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一名先天性肌张力减退患者的严重肌营养不良蛋白病

Severe dystrophinopathy in a patient with congenital hypotonia.

作者信息

Cordone G, Bado M, Morreale G, Pedemonte M, Minetti C

机构信息

Clinica Pediatrica, Istituto G. Gaslini, Università di Genova, Italy.

出版信息

Childs Nerv Syst. 1996 Aug;12(8):466-9. doi: 10.1007/BF00261626.

DOI:10.1007/BF00261626
PMID:8891365
Abstract

We studied a 2-year-old child with congenital hypotonia and proximal muscle weakness. There was no family history of neuromuscular disease. The child also had hypospadia. The central nervous system was apparently not involved. Muscle biopsy showed a dystrophic pattern and dystrophin was absent as shown by immunofluorescence and by Western blot. Vinculin and spectrin were also reduced, while merosin was normal in muscle fibers. This observation suggests that congenital hypotonia may be associated with a severe form of dystrophinopathy.

摘要

我们研究了一名患有先天性肌张力减退和近端肌无力的2岁儿童。该儿童没有神经肌肉疾病家族史。此外,该儿童还患有尿道下裂。中枢神经系统显然未受累。肌肉活检显示为营养不良模式,免疫荧光和蛋白质免疫印迹显示肌营养不良蛋白缺失。纽蛋白和血影蛋白也减少,而肌纤维中的巢蛋白正常。这一观察结果表明,先天性肌张力减退可能与严重形式的肌营养不良蛋白病有关。

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本文引用的文献

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Myopathy with abnormal distribution of dystrophin, growth retardation, mental retardation, and hypospadia.伴有肌营养不良蛋白分布异常的肌病、生长发育迟缓、智力障碍和尿道下裂。
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Congenital muscular dystrophy with merosin deficiency.伴有1型胶原蛋白缺乏的先天性肌营养不良症。
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Dystrophinopathy presenting as congenital muscular dystrophy.以先天性肌营养不良表现的肌营养不良症
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Dystrophin: the protein product of the Duchenne muscular dystrophy locus.肌营养不良蛋白:杜氏肌营养不良基因座的蛋白质产物。
Cell. 1987 Dec 24;51(6):919-28. doi: 10.1016/0092-8674(87)90579-4.
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Clinical concepts of Duchenne muscular dystrophy. The impact of molecular genetics.杜氏肌营养不良症的临床概念。分子遗传学的影响。
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Characterization of dystrophin in muscle-biopsy specimens from patients with Duchenne's or Becker's muscular dystrophy.杜兴氏或贝克氏肌肉营养不良症患者肌肉活检标本中抗肌萎缩蛋白的特征分析。
N Engl J Med. 1988 May 26;318(21):1363-8. doi: 10.1056/NEJM198805263182104.
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Duplicational mutation at the Duchenne muscular dystrophy locus: its frequency, distribution, origin, and phenotypegenotype correlation.杜兴氏肌营养不良基因座的重复突变:其频率、分布、起源及表型-基因型相关性
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Detection of 98% of DMD/BMD gene deletions by polymerase chain reaction.通过聚合酶链反应检测98%的杜氏肌营养不良症/贝克型肌营养不良症基因缺失。
Hum Genet. 1990 Nov;86(1):45-8. doi: 10.1007/BF00205170.
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Immunocytochemical analysis of dystrophin in congenital muscular dystrophy.先天性肌营养不良中抗肌萎缩蛋白的免疫细胞化学分析
J Neurol Sci. 1991 Sep;105(1):79-87. doi: 10.1016/0022-510x(91)90122-n.