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电阻抗肌电图可将先天性肌营养不良与对照组区分开来。

Electrical impedance myography discriminates congenital muscular dystrophy from controls.

作者信息

Schwartz Daniel P, Dastgir Jahannaz, Salman Anam, Lear Barbara, Bönnemann Carsten G, Lehky Tanya J

机构信息

Electromyography Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Building 10, CRC Room 7SW-5680, 10 Center Drive MSC 1404, Bethesda, Maryland, 20892, USA.

Neuromuscular and Neurogenetic Disorders of Childhood Section, NINDS, Bethesda, MD.

出版信息

Muscle Nerve. 2016 Mar;53(3):402-6. doi: 10.1002/mus.24770. Epub 2015 Aug 13.

Abstract

INTRODUCTION

Electrical impedance myography (EIM) is an emerging non-invasive, highly reproducible electrophysiological technique that objectively characterizes muscle structure and composition by measuring bioimpedance. We assessed the ability of EIM ability to discriminate 2 forms of congenital muscular dystrophy (CMD), laminin α2 (LAMA2)-deficient CMD and collagen VI-deficient (COL6) CMD, from a group of healthy children. We also investigated correlations between subcutaneous fat thickness and EIM parameters.

METHODS

Twenty-eight children with LAMA2 CMD (n = 12) or COL6 (n = 16) CMD and 18 normal children underwent EIM testing.

RESULTS

The EIM 50-kHz phase was decreased in LAMA2 and COL6 CMD when compared with controls (P < 0.001). Reactance, however, was decreased in COL6 but not LAMA2 CMD compared with controls (P < 0.001).

CONCLUSIONS

Our findings suggest that EIM may be useful in discriminating CMD from controls and may serve as a useful biomarker to follow disease progression in clinical trials.

摘要

引言

电阻抗肌描记术(EIM)是一种新兴的非侵入性、高度可重复的电生理技术,通过测量生物阻抗来客观地表征肌肉结构和组成。我们评估了EIM区分2种先天性肌营养不良(CMD),即层粘连蛋白α2(LAMA2)缺陷型CMD和胶原蛋白VI缺陷(COL6)型CMD与一组健康儿童的能力。我们还研究了皮下脂肪厚度与EIM参数之间的相关性。

方法

28例LAMA2型CMD(n = 12)或COL6型CMD(n = 16)患儿以及18例正常儿童接受了EIM检测。

结果

与对照组相比,LAMA2型和COL6型CMD的EIM 50 kHz相位降低(P < 0.001)。然而,与对照组相比,COL6型CMD的电抗降低,而LAMA2型CMD的电抗未降低(P < 0.001)。

结论

我们的研究结果表明,EIM可能有助于将CMD与对照组区分开来,并可作为临床试验中跟踪疾病进展的有用生物标志物。

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