Evidence of left ventricular dysfunction in children with merosin-deficient congenital muscular dystrophy

Background Deficiency of the sarcolemmal protein dystrophin has been linked to dilated cardiomyopathy. Some children with congenital muscular dystrophy have a deficiency of the laminin α 2 chain of merosin, an extracellular matrix protein linked to dystrophin through a group of glycoproteins. It has...

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Veröffentlicht in:The American heart journal 1998-09, Vol.136 (3), p.474-476
Hauptverfasser: Spyrou, Nicos, Philpot, Jo, Foale, Rodney, Camici, Paolo G., Muntoni, Francesco
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container_end_page 476
container_issue 3
container_start_page 474
container_title The American heart journal
container_volume 136
creator Spyrou, Nicos
Philpot, Jo
Foale, Rodney
Camici, Paolo G.
Muntoni, Francesco
description Background Deficiency of the sarcolemmal protein dystrophin has been linked to dilated cardiomyopathy. Some children with congenital muscular dystrophy have a deficiency of the laminin α 2 chain of merosin, an extracellular matrix protein linked to dystrophin through a group of glycoproteins. It has been shown that deficiency in one of these glycoproteins is responsible for muscular dystrophy and dilated cardiomyopathy. Children with laminin α 2 deficiency may be at risk for development of cardiomyopathy. Methods and Results We studied the cardiac function of a cohort of 16 children with congenital muscular dystrophy by using 2-dimensional echocardiography. The expression of the laminin α 2 of merosin in the patients was determined on a skin or muscle biopsy. Two of 6 merosin-deficient children had an ejection fraction
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Some children with congenital muscular dystrophy have a deficiency of the laminin α 2 chain of merosin, an extracellular matrix protein linked to dystrophin through a group of glycoproteins. It has been shown that deficiency in one of these glycoproteins is responsible for muscular dystrophy and dilated cardiomyopathy. Children with laminin α 2 deficiency may be at risk for development of cardiomyopathy. Methods and Results We studied the cardiac function of a cohort of 16 children with congenital muscular dystrophy by using 2-dimensional echocardiography. The expression of the laminin α 2 of merosin in the patients was determined on a skin or muscle biopsy. Two of 6 merosin-deficient children had an ejection fraction &lt;40%. The average ejection fraction of the merosin-deficient children was 43% ± 11%, which was significantly lower than the merosin-positive children (53% ± 5%, P = .03). Conclusions This study suggests that a deficiency of laminin α 2 can give rise to dilated cardiomyopathy, supporting the idea that defects of dystrophin, or of associated proteins, can cause dilated cardiomyopathy in addition to muscular dystrophy. (Am Heart J 1998;136:474-6.)</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/S0002-8703(98)70222-4</identifier><identifier>PMID: 9736139</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Biopsy ; Cardiomyopathy, Dilated - diagnostic imaging ; Cardiomyopathy, Dilated - etiology ; Cardiomyopathy, Dilated - metabolism ; Child ; Child, Preschool ; Diseases of striated muscles. Neuromuscular diseases ; Echocardiography ; Female ; Humans ; Infant ; Laminin - deficiency ; Male ; Medical sciences ; Muscles - metabolism ; Muscular Dystrophies - complications ; Muscular Dystrophies - diagnostic imaging ; Muscular Dystrophies - metabolism ; Neurology ; Skin - metabolism ; Ventricular Dysfunction, Left - diagnostic imaging ; Ventricular Dysfunction, Left - etiology ; Ventricular Dysfunction, Left - metabolism</subject><ispartof>The American heart journal, 1998-09, Vol.136 (3), p.474-476</ispartof><rights>1998 Mosby, Inc.