Table I.
Comparison of clinical manifestations and histopathology of dystrophin-null mice, dogs and humans
Feature | Humans | Mice | Dogs |
---|---|---|---|
Clinical manifestations | |||
Birth body weight | Normal | Normal | Normal |
Adult body weight | < Normal | ≥ Normal | < Normal |
Clinical course | Severe, progressive | Mild, non-progressive | Severe, progressive |
Lifespan | 25% of normal | 75% of normal | 25% of normal |
Neonatal death | Rare | Rare | ~25% of affected dogs |
Age at first clinical signs | 2–4 years old | ≥ 15 months | Birth to 3 months |
Loss of ambulation | Common at early teenage | Rare | Uncommon |
Muscle wasting | Progressive | Minimal until ≥ 15 months | Progressive |
ECG abnormalities | Frequent | Frequent | Frequent |
Cardiomyopathy | Evident at 16 years | ≥ 20 months; dilated (female) and hypertrophic (male) | Detectable at 6 months by echocardiography |
Cognitive and CNS defects | 1/3 of affected individuals | Mild | No information available |
Histopathology | |||
At birth | Minimal | Minimal | Minimal |
Acute necrosis | None | 2–6 weeks | None |
Limb muscle fibrosis | Extensive and progressive | Minimal in adult | Extensive and progressive |
Muscle regeneration | Poor | Robust | Poor |
Adapted from (McGreevy et al., 2015). Shading indicates characteristics that are similar to human disease.