We report the restoration or the 430-kD dystrophin in mdx, the mouse m
odel of Duchenne muscular dystrophy, by expression of a single-copy re
combinant dystrophin transgene. Muscle-specific expression was achieve
d using a creatine kinase promoter influenced by two enhancers. Immuno
staining with anti-Xp21-coded dystrophin monoclonal antibodies showed
that the recombinant dystrophin was localized to the muscle fiber memb
rane. However, there was variability in the level of dystrophin expres
sion in various animals with aging, between fast and slow muscles, and
within different regions of the same muscle. Curiously, recombinant d
ystrophin was relatively absent in the diaphragm muscle of these mdx t
ransgenic animals. Our studies indicate that there is a direct correla
tion between the level of muscle fibers expressing recombinant dystrop
hin and the level of muscle fibers with peripheral nuclei, indicating
an improvement in muscle pathology. These studies indicate that the re
gional expression of recombinant dystrophin in dystrophic muscle leads
to regional restoration of normal muscle morphology.