The absence of dystrophin at the muscle membrane leads to Duchenne mus
cular dystrophy (DMD), a severe muscle-wasting disease that is inevita
bly fatal in early adulthood. In contrast, dystrophin-deficient mdx mi
ce appear physically normal despite their underlying muscle pathology.
We describe mice deficient for both dystrophin and the dystrophin-rel
ated protein utrophin. These mice show many signs typical of DMD in hu
mans: they show severe progressive muscular dystrophy that results in
premature death, they have ultrastructural neuromuscular and myotendin
ous junction abnormalities, and they aberrantly coexpress myosin heavy
chain isoforms within a fiber. The data suggest that utrophin and dys
trophin have complementing roles in normal functional or developmental
pathways in muscle. Detailed study of these mice should provide novel
insights into the pathogenesis of DMD and provide an improved model f
or rapid evaluation of gene therapy strategies.