized muscle fibers from mdx, transgenic mdx, and control mice.
Am J Physiol Cell Physiol
279:
C1290-C1294,
2000.
63.
Lynch, GS,
Rafael JA,
Hinkle RT,
Cole NM,
Chamberlain JS,
and
Faulkner JA.
Contractile properties of diaphragm muscle segments from old mdx and old transgenic mdx mice.
Am J Physiol Cell Physiol
272:
C2063-C2068,
1997.
64.
Melacini, P,
Fanin M,
Duggan DJ,
Freda MP,
Berardinelli A,
Danieli GA,
Barchitta A,
Hoffman EP,
Dalla Volta S,
and
Angelini C.
Heart involvement in muscular dystrophies due to sarcoglycan gene mutations.
Muscle Nerve
22:
473-479,
1999.
65.
Minetti, C,
Sotgia F,
Bruno C,
Scartezzini P,
Broda P,
Bado M,
Masetti E,
Mazzocco M,
Egeo A,
Donati MA,
Volonte D,
Galbiati F,
Cordone G,
Bricarelli FD,
Lisanti MP,
and
Zara F.
Mutations in the caveolin-3 gene cause autosomal dominant limb-girdle muscular dystrophy.
Nat Genet
18:
365-368,
1998.
66.
Miyagoe-Suzuki, Y,
Nakagawa M,
and
Takeda S.
Merosin and congenital muscular dystrophy.
Microsc Res Tech
48:
181-191,
2000.
67.
Moens, P,
Baatsen PHWW,
and
Marechal G.
Increased susceptibility of EDL muscles from mdx mice to damage induced by contractions with stretch.
J Muscle Res Cell Motil
14:
446-451,
1993.
68.
Montgomery, A.
The isometric response of fast and sl