BUT GIRLS DON'T GET DUCHENNE -- OR DO THEY?
When DMD 'Carriers' Have Trouble of their Own

by Margaret Wahl

Illustrations:

muscle fiber In normal muscle fibers, all nuclei produce dystrophin.
muscle fiber In fibers of most DMD carriers, about half the nuclei produce dystrophin.
muscle fiber In fibers of manifesting DMD carriers, few nuclei produce dystrophin.
muscle fiber In fibers of boys with DMD, none of the nuclei produce dystrophin.

The muscle fibers of manifesting carriers can be saved by two mechanisms: 1) Dystrophin can spread through the fiber and compensate for areas where there are no dystrophin-positive nuclei, or 2) satellite cells can move in with dystrophin-positive nuclei. Can This Fiber Be Saved? (diagram)

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