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雌性犬类的肌肉萎缩症

Muscular dystrophy in female dogs.

作者信息

Shelton G D, Liu L A, Guo L T, Smith G K, Christiansen J S, Thomas W B, Smith M O, Kline K L, March P A, Flegel T, Engvall E

机构信息

Department of Pathology, University of California, San Diego, La Jolla 92093-0612, USA.

出版信息

J Vet Intern Med. 2001 May-Jun;15(3):240-4. doi: 10.1892/0891-6640(2001)015<0240:mdifd>2.3.co;2.

Abstract

The most common form of muscular dystrophy in dogs and humans is caused by mutations in the dystrophin gene. The dystrophin gene is located on the X chromosome, and, therefore, disease-causing mutations in dystrophin occur most often in males. Therefore, females with dystrophin deficiency or other forms of muscular dystrophy may be undiagnosed or misdiagnosed. Immunohistochemistry was used to analyze dystrophin and a number of other muscle proteins associated with muscular dystrophy in humans, including sarcoglycans and laminin alpha2, in muscle biopsy specimens from 5 female dogs with pathologic changes consistent with muscular dystrophy. The female dogs were presented with a variety of clinical signs including generalized weakness, muscle wasting, tremors, exercise intolerance, gait abnormalities, and limb deformity. Serum creatine kinase activity was variably high. One dog had no detectable dystrophin in the muscle; another was mosaic, with some fibers normal and others partly dystrophin-deficient. A 3rd dog had normal dystrophin but no detectable laminin alpha2. Two dogs could not be classified. This study demonstrates the occurrence of dystrophin- and laminin alpha2-associated muscular dystrophy and the difficulty in clinical diagnosis of these disorders in female dogs.

摘要

犬类和人类中最常见的肌营养不良形式是由肌营养不良蛋白基因的突变引起的。肌营养不良蛋白基因位于X染色体上,因此,肌营养不良蛋白的致病突变最常发生在雄性身上。因此,患有肌营养不良蛋白缺乏症或其他形式肌营养不良的雌性可能未被诊断或被误诊。免疫组织化学被用于分析来自5只患有与肌营养不良一致的病理变化的雌性犬的肌肉活检标本中的肌营养不良蛋白以及一些与人类肌营养不良相关的其他肌肉蛋白,包括肌聚糖和层粘连蛋白α2。这些雌性犬表现出多种临床症状,包括全身无力、肌肉萎缩、震颤、运动不耐受、步态异常和肢体畸形。血清肌酸激酶活性各不相同且偏高。一只犬的肌肉中未检测到肌营养不良蛋白;另一只犬是嵌合体,一些纤维正常,而另一些部分缺乏肌营养不良蛋白。第三只犬的肌营养不良蛋白正常,但未检测到层粘连蛋白α2。两只犬无法分类。这项研究证明了与肌营养不良蛋白和层粘连蛋白α2相关的肌营养不良的发生以及雌性犬这些疾病临床诊断的困难。

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