Cancer Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, 616476515.
Department of Molecular Medicine, Birjand University of Medical Sciences, Birjand, Iran.
J Mol Neurosci. 2022 Jan;72(1):9-23. doi: 10.1007/s12031-021-01933-4. Epub 2021 Nov 2.
Muscular dystrophies encompass a wide and heterogeneous subset of hereditary myopathies that manifest by the structural or functional abnormalities in the skeletal muscle. Some pathogenic mutations induce a dysfunction or loss of proteins that are critical for the stability of muscle cells, leading to progressive muscle degradation and weakening. Several studies have well-established cognitive deficits in muscular dystrophies which are mainly due to the disruption of brain-specific expression of affected muscle proteins. We provide a comprehensive overview of the types of muscular dystrophies that are accompanied by intellectual disability by detailed consulting of the main libraries. The current paper focuses on the clinical and molecular evidence about Duchenne, congenital, limb-girdle, and facioscapulohumeral muscular dystrophies as well as myotonic dystrophies. Because these syndromes impose a heavy burden of psychological and financial problems on patients, their families, and the health care community, a thorough examination is necessary to perform timely psychological and medical interventions and thus improve the quality of life.
肌肉萎缩症包括一组广泛而不同的遗传性肌肉疾病,其特征是骨骼肌肉的结构或功能异常。一些致病突变会导致对肌肉细胞稳定性至关重要的蛋白质功能障碍或丧失,导致肌肉逐渐退化和弱化。多项研究证实,肌肉萎缩症患者存在认知缺陷,主要是由于受影响肌肉蛋白在大脑中的特异性表达受到破坏。我们通过详细查阅主要文献,全面概述了伴有智力障碍的肌肉萎缩症的类型。本文重点介绍了杜氏肌营养不良症、先天性肌营养不良症、肢带型肌营养不良症和面肩肱型肌营养不良症以及肌强直性肌营养不良症的临床和分子证据。由于这些综合征给患者、他们的家庭和医疗保健社区带来了沉重的心理和经济负担,因此需要进行彻底检查,以便及时进行心理和医疗干预,从而提高生活质量。