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Cardiac and Respiratory Function Supported by Abdominal Muscles in Muscular Dystrophy

Mouse Studies Show How Different Muscles Affected as Muscular Dystrophy Progresses, According to Report in the Journal of Neuromuscular Diseases

February 27, 2015
The muscular dystrophies are known to target various muscle groups differentially. In addition to making limb muscles weak, muscular dystrophy (MD) can also lead to decreased function of specific muscles involved in respiration causing breathing difficulties as well as leading to cardiac problems.

Using mouse models, researchers found that abdominal muscles may be severely involved in the muscular dystrophy process. The abdominal muscles are important to provide respiratory support when the diaphragm muscle has been damaged by the disease, so that additional abdominal muscle involvement can worsen the respiratory situation considerably. They further demonstrated that abdominal muscles are useful and accessible muscles to study in preclinical models as they reflect cardiopulmonary pathology. These findings are of great importance for understanding the progression of cardio-respiratory failure in the human disease. This report appears in the current issue of the Journal of Neuromuscular Diseases.

In heart failure respiratory function is critically important. In MD where both breathing muscles and cardiac muscles are affected, this interdependence can lead to accelerated pathology. Normally, the diaphragm muscle drives about 50% of respiratory force, but other muscles provide the remainder. In MD, that balance is changed once the diaphragm becomes damaged. As the disease progresses, the abdominal muscles take over more of the respiratory function, but little is known about how the abdominal muscles themselves are affected by the progression of the disease, and whether these changes in abdominal muscle function correlate to underlying cardiopulmonary pathology.

Two mouse models helped researchers study the effects of Duchenne Muscular Dystrophy (DMD) and Limb Girdle Muscular Dystrophies (LGMD): the mdx mouse and the Sgcg mouse, respectively. The Sgcg mouse has a genetic mutation that results in similar pathology as observed in humans including significant diaphragm muscle damage. Using Sgcg mice, researchers performed echocardiography to determine cardiac function and then analyzed different muscle groups histologically in a comparative manner to determine disease progression and the correlation among these distinct features of MD.

In discussing the implications for human muscular dystrophy, lead investigator Elizabeth M. McNally, MD, PhD, Director, Center for Genetic Medicine, Northwestern University Feinberg School of Medicine, explained, “Supporting and maintaining proper cardiopulmonary function in neuromuscular disease is a mainstay of therapy. Maintaining diaphragm health has been the focus of many studies in both humans and mice with muscular dystrophy, but few studies have focused on supporting and evaluating the accessory muscles of respiration such as the abdominal muscles. Therapies that spare or protect the muscles of respiration in muscular dystrophy have been shown to slow down overall disease progression and prolong life. The accessory muscles of respiration, whether in human patients or animal models, may prove a viable target especially for therapy directed at specific muscle groups.”

This study is openly available at http://iospress.metapress.com/content/d11315k6172w06p0/fulltext.pdf.

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NOTES FOR EDITORS

“Cardiac function in muscular dystrophy associates with abdominal muscle pathology,”by Brandon B. Gardner, Kayleigh A. Swaggart, Gene Kim, Sydeaka Watson, and Elizabeth M. McNally (DOI 10.3233/JND-140062), Journal of Neuromuscular Diseases, Volume 2, Issue 1 (February 2015) published by IOS Press. The study is openly available at http://iospress.metapress.com/content/d11315k6172w06p0/fulltext.pdf.

Contact Daphne Watrin, IOS Press, +31 20 688 3355, d.watrin@iospress.nl for additional information. Journalists may contact Dr. Elizabeth M. McNally directly at 312-503-6258 or elizabeth.mcnally@northwestern.edu.

ABOUT THE JOURNAL OF NEUROMUSCULAR DISEASES (JND)

Launched in June 2014, the Journal of Neuromuscular Diseases facilitates progress in understanding the molecular genetics/correlates, pathogenesis, pharmacology, diagnosis and treatment of acquired and genetic neuromuscular diseases (including muscular dystrophy, myasthenia gravis, spinal muscular atrophy, neuropathies, myopathies, myotonias and myositis). The journal publishes research reports, reviews, short communications. Guided by Editors-in-Chief Carsten G. Bönnemann (National Institute of Neurological Disorders and Stroke, NIH) and Hanns Lochmüller (Institute of Genetic Medicine, Newcastle University), the journal is dedicated to providing an open forum for original research in basic science, translational and clinical research that will improve our fundamental understanding and lead to effective treatments of neuromuscular diseases.

ABOUT IOS PRESS

Commencing its publishing activities in 1987, IOS Press serves the information needs of scientific and medical communities worldwide. IOS Press now (co-)publishes over 100 international journals and about 90 book titles each year on subjects ranging from computer sciences and mathematics to medicine and the natural sciences.

IOS Press continues its rapid growth, embracing new technologies for the timely dissemination of information. All journals are available electronically and an e-book platform was launched in 2005.

Headquartered in Amsterdam with satellite offices in the USA, Germany, India and China, IOS Press has established several strategic co-publishing initiatives. Notable acquisitions included Delft University Press in 2005 and Millpress Science Publishers in 2008.