Publications: The Kunkel Laboratory for the Study of Muscular Dystrophies

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Published Data

Gene expression comparison of biopsies from Duchenne muscular dystrophy (DMD) and normal skeletal muscle

Haslett JN, Sanoudou D, Kho AT, Bennett RR, Greenberg SA, Kohane IS, Beggs AH, Kunkel LM. Proc Natl Acad Sci U S A. 2002 Nov 12;99(23):15000-5. Epub 2002 Nov 01.
[PMID: 12415109 [PubMed - indexed for MEDLINE]

Genetics Division and Genomics Program, Neurology Department, Children's Hospital Boston and Harvard Medical School, Boston, MA, 02115, USA.

Abstract

The primary cause of Duchenne muscular dystrophy (DMD) is a mutation in the dystrophin gene leading to absence of the corresponding RNA transcript and protein. Absence of dystrophin leads to disruption of the dystrophin-associated protein complex (DAPC) and substantial changes in skeletal muscle pathology. Although the histological pathology of dystrophic tissue has been well documented, the underlying molecular pathways remain poorly understood. In order to examine the pathogenic pathways and identify new or modifying factors involved in muscular dystrophy, expression microarrays were used to compare individual gene expression profiles of skeletal muscle biopsies from twelve DMD patients and twelve unaffected control patients. Two separate statistical analysis methods were used to interpret the resulting data; t-test analysis to determine the statistical significance of differential expression and geometric fold change analysis to determine the extent of differential expression. These analyses identified 105 genes that differ significantly in expression level between unaffected and DMD muscle. Many of the differentially expressed genes reflect changes in histological pathology. For instance, immune response signals and extracellular matrix genes are overexpressed in DMD muscle, an indication of the infiltration of inflammatory cells and connective tissue. Significantly more genes are overexpressed than underexpressed in dystrophic muscle, with dystrophin underexpressed while other genes encoding muscle structure and regeneration processes are overexpressed, reflecting the regenerative nature of the disease.


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