THE hypothesis that reactive free radical species (ROS) may contribute
to the pathogenesis of Duchenne muscular dystrophy (DMD) has been sug
gested previously, but experimental data obtained in support of the ab
ove have to date proved inconclusive. The recent discovery that nitric
oxide synthase (required for muscle relaxation) is associated with th
e sarcolemmal protein dystrophin normally and that both proteins are a
bsent in DMD has heightened interest in the potential role of ROS in t
his disorder. We therefore investigated oxidative damage to proteins i
n the quadriceps femoris muscle by quantifying protein carbonyl levels
in six patients with DMD and six normal controls. In DMD, the mean pr
otein carbonyl level in the quadriceps femoris muscle was increased by
211% (p < 0.005) compared with the normal control subjects. The data
thus support the hypothesis for the role of ROS induced protein oxidat
ion of muscle cell damage in DMD.