Musculoskeletal System and Muscle Tissue - MCAT Biological and Biochemical Foundations of Living Systems

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Question

Duchenne Muscular Dystrophy is an X-linked recessive genetic disorder, resulting in the loss of the dystrophin protein. In healthy muscle, dystrophin localizes to the sarcolemma and helps anchor the muscle fiber to the basal lamina. The loss of this protein results in progressive muscle weakness, and eventually death.

In the muscle fibers, the effects of the disease can be exacerbated by auto-immune interference. Weakness of the sarcolemma leads to damage and tears in the membrane. The body’s immune system recognizes the damage and attempts to repair it. However, since the damage exists as a chronic condition, leukocytes begin to present the damaged protein fragments as antigens, stimulating a targeted attack on the damaged parts of the muscle fiber. The attack causes inflammation, fibrosis, and necrosis, further weakening the muscle.

Studies have shown that despite the severe pathology of the muscle fibers, the innervation of the muscle is unaffected.

The “basal lamina” refers to                     .

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Answer

The muscle fiber cytoplasm is the sarcoplasm. The outer covering of the muscle body is the epimysium. The region of the muscle closest to the tendon and the region of sarcolemma near the synapse do not have technical names that you need to know for the MCAT, nor do they make sense as answer choices; we are looking for something that the sarcolemma must be anchored to. The basal lamina is the extracellular matrix surrounding the muscle fiber, made up largely of collagen, that connects each muscle fiber to its neighbors and helps them contract in unison.

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