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c441t-84d6b25108b99f9a33bba25ea8118df508446e206515fbeb5449c379349d8ce83</citedby><cites>FETCH-LOGICAL-c441t-84d6b25108b99f9a33bba25ea8118df508446e206515fbeb5449c379349d8ce83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0002-8703(98)70222-4$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=2373196$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9736139$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spyrou, Nicos</creatorcontrib><creatorcontrib>Philpot, Jo</creatorcontrib><creatorcontrib>Foale, Rodney</creatorcontrib><creatorcontrib>Camici, Paolo G.</creatorcontrib><creatorcontrib>Muntoni, Francesco</creatorcontrib><title>Evidence of left ventricular dysfunction in children with merosin-deficient congenital muscular dystrophy</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Background Deficiency of the sarcolemmal protein dystrophin has been linked to dilated cardiomyopathy. Some children with congenital muscular dystrophy have a deficiency of the laminin α 2 chain of merosin, an extracellular matrix protein linked to dystrophin through a group of glycoproteins. It has been shown that deficiency in one of these glycoproteins is responsible for muscular dystrophy and dilated cardiomyopathy. Children with laminin α 2 deficiency may be at risk for development of cardiomyopathy. Methods and Results We studied the cardiac function of a cohort of 16 children with congenital muscular dystrophy by using 2-dimensional echocardiography. The expression of the laminin α 2 of merosin in the patients was determined on a skin or muscle biopsy. Two of 6 merosin-deficient children had an ejection fraction &lt;40%. The average ejection fraction of the merosin-deficient children was 43% ± 11%, which was significantly lower than the merosin-positive children (53% ± 5%, P = .03). Conclusions This study suggests that a deficiency of laminin α 2 can give rise to dilated cardiomyopathy, supporting the idea that defects of dystrophin, or of associated proteins, can cause dilated cardiomyopathy in addition to muscular dystrophy. (Am Heart J 1998;136:474-6.)</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Cardiomyopathy, Dilated - diagnostic imaging</subject><subject>Cardiomyopathy, Dilated - etiology</subject><subject>Cardiomyopathy, Dilated - metabolism</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diseases of striated muscles. Neuromuscular diseases</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Laminin - deficiency</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Muscles - metabolism</subject><subject>Muscular Dystrophies - complications</subject><subject>Muscular Dystrophies - diagnostic imaging</subject><subject>Muscular Dystrophies - metabolism</subject><subject>Neurology</subject><subject>Skin - metabolism</subject><subject>Ventricular Dysfunction, Left - diagnostic imaging</subject><subject>Ventricular Dysfunction, Left - etiology</subject><subject>Ventricular Dysfunction, Left - metabolism</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE2LFDEQhoMo67j6ExZyENFDa746HydZlvUDFjyo55BOKk6kOz0m6ZH59_bsDHP1VIR63qrKg9ANJe8pofLDd0II67Qi_K3R7xRhjHXiCdpQYlQnlRBP0eaCPEcvav29PiXT8gpdGcUl5WaD0v0-Bcge8BzxCLHhPeRWkl9GV3A41Lhk39KcccrYb9MYCmT8N7UtnqDMNeUuQEw-rSns5_wLcmpuxNNSLyNamXfbw0v0LLqxwqtzvUY_P93_uPvSPXz7_PXu9qHzQtDWaRHkwHpK9GBMNI7zYXCsB6cp1SH2RAshgRHZ0z4OMPRCGM-V4cIE7UHza_TmNHdX5j8L1GanVD2Mo8swL9UqbnqulVjB_gT69R-1QLS7kiZXDpYSe1RsHxXboz9rtH1UbI-5m_OCZZggXFJnp2v_9bnvqndjLC77VC8Y44pTI1fs4wmDVcY-QbH1aNFDSAV8s2FO_znkH3v6mcg</recordid><startdate>19980901</startdate><enddate>19980901</enddate><creator>Spyrou, Nicos</creator><creator>Philpot, Jo</creator><creator>Foale, Rodney</creator><creator>Camici, Paolo G.