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Physiological Reviews, Vol. 82, No. 2, April 2002, pp. 291-329; 10.1152/physrev.00028.2001.
Copyright ©2002 by the American Physiological Society
Medical Research Council, Functional Genetics Unit, Department of Human Anatomy and Genetics, University of Oxford, Oxford, United Kingdom
Blake, Derek J.,
Andrew Weir,
Sarah E. Newey, and
Kay
E. Davies.
Function and Genetics of Dystrophin and
Dystrophin-Related Proteins in Muscle. Physiol. Rev. 82: 291-329, 2002.
The X-linked
muscle-wasting disease Duchenne muscular dystrophy is caused by
mutations in the gene encoding dystrophin. There is currently no
effective treatment for the disease; however, the complex molecular
pathology of this disorder is now being unravelled. Dystrophin is
located at the muscle sarcolemma in a membrane-spanning protein
complex that connects the cytoskeleton to the basal lamina. Mutations
in many components of the dystrophin protein complex cause other forms
of autosomally inherited muscular dystrophy, indicating the importance
of this complex in normal muscle function. Although the precise
function of dystrophin is unknown, the lack of protein causes membrane
destabilization and the activation of multiple pathophysiological
processes, many of which converge on alterations in intracellular
calcium handling. Dystrophin is also the prototype of a family of
dystrophin-related proteins, many of which are found in muscle.
This family includes utrophin and
-dystrobrevin, which are involved
in the maintenance of the neuromuscular junction architecture and in
muscle homeostasis. New insights into the pathophysiology of dystrophic
muscle, the identification of compensating proteins, and the discovery
of new binding partners are paving the way for novel therapeutic strategies to treat this fatal muscle disease. This review discusses the role of the dystrophin complex and protein family in muscle and
describes the physiological processes that are affected in Duchenne
muscular dystrophy.
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