DMD Antibody, HRP conjugated

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Description

Definition and Mechanism

DMD Antibody, HRP conjugated, is a bioconjugate combining an anti-dystrophin antibody with Horseradish Peroxidase (HRP), an enzyme enabling chromogenic detection in immunoassays. This conjugate is critical for detecting dystrophin—a cytoskeletal protein deficient in Duchenne muscular dystrophy (DMD)—in applications like ELISA, Western blotting, and immunohistochemistry (IHC) .

Key Features:

  • Antibody Specificity: Targets dystrophin epitopes (e.g., C-terminal, rod domain repeats, or exon-specific regions) .

  • HRP Label: Enables visualization using substrates like DAB (brown precipitate) or TMB (blue reaction) .

Conjugation Chemistry

HRP is typically linked to lysine residues on the antibody via cross-linkers (e.g., NHS esters). Proper buffer conditions are essential:

Buffer ComponentRecommended Level
pH6.5–8.5
Glycerol<50%
BSA/Gelatin<0.1%
Tris<50 mM
Avoid nucleophilic additives (e.g., sodium azide, DTT) .

Stabilization:

  • LifeXtend™ Stabilizer: Mitigates conjugate degradation under storage or dilution .

  • Storage: Typically stored at -20°C or 2–8°C, depending on formulation .

Primary Uses

ApplicationKey DetailsSources
ELISAQuantifies dystrophin levels in serum or tissue lysates.
Western BlottingDetects full-length dystrophin (427 kDa) or truncated isoforms.
ImmunohistochemistryIdentifies dystrophin localization in muscle sections (e.g., sarcolemma).
Capillary WesHigh-throughput quantification of dystrophin in clinical trials .

Example Protocol:

  1. Wes Analysis:

    • Muscle lysates diluted to 25–250 µg/mL.

    • Primary antibody (e.g., Abcam ab154168) incubated for 30 min.

    • HRP-conjugated secondary antibody detected via chemiluminescence .

Species Cross-Reactivity

AntibodyReactivityApplicationsSources
MANDYS1Human, Dog, MouseWestern Blot, IHC
NBP2-79917H (DMD/3242)HumanIHC, ELISA
Anti-Sheep IgG HRPSheep IgG (secondary)Western Blot, ELISA

Epitope Targeting:

AntibodyEpitopeDystrophin Region
MANDYS106Exon 43Central rod domain
MANEX59BExon 59C-terminal domain
NCL-DYS-1Exons 26–29N-terminal domain

Key Studies

  1. Cross-Species Validation:

    • 13/65 human anti-dystrophin antibodies detected full-length dystrophin in dogs and mice, with some cross-reacting with utrophin (395 kDa) .

    • MANDYS1 identified in both normal and dystrophic muscle, with weaker 100 kDa bands in heart tissue .

  2. Gene Therapy and Immune Responses:

    • AAV-microdystrophin therapy induced anti-dystrophin antibodies in 57.8% of mice, reduced by immunomodulators (e.g., rituximab, prednisolone) .

    • Dystrophin quantification via Wes showed 79.8–95.6% of wild-type levels post-treatment .

  3. Diagnostic Tools:

    • Proteintech 83609-3-PBS: Recombinant rabbit antibody for sandwich ELISA and multiplex assays .

    • DSHB MANDYS8: Mouse antibody validated for IF, IHC, and WB in human, canine, and mouse models .

Challenges and Considerations

  • False Positives: Some antibodies detect utrophin or truncated dystrophin isoforms, complicating interpretation .

  • Conjugation Stability: HRP-antibody bonds degrade over time, necessitating stabilizers or optimized storage .

Product Specs

Buffer
Preservative: 0.03% Proclin 300
Constituents: 50% Glycerol, 0.01M PBS, pH 7.4
Form
Liquid
Lead Time
We typically dispatch products within 1-3 business days of receiving your order. Delivery times may vary depending on the purchasing method or location. Please consult your local distributor for specific delivery timelines.
Synonyms
BMD antibody; CMD3B antibody; DMD antibody; DMD_HUMAN antibody; Duchenne muscular dystrophy protein antibody; Dystrophin antibody; Muscular dystrophy Duchenne and Becker types antibody
Target Names
DMD
Uniprot No.