</creator><creator>Muntoni, Francesco</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980901</creationdate><title>Evidence of left ventricular dysfunction in children with merosin-deficient congenital muscular dystrophy</title><author>Spyrou, Nicos ; Philpot, Jo ; Foale, Rodney ; Camici, Paolo G. ; Muntoni, Francesco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-84d6b25108b99f9a33bba25ea8118df508446e206515fbeb5449c379349d8ce83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Cardiomyopathy, Dilated - diagnostic imaging</topic><topic>Cardiomyopathy, Dilated - etiology</topic><topic>Cardiomyopathy, Dilated - metabolism</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Diseases of striated muscles. Neuromuscular diseases</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Laminin - deficiency</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Muscles - metabolism</topic><topic>Muscular Dystrophies - complications</topic><topic>Muscular Dystrophies - diagnostic imaging</topic><topic>Muscular Dystrophies - metabolism</topic><topic>Neurology</topic><topic>Skin - metabolism</topic><topic>Ventricular Dysfunction, Left - diagnostic imaging</topic><topic>Ventricular Dysfunction, Left - etiology</topic><topic>Ventricular Dysfunction, Left - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spyrou, Nicos</creatorcontrib><creatorcontrib>Philpot, Jo</creatorcontrib><creatorcontrib>Foale, Rodney</creatorcontrib><creatorcontrib>Camici, Paolo G.</creatorcontrib><creatorcontrib>Muntoni, Francesco</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spyrou, Nicos</au><au>Philpot, Jo</au><au>Foale, Rodney</au><au>Camici, Paolo G.</au><au>Muntoni, Francesco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evidence of left ventricular dysfunction in children with merosin-deficient congenital muscular dystrophy</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1998-09-01</date><risdate>1998</risdate><volume>136</volume><issue>3</issue><spage>474</spage><epage>476</epage><pages>474-476</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Background Deficiency of the sarcolemmal protein dystrophin has been linked to dilated cardiomyopathy. Some children with congenital muscular dystrophy have a deficiency of the laminin α 2 chain of merosin, an extracellular matrix protein linked to dystrophin through a group of glycoproteins. It has been shown that deficiency in one of these glycoproteins is responsible for muscular dystrophy and dilated cardiomyopathy. Children with laminin α 2 deficiency may be at risk for development of cardiomyopathy. Methods and Results We studied the cardiac function of a cohort of 16 children with congenital muscular dystrophy by using 2-dimensional echocardiography. The expression of the laminin α 2 of merosin in the patients was determined on a skin or muscle biopsy. Two of 6 merosin-deficient children had an ejection fraction &lt;40%. The average ejection fraction of the merosin-deficient children was 43% ± 11%, which was significantly lower than the merosin-positive children (53% ± 5%, P = .03). Conclusions This study suggests that a deficiency of laminin α 2 can give rise to dilated cardiomyopathy, supporting the idea that defects of dystrophin, or of associated proteins, can cause dilated cardiomyopathy in addition to muscular dystrophy. (Am Heart J 1998;136:474-6.)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9736139</pmid><doi>10.1016/S0002-8703(98)70222-4</doi><tpages>3</tpages></addata></record>
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subjects Adolescent
Biological and medical sciences
Biopsy
Cardiomyopathy, Dilated - diagnostic imaging
Cardiomyopathy, Dilated - etiology
Cardiomyopathy, Dilated - metabolism
Child
Child, Preschool
Diseases of striated muscles. Neuromuscular diseases
Echocardiography
Female
Humans
Infant
Laminin - deficiency
Male
Medical sciences
Muscles - metabolism
Muscular Dystrophies - complications
Muscular Dystrophies - diagnostic imaging
Muscular Dystrophies - metabolism
Neurology
Skin - metabolism
Ventricular Dysfunction, Left - diagnostic imaging
Ventricular Dysfunction, Left - etiology
Ventricular Dysfunction, Left - metabolism
title Evidence of left ventricular dysfunction in children with merosin-deficient congenital muscular dystrophy
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