Heterogeneous pathogenesis of LGMD 2 : consequences for therapy

Autosomal recessive limb girdle muscular dystrophies (LGMD type 2) are a clinically and genetically heterogeneous group of disorders, including at least 13 different genetic entities, which are characterized by progressive involvement and wasting of proximal limb girdle muscles. All LGMD2 seem to be present worldwide, though the relative frequency of the different types is variable. The gold standard for LGMD diagnosis is the study of protein involved either by immunoblot or immunohistochemistry on the basis of clinical phenotypes, followed by a mutation study in candidate genes. Pathogenetic mechanisms are various; a different pathophysiology implies different clinical muscle involvement and might require a differential therapeutical approach.

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