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Toledo PT Muscle Pathology
Toledo Pt Muscle Pathology
12
Physiology
Professional
11/05/2009

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Term
Duchenne/Becker Muscular Dystrophy
Definition
greatlyy reduced dystrophin. sex-linked. severe progressive degeneration of muscles.
Term
Becker Muscular Dystrophy
Definition
decreased amount of dystrophin. sex-linked. mild and progressive degeneration of muscles. usually appears in later years.
Term
Protein encoded by dystrophin gene
Definition
a hshort arm (p) in region 2 at band 1 of X chromosome (Xp21). Dystrophin is found at the inner side of the sarcolemma.
Term
Functions of Dystrophin
Definition
Links subsarcommal cytoskeleton to the exterior of the cell through the transmembrane complex of proteins that bind to laminin. Supports carsolemma against mechaincal stress and stabilizes it in the course of contraction -relaxation cycle. Regulates Ca2+. Prevents excessive ROS.
Term
Dystrophin-associated glycoproteins
Definition
Lack or absence of dystrophin: 1)secondary loss of sarcoglycans 2) increased susceptibility of muscle fiber to injury.
Term
Characteristic of dystrophic muscles
Definition
lack of dystrophin, continuous effort at repair and regneration with necrosis of muscle fibers; progressive fibrosis, infiltration of muscle with fatty tissues.
Term
How is dystrophic muscle damaged?
Definition
mechanical weakness of sarcolemmal membrane. abnormal Ca2+ influx through damaged sarcolemmal membrane, resulting abnormal cell signaling & damage. more damage to eccentric contraction.
Term
Clinical features of Duchenne Muscular dystrophy
Definition
muscle weakness by 3-4. wheel-chair bound by age 10. bedridden by age 15. myocardial weakness develops. anemia. mental retardation. blood CK high. common cause of death: respiratory insufficiency at lat teens and early 20s.
Term
Posture with MD
Definition
lordotic, enlargement of calves (pseudohypertrophy), winging of scapulae.
Term
Tx of MD
Definition
no specific treatment for any form of MD. cell therapy in experimental stage using animal models. myoblasts from normal animals injected intramuscularly.
Term
Adult type Myotonic Dystrophy (MD1) basic info
Definition
most common form of adult muscular dystrophy. myotonia. abnormal trinucleotide-repeat on 3'-untranslated region of gene at 19q13.3 which encodes myotonin protein kinase. Normal repeat:5-34. 100-1000 in adult type.
Term
T/F. There is too much shit to know for this class?
Definition
TRUE
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