Duchenne Muscular Dystrophy (DMD) Gene

The cloning of the Duchenne muscular dystrophy gene, encoding the protein dystrophin, led to greater understanding of the disease pathogenesis. Studies of dystrophin associated and related proteins has led to a better understanding of other muscular dystrophies and the development of novel approaches to therapy.

Keywords: Duchenne muscular dystrophy; dystrophin; Becker muscular dystrophy; utrophin; muscle

Figure 1. Genomic organization of the DMD gene locus to show promoter locations according to exon number, and size of translated products. B: brain, M: skeletal muscle, P: Purkinje cells, R: retinal, B3: brain-3, S: Schwann cell, G: general. The numbers following the term Dp represent the size of the dystrophin molecule generated in kilodaltons. (From Newey S (2000) Functional analysis of alpha dystrobrevin in muscle, DPhil thesis, University of Oxford, with permission.)
Figure 2. Schematic diagram of dystrophin showing protein interactions and localization in vivo at the muscle sarcolemma (-DG: -dystroglycan). The inclusion of four syntrophin molecules (syn) reflects the repeated -helical binding sites recognized in both dystrophin and dystrobrevin. However, the exact stoichiometry is not yet known for how many syntrophin molecules bind to this region. The specific isoforms of syntrophin and the associated signaling molecules that may be present are not fully elucidated. (Adapted from Burton E (1999) Investigation into the transcriptional regulation of utrophin: possible application in the therapy of Duchenne muscular dystrophy, DPhil thesis, University of Oxford and Newey S (2000) Functional analysis of alpha dystrobrevin in muscle, DPhil thesis, University of Oxford, with permission.)
Figure 3. Structural similarity between dystrophin isoforms and related proteins. H refers to the hinge region, CR refers to the cysteine-rich region, CT refers to the C-terminal region. - and -spectrin, and -actinin are shown as in vivo, as antiparallel dimers. Domains shown in black represent unique N-termini. (Adapted from Newey S (2000) DPhil thesis, University of Oxford, with permission.)
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 References
    Allamand V and Campbell KP (2000) Animal models for muscular dystrophy: valuable tools for the development of therapies. Human Molecular Genetics 9: 2459–2467.
    Blake DJ and Kroger S (2000) The neurobiology of Duchenne muscular dystrophy: learning lessons from muscle? Trends in Neuroscience 23: 92–99.
    Blake DJ, Newey SM, Weir AJ and Davies KE (2002) Function and genetics of dystrophin and dystrophin-related proteins in muscle. Physiological Reviews 82: 291–329.
    Blake DJ, Tinsley JM and Davies KE (1996) Utrophin: a structural and functional comparison to dystrophin. Brain Pathology 6: 37–47.
    book Burton E and Davies E (2001) "The pathogenesis of Duchenne muscular dystrophy". In: Mark P Mattson (ed), Pathogenesis of Neurodegenerative Disorders, chap. 12 pp. 239–284. Totowa, NJ: Humana Press Inc.
    Bushby KM (1999) Making sense of the limb-girdle muscular dystrophies. Brain 122: 1403–1420.
    book Emery A (1993) Duchenne Muscular Dystrophy. Oxford Monographs on Medical Genetics, vol. 24, p. 392. Oxford, UK: Oxford University Press.
    Ferlini A, Sewry C, Melis MA, Mateddu A and Muntoni F (1999) X-linked dilated cardiomyopathy and the dystrophin gene. Neuromuscular Disorders 9: 339–346.
    Roberts RG, Gardner RJ and Bobrow M (1994) Searching for the 1 in 2,400,000: a review of dystrophin gene point mutations. Human Mutation 4: 1–11.
    Tinsley J, Deconinck N, Fisher R, et al. (1998) Expression of full-length utrophin prevents muscular dystrophy in mdx mice. Nature Medicine 4: 1441–1444.
 Further Reading
    book Brown SC and Lucy JA (eds) (1997) Dystrophin: Gene, Protein and Cell Biology. Cambridge, UK: Cambridge University Press.
    other [Further information can be found by following the Web Links below.]
 Web Links
    ePath A Hypermedia Glossary of Genetic Terms. An index of genetic terms that may be unfamiliar to the lay reader http://www.weihenstephan.de/~schlind/genglos.html
    ePath Online Mendelian Inheritance in Man (OMIM). A database of genetic disorders. The information on Duchenne muscular dystrophy is particularly useful http://www.ncbi.nlm.nih.gov/htbin-post/Omim/dispmim?310200
    ePath Genbank. Genbank submission for dystrophin mRNA http://www.ncbi.nlm.nih.gov/entrez/viewer.fcgi?val=181856&db=Nucleotide&dopt=GenBank
    ePath Dystrophin (muscular dystrophy, Duchenne and Becker types) (DMD); Locus ID: 1756. LocusLink: http://www.ncbi.nlm.nih.gov/LocusLink/LocRpt.cgi?l=1756
    ePath Dystrophin (muscular dystrophy, Duchenne and Becker types) (DMD); MIM number: 300377. OMIM: http://www.ncbi.nlm.nih.gov/htbin-post/Omim/dispmim?300377
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How to Cite close
Davies, Kay, and Fernihough, Janet(Sep 2005) Duchenne Muscular Dystrophy (DMD) Gene. In: eLS. John Wiley & Sons Ltd, Chichester. http://www.els.net [doi: 10.1038/npg.els.0005020]