We studied the distribution of laminin beta 2 chain in the skeletal mu
scle basement membrane of 16 patients with congenital muscular dystrop
hy (CMD) by immunohistochemistry. A dramatic reduction in the laminin
beta 2 staining was observed in four patients with classical merosin-n
egative CMD. A moderate reduction of laminin beta 2 labelling was obse
rved in four patients with partial merosin deficiency and two patients
with merosin-positive CMD. Two patients with merosin-positive CMD had
no apparent changes in the expression of laminin beta 2. In three pat
ients and one fetus diagnosed as Walker-Warburg syndrome (WWS) the lam
inin beta 2 pattern was similar to normal controls. We conclude that a
primary deficiency in the laminin alpha 2 chain may lead to a vast or
moderate reduction in the laminin beta 2 chain in the skeletal muscle
membrane. (C) 1997 Elsevier Science B.V.