In order to determine why the diaphragm is more severely affected by p
rogressive dystrophy than limb muscles in the mdx mouse, we examined h
ow regional variations in diaphragm dystrophy, the measures of disease
and repair, proliferation by committed myogenic cells, and the expres
sion of mitogenic basic fibroblast growth factor (bFGF) could contribu
te to muscle-specific disease phenotypes. There were regional variatio
ns in new myotube formation in the djaphragm, with disease more severe
in crural than costal leaflets. New repair increased in hyperthyroidi
sm without changes in accumulated repair, probably due to fiber loss.
General proliferation was nearly twofold higher in limb than diaphragm
mononuclear cells. Since only 2.5-8.4% of committed muscle precursors
were proliferating, the higher proliferation by myf5+ myogenic cells
in diaphragm did not account for muscle-specific differences, Prolifer
ation by bFGF+ mononuclear cells and an immunogold labeling index for
bFGF protein in diaphragm myoblasts were lower in diaphragm than limb
muscle. In culture, mixed limb myoblast and fibroblasts contained more
S phase cells than diaphragm cells, although myoblasts cycled similar
ly between muscles. Therefore while muscle architecture and the format
ion and number of new myotubes certainly affect disease phenotype, the
differential outcome of regeneration in mdx diaphragm and limb muscle
appears to be contributed by both nonmyogenic and myogenic cells. (C)
1998 John Wiley & Sons, Inc.