Target Background

Function
Dystrophin serves as a crucial link between the extracellular matrix and the cytoskeleton through F-actin. It acts as a ligand for dystroglycan and is a key component of the dystrophin-associated glycoprotein complex. This complex plays a critical role in stabilizing the sarcolemma, accumulating at the neuromuscular junction (NMJ) and various synapses within the peripheral and central nervous systems. Dystrophin's involvement extends beyond structural support, also contributing to signaling events and synaptic transmission.
Gene References Into Functions
  1. A case study involving a dystrophin mutation (p.1667 del Ala) demonstrated the pathological features of significant fibrofatty replacement in the sub-epicardial layer of the ventricle, leading to Becker muscular dystrophy-associated cardiomyopathy. PMID: 30103083
  2. Research has shown that DMD gene mutations affecting the hinge 3 region, actin-binding domain, and exons 45-49, along with the LTBP4 IAAM haplotype, were not linked to the age of left ventricular dysfunction onset in Duchenne muscular dystrophy. PMID: 29766838
  3. A novel 9358-9359insA mutation of the dystrophy gene was identified in a Chinese boy with muscular dystrophy and his mother. PMID: 29336709
  4. A comprehensive analysis of the DMD gene mutation spectrum causing Duchenne/Becker muscular dystrophy in 68 Kuwaiti families has been reported. PMID: 29847600
  5. Low dystrophin expression is a characteristic feature associated with Becker and Duchenne muscular dystrophy. PMID: 29641567
  6. A study focused on the developmental profile of dystrophin expression across human brain regions to understand the temporal profile of astrocytic endfoot development. PMID: 28509351
  7. A novel small mutation in the first exon-intron boundary splicing site of the DMD gene was discovered in a patient with elevated serum CK levels within his family. This mutation is associated with X-linked dilated cardiomyopathy. PMID: 29901616
  8. Studies have shown that new mutations in Duchenne muscular dystrophy/Becker muscular dystrophy patients with deletions were significantly more prevalent than in those with duplications and small mutations. PMID: 28680110
  9. Research on ambulant and steroid-naive Japanese Duchenne muscular dystrophy patients revealed that their height was significantly shorter than normal. Furthermore, Becker muscular dystrophy patients exhibited slightly shorter stature. This suggests a correlation between dystrophin expression levels and short stature. The higher incidence of short stature in the Dp71 subgroup indicates a potential role of Dp71 in growth. PMID: 28734761
  10. Data suggest that Becker muscular dystrophy (BMD) patients carrying deletions of the rod domain of the exons in the dystrophin gene. PMID: 29419852
  11. Studies have concluded that patients with dystrophin "del x-51" or "del 48" mutations present with mild or asymptomatic Becker muscular dystrophy. Conversely, "del 45-x" mutations cause comparatively severe weakness and functional deterioration within a year. PMID: 27582364
  12. Further research and validation of DMD's role in tumor development as a prognostic factor for tumor progression and survival are warranted. PMID: 27391342
  13. The entire DMD locus undergoes dynamic transcription by RNA polymerase II; mechanisms involved in dystrophin gene expression regulation are being investigated. PMID: 28867298
  14. Evidence suggests that the Dp71-lamin B1 protein complex plays a crucial role in the newly identified tumor suppressive function of Dp71. PMID: 27449096
  15. Increased FAK in the cytoplasmic FAK-Dp71, nuclear lamin B1 of the laminB1-Dp71 complex, and HBE-Dp71d and HBE-Dp71f cells alter their proliferation, migration, invasion, cell cycle, and apoptosis rates induced by H2O2. PMID: 29059680
  16. MyoD-transformed cells present a suitable myogenic model for studying dystrophin gene expression. Native urine stem cells can be utilized to study the dystrophin transcript, facilitating both diagnostic procedures and splicing modulation therapies in patients and controls without invasive and costly collection methods. PMID: 27530229
  17. The de novo deletion of exons 17 to 29 of the DMD gene detected in the fetus may result in BMD or DMD. PMID: 28777860
  18. Recent research has demonstrated that multi-step events are required for the removal of long DMD introns. The role of temporary intron retention in the occurrence of alternative splicing events is also under investigation. PMID: 28597072
  19. Studies provide evidence that dystrophin contains multiple independent membrane-binding domains. These structurally and functionally distinct membrane-binding domains form the molecular basis for dystrophin's function as a shock absorber and signaling hub. PMID: 27378693
  20. Multiplex ligation-dependent probe amplification combined with next-generation sequencing has proven effective for detecting mutations in dystrophin gene exons in patients with Duchenne and Becker muscular dystrophies. PMID: 27750387
  21. A rarely reported deletion of a single exon 48 of the dystrophin gene caused a subclinical or very mild form of Becker muscular dystrophy in nine non-consanguineous families. PMID: 28247318
  22. This study describes a series of patients of Greek origin who carry a c.5068_5070delCAC mutation in the DMD gene. PMID: 27178005
  23. Data support the hypothesis that skewed XCI is involved in the onset of phenotype in DMD carriers, with the X chromosome carrying the normal DMD gene being preferentially inactivated, leading to moderate-severe muscle involvement. PMID: 27098336
  24. DMD reversion leads to somatic mosaicism in DMD patients. PMID: 26956251
  25. This study focused on the phenotype of patients with BMD, who had in-frame deletion starting at exon 45 of the DMD gene, to investigate the appropriate restoration of the reading frame by exon skipping therapy. PMID: 27974813
