Myosin is a molecular motor indispensable for body movement and heart contractility. Apart from pure cardiomyopathy, mutations in encoding slow/β-cardiac myosin heavy chain also cause skeletal muscle disease with or without cardiac involvement. Mutations within the α-helical rod domain of are mainly associated with Laing distal myopathy. To investigate the mechanisms underlying the pathology of the recurrent causative mutation (K1729del), we have developed a model of Laing distal myopathy by genomic engineering of the locus. Homozygous animals die during larval/pupal stages, and both homozygous and heterozygous larvae display reduced muscle function. Flies expressing only in indirect flight and jump muscles, and heterozygous animals, were flightless, with reduced movement and decreased lifespan. Sarcomeres of mutant indirect flight muscles and larval body wall muscles were disrupted with clearly disorganized muscle filaments. Homozygous larvae also demonstrated structural and functional impairments in heart muscle, which were not observed in heterozygous animals, indicating a dose-dependent effect of the mutated allele. The impaired jump and flight ability and the myopathy of indirect flight and leg muscles associated with were fully suppressed by expression of Abba/Thin, an E3-ligase that is essential for maintaining sarcomere integrity. This model of Laing distal myopathy in recapitulates certain morphological phenotypic features seen in Laing distal myopathy patients with the recurrent K1729del mutation. Our observations that Abba/Thin modulates these phenotypes suggest that manipulation of Abba/Thin activity levels may be beneficial in Laing distal myopathy.
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http://dx.doi.org/10.1073/pnas.1800727115 | DOI Listing |
Pain Pract
February 2025
Department of Anesthesiology, Pain and Palliative Medicine, Radboudumc, Nijmegen, The Netherlands.
Objectives: In this study, the spread of methylene blue was compared between an ultrasound-guided Pericapsular Nerve Group (PENG) block and a double injection technique, where the approach towards the inferomedial acetabulum was added to the latter.
Methods: The two techniques were performed in 11 fresh frozen cadavers. The spread was measured after anatomical dissection in which the supplying femoral and obturator nerves were identified.
Patient Saf Surg
January 2025
Department of Trauma, University Hospital Zurich, Raemistrasse 100, Zurich, 8091, Switzerland.
Introduction: Regional anesthesia increases in popularity in orthopaedic surgery. It is usually applied in elective surgeries of the extremities. The aim of this study was to assess indication of the use of general anesthesia in the surgical treatment of distal radius fractures.
View Article and Find Full Text PDFJ Anesth
December 2024
Department of Anesthesiology, Kansai Medical University Hospital, Hirakata, Osaka, Japan.
The obturator nerve variably gives off the anterior, posterior, and hip articular branches along its course; however, all branches invariably pass through the obturator canal. Herein, we describe our obturator nerve block technique, which promises to deliver local anesthetic directly into the obturator canal. We performed the obturator nerve block in six patients undergoing transurethral resection of bladder tumor under spinal anesthesia.
View Article and Find Full Text PDFPancreatology
December 2024
Department of Hepatobiliary and Pancreatic Surgery, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Aims: To evaluate comparative outcomes of routine abdominal drainage versus no drainage after distal pancreatectomy (DP).
Methods: A systematic search of MEDLINE, CENTRAL and Web of Science and bibliographic reference lists were conducted (last search: 20th April 2024). All comparative studies reporting outcomes of DP with routine abdominal drainage and no drainage were included and their risk of bias were assessed.
Hand (N Y)
November 2024
Department of Traumatology and Orthopedic Surgery, CHUVI Hospital, Vigo, Pontevedra, Spain.
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