Fshd / opmd / myotonic dystrophy

Facioscapulohumeral muscular dystrophy (FSHD) is caused by misexpression of the transcription factor DUX4 from the 4q D4Z4 macrosatellite repeat in skeletal muscle. This is a result of the loss of repressive epigenetic landscape at the repeat either due to repeat contraction (FSHD1) or due to mutations in D4Z4-chromatin associated proteins (FSHD2). While both genetic situations lead to FSHD, a characteristic difference between FSHD1 and FSHD2 is the genome-wide D4Z4 hypomethylation in FSHD2, whereas in FSHD1, D4Z4 hypomethylation is restricted to the contracted allele.
Source: Neuromuscular Disorders - Category: Neurology Authors: Source Type: research