  26. Research found that Dp71, comprising Dp71b and Dp71ab, was exclusively expressed in HEK293 cells, and Dp71ab was specifically localized to the nucleus. These findings suggest that Dp71ab in the nucleus contributes to the diverse functions of HEK293 cells. PMID: 27109495
  27. This study aimed to provide quantitative in vitro evidence of the ability of human mesoangioblasts to restore dystrophin, in terms of protein accumulation and distribution, within myotubes derived from patients with Duchenne muscular dystrophy. PMID: 27502519
  28. In TMD patients, a novel locus at genome-wide level of significance (rs73460075, OR = 0.56, P = 3.8 x 10(-8)) in the intron of the dystrophin gene DMD (X chromosome), and a suggestive locus on chromosome 7 (rs73271865, P = 2.9 x 10(-7)) upstream of the Sp4 Transcription Factor ( SP4) gene were identified in the discovery cohort, but neither of these was replicated. PMID: 28081371
  29. Exon 44 skipping-amenable DMD has a later loss of ambulation, therefore mutation-specific randomization and selection of placebo groups are crucial for the success of clinical trials. PMID: 27343068
  30. Research focused on four prevalent mutated proteins deleted in RDelta45-47, RDelta45-48, RDelta45-49, and RDelta45-51, analyzing protein/membrane interactions. Mutants RDelta45-48 and RDelta45-51 led to mild pathologies and displayed a similar triple coiled-coil structure as the full-length DYS R16-21. Conversely, RDelta45-47 and RDelta45-49 induced more severe pathologies and showed "fractional" structures, highlighting the intricate relationship between protein structure and disease severity. PMID: 27367833
  31. The dystrophin expression plasmids described here will be valuable in cell and gene therapy studies aiming to mitigate Duchenne muscular dystrophy. PMID: 28139886
  32. In Korean boys, 117 different deletions, 48 duplications, and 90 pathogenic sequence variations, including 30 novel variations, were identified. Deletions and duplications accounted for 65.4% and 13.3% of Korean dystrophinopathy, respectively. This suggests that the incidence of large rearrangements in dystrophin is comparable across various ethnic groups. PMID: 27593222
  33. Researchers detected the expression of endogenous exons 44-56 connected mRNA transcript of the DMD using total RNAs derived from human normal skeletal muscle by reverse transcription polymerase chain reaction. They identified a total of eight types of multiple exon skipping products around the mutation hotspot. PMID: 27754374
  34. Multiplex Ligation Probe Amplification identified 56 mutations (45 deletions, 9 duplications, and 2 point mutations), confirming the clinical diagnosis in 63% (51/81) of patients and symptomatic females. It also established the carrier status of 54% (20/37) of females at-risk and 3 male villus samples. An association was established between the most frequent deletion intron breakpoints and the abundance of dinucleotide microsatellites. PMID: 27206868
  35. Next-generation sequencing (NGS) enabled the identification of a pathogenic DMD mutation from degraded DNA and low-level somatic mosaicism, which would have been missed using Sanger sequencing. PMID: 26740235
  36. Four nonsense, one frameshift, and two splice site mutations, as well as two missense variants, were identified in the dystrophin gene in Iranian Duchenne and Becker muscular dystrophy patients. PMID: 27350676
  37. Four missense mutations (p.Arg2937Gln, p.Asp882Gly, p.Lys2366Gln, and p.Arg1745His), known as multiple-polymorphic sites, were found in the coding region of the DMD gene. A hemizygous splicing mutation IVS44ds +1G-A (c.6438 +1G>A) was located in intron 44. PMID: 27421007
  38. Results provide evidence for recursive splicing in the dystrophin transcript, indicating that the order of intron removal is not consecutive. PMID: 26670121
  39. DMD mutations affecting different DMD isoforms are associated with characteristically abnormal scotopic ERGs and severe neurodevelopmental problems in Duchenne muscular dystrophy patients. PMID: 26081639
  40. DMD gene mutations should be considered in girls with persistently elevated creatine kinase levels and scoliosis, calf hypertrophy, or myopathic patterns on electromyography. PMID: 26718981
  41. The deletion patterns and distribution characteristics of the dystrophin gene in a Chinese population of patients with Duchenne muscular dystrophy (DMD) or Becker muscular dystrophy have been reported. PMID: 26786758
  42. The range of phenotypes associated with the Xp21 region has been expanding. The milder end of the spectrum includes phenotypes like muscle cramps with myoglobinuria and isolated quadriceps myopathy, while the severe end encompasses progressive muscle diseases. PMID: 25416089
  43. Attention should be paid to the possibility of severe arrhythmias in patients with the severe phenotype of Becker muscular dystrophy. PMID: 26631896
  44. Males with mutations at the 3' end of the DMD gene affecting all protein isoforms exhibit higher rates of intellectual disability and clusters of neurodevelopmental, emotional, and behavioral symptoms in Duchenne muscular dystrophy. PMID: 26365034
  45. A study determined the frequency of dystrophin gene alterations in Iranian Duchenne and Becker muscular dystrophies patients using two new proposed sets of primer pairs of M-PCR to facilitate further mutation detection in patients and their families. PMID: 26081009
  46. A study investigated the correlation of Utrophin levels with the Dystrophin protein complex and muscle fiber regeneration in Duchenne and Becker Muscular Dystrophy muscle biopsies. PMID: 26974331
  47. A review article discusses mutations of Dystrophin and Duchenne and Becker muscular dystrophies. PMID: 26295289
  48. Data indicate that viral vector-mediated transient designer nuclease expression leads to permanent and regulated dystrophin synthesis from corrected native Duchenne muscular dystrophy (DMD) alleles. PMID: 26762977
  49. MicroRNAs contribute to variable dystrophin levels in muscular dystrophy. PMID: 26321630
  50. Knocking down Dp71 expression can significantly inhibit A549 xenograft tumor growth in nude mice. PMID: 26691328

