Duchenne muscular dystrophy in South Africa : molecular aspects

dc.contributor.advisorBeighton, Peter
dc.contributor.advisorRamesar
dc.contributor.advisorRajkumar
dc.contributor.authorBallo, Robea
dc.date.accessioned2023-09-21T12:56:50Z
dc.date.available2023-09-21T12:56:50Z
dc.date.issued1992
dc.date.updated2023-09-21T12:56:14Z
dc.description.abstractRobea Balle, Department of Human Genetics, MRC Unit for Skeletal Disorders, UCT Medical School, Observatory, Cape Town, South Africa. Duchenne muscular dystrophy (DMD) is a lethal X-linked neuromuscular disorder, characterised by progressive muscle wasting and weakness. DMD has its onset in early childhood, leading to physical handicap by the mid-teens and usually death by the age of twenty years. Becker muscular dystrophy (BMD) is the allelic form of DMD and is differentiated by its age of onset and milder phenotype. DMD and BMD are incurable and the most effective way of managing affected families is by preventing the recurrence of the di9order. The use of intragenic and closely linked flanking markers facilitates the identification of the defective X chromosome in female carriers and their affected male foetuses. DMD is thought to be the most common of the heritable muscle disorders, having an incidence of l in 3 300. When extrapolated to the large South African population, it presents a significant socioeconomic problem. For this reason, it was decided to develop a molecular genetic service for carrier identification and diagnostic predictions. The first step in the South African study involved the collection of biological material from affected individuals. In so doing, minimum prevalence's in the four major ethnic groups of Black, Caucasian, Indian and Mixed ancestry, were established. Although ascertainment was incomplete for a number of reasons, a markedly increased DMD frequency in the Indian population and a low frequency in the Black population was apparent. In the Caucasian group, an unexpectedly high BMD frequency, compared to DMD, was observed. 110 males affected with DMD and 18 with BMD were screened for deletions using genomic and cDNA probes and multiplex polymerase chain reaction (PCR) technology. Deletions were detected in the dystrophin gene of 47 DMD and 6 BMD patients, occurring predominantly in the 3' region of the gene (65%) and to a lesser extent in the 5' region of the gene (287.). The deletion frequency within individual ethnic groups,
dc.identifier.apacitationBallo, R. (1992). <i>Duchenne muscular dystrophy in South Africa : molecular aspects</i>. (). ,Faculty of Health Sciences ,Division of Human Genetics. Retrieved from http://hdl.handle.net/11427/38812en_ZA
dc.identifier.chicagocitationBallo, Robea. <i>"Duchenne muscular dystrophy in South Africa : molecular aspects."</i> ., ,Faculty of Health Sciences ,Division of Human Genetics, 1992. http://hdl.handle.net/11427/38812en_ZA
dc.identifier.citationBallo, R. 1992. Duchenne muscular dystrophy in South Africa : molecular aspects. . ,Faculty of Health Sciences ,Division of Human Genetics. http://hdl.handle.net/11427/38812en_ZA
dc.identifier.ris TY - Master Thesis AU - Ballo, Robea AB - Robea Balle, Department of Human Genetics, MRC Unit for Skeletal Disorders, UCT Medical School, Observatory, Cape Town, South Africa. Duchenne muscular dystrophy (DMD) is a lethal X-linked neuromuscular disorder, characterised by progressive muscle wasting and weakness. DMD has its onset in early childhood, leading to physical handicap by the mid-teens and usually death by the age of twenty years. Becker muscular dystrophy (BMD) is the allelic form of DMD and is differentiated by its age of onset and milder phenotype. DMD and BMD are incurable and the most effective way of managing affected families is by preventing the recurrence of the di9order. The use of intragenic and closely linked flanking markers facilitates the identification of the defective X chromosome in female carriers and their affected male foetuses. DMD is thought to be the most common of the heritable muscle disorders, having an incidence of l in 3 300. When extrapolated to the large South African population, it presents a significant socioeconomic problem. For this reason, it was decided to develop a molecular genetic service for carrier identification and diagnostic predictions. The first step in the South African study involved the collection of biological material from affected individuals. In so doing, minimum prevalence's in the four major ethnic groups of Black, Caucasian, Indian and Mixed ancestry, were established. Although ascertainment was incomplete for a number of reasons, a markedly increased DMD frequency in the Indian population and a low frequency in the Black population was apparent. In the Caucasian group, an unexpectedly high BMD frequency, compared to DMD, was observed. 110 males affected with DMD and 18 with BMD were screened for deletions using genomic and cDNA probes and multiplex polymerase chain reaction (PCR) technology. Deletions were detected in the dystrophin gene of 47 DMD and 6 BMD patients, occurring predominantly in the 3' region of the gene (65%) and to a lesser extent in the 5' region of the gene (287.). The deletion frequency within individual ethnic groups, DA - 1992 DB - OpenUCT DP - University of Cape Town KW - Muscular Dystrophy - genetics - South Africa LK - https://open.uct.ac.za PY - 1992 T1 - Duchenne muscular dystrophy in South Africa : molecular aspects TI - Duchenne muscular dystrophy in South Africa : molecular aspects UR - http://hdl.handle.net/11427/38812 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/38812
dc.identifier.vancouvercitationBallo R. Duchenne muscular dystrophy in South Africa : molecular aspects. []. ,Faculty of Health Sciences ,Division of Human Genetics, 1992 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/38812en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDivision of Human Genetics
dc.publisher.facultyFaculty of Health Sciences
dc.subjectMuscular Dystrophy - genetics - South Africa
dc.titleDuchenne muscular dystrophy in South Africa : molecular aspects
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMSc
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