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Database Links

HGNC: 2928

OMIM: 300376

KEGG: hsa:1756

STRING: 9606.ENSP00000354923

UniGene: Hs.495912

Involvement In Disease
Duchenne muscular dystrophy (DMD); Becker muscular dystrophy (BMD); Cardiomyopathy, dilated, X-linked 3B (CMD3B)
Subcellular Location
Cell membrane, sarcolemma; Peripheral membrane protein; Cytoplasmic side. Cytoplasm, cytoskeleton. Cell junction, synapse, postsynaptic cell membrane.
Tissue Specificity
Expressed in muscle fibers accumulating in the costameres of myoplasm at the sarcolemma. Expressed in brain, muscle, kidney, lung and testis. Most tissues contain transcripts of multiple isoforms. Isoform 15: Only isoform to be detected in heart and liver

Q&A

What is a DMD antibody and why is HRP conjugation important?

DMD antibody refers to an antibody that specifically recognizes dystrophin, the protein encoded by the DMD gene that is absent or defective in Duchenne Muscular Dystrophy. HRP (Horseradish Peroxidase) conjugation involves chemically linking this enzyme to the antibody, enabling visualization and quantification through enzymatic reactions. The conjugation allows for direct detection without requiring secondary antibodies, thereby reducing background noise and streamlining experimental workflows in techniques such as Western blotting, ELISA, and immunohistochemistry .

What applications are most suitable for DMD antibody, HRP conjugated?

DMD antibody with HRP conjugation is primarily utilized in:

  • ELISA (Enzyme-Linked Immunosorbent Assay) at concentrations typically ranging from 1-500 ng/mL

  • Immunohistochemistry (IHC) for both frozen and paraffin-embedded sections

  • Western Blotting for protein detection and quantification

  • Protein Array applications for high-throughput screening

For optimal results, experimental dilution should be determined empirically for each specific application, as recommended usage can vary based on tissue type, fixation method, and detection system .

What are the storage requirements for maintaining antibody activity?

For short-term storage (up to 2 weeks), DMD antibody, HRP conjugated should be refrigerated at 2-8°C . For long-term storage, the antibody should be maintained in a lyophilized state at -20°C or lower . To prevent activity loss from repeated freeze-thaw cycles, it is advisable to prepare small aliquots before freezing . Most commercially available DMD antibodies, HRP conjugated are supplied lyophilized from a 0.22 μm filtered solution in PBS (pH 7.4) with trehalose as a protectant .

How should DMD antibody, HRP conjugated be reconstituted for maximum activity?

Proper reconstitution is critical for maintaining antibody performance. For lyophilized antibodies:

  • Allow the vial to reach room temperature before opening

  • Reconstitute with sterile water or buffer as specified in the Certificate of Analysis

  • Gently mix by inversion or slow rotation rather than vortexing

  • Allow complete dissolution (typically 10-30 minutes) before use

  • If not using immediately after reconstitution, prepare working aliquots to avoid repeated freeze-thaw cycles

Following the reconstitution protocol provided in the Certificate of Analysis is strongly recommended for best performance .

What controls should be included when using DMD antibody, HRP conjugated?

A robust experimental design should include the following controls:

Control TypePurposeImplementation
Positive ControlVerifies antibody activityKnown dystrophin-expressing tissue (e.g., normal skeletal muscle)
Negative ControlAssesses non-specific bindingDMD patient tissue with confirmed absence of dystrophin
Isotype ControlEvaluates background from antibody classMatched IgG1 or IgG2b with HRP conjugate
Loading ControlNormalizes protein quantity variationsGAPDH antibody with HRP conjugate (36kDa)
No Primary Antibody ControlDetects secondary reagent artifactsOmit primary antibody but include all other reagents

Including these controls is particularly important in dystrophinopathy research where expression levels can range from complete absence to reduced or fragmented protein .

How can antibody specificity be validated in dystrophin research?

Confirming antibody specificity is essential due to the large size of dystrophin (427kDa) and potential cross-reactivity with related proteins. Validation approaches include:

  • Western blot analysis comparing control and DMD patient samples to verify correct molecular weight bands and absence in negative controls

  • Peptide competition assays where pre-incubation with immunizing peptide should abolish specific binding

  • Immunoprecipitation followed by mass spectrometry to confirm target identity

  • Comparison of staining patterns using antibodies against different dystrophin epitopes

  • siRNA knockdown of dystrophin in cell culture systems to confirm specificity

A multi-laboratory collaborative study determined that properly validated antibodies produce highly concordant results across different research centers when standardized protocols are employed .

How can DMD antibody, HRP conjugated be optimized for dystrophin quantification in clinical trial samples?

Accurate dystrophin quantification is crucial for evaluating therapeutic efficacy in clinical trials. Based on consensus from multi-institution collaborations , optimization should include:

  • For Quantitative Immunohistochemistry:

    • Use serial sections from the same biopsy to reduce variability

    • Include a range of control samples (normal and BMD) on the same slide

    • Employ standardized image acquisition parameters

    • Apply automated analysis algorithms to reduce subjective interpretation

    • Express results as percentage of dystrophin-positive fibers and intensity relative to control

  • For Western Blotting:

    • Load a protein concentration standard curve

    • Transfer proteins using standardized conditions for large proteins

    • Block membranes thoroughly to reduce background

    • Use appropriate exposure times to avoid signal saturation

    • Normalize to total protein rather than single housekeeping proteins

The combination of these methods has shown high concordance between laboratories with minimal inter- and intralaboratory variability, particularly with quantitative immunohistochemistry .

How do different DMD antibody clones compare in their ability to detect dystrophin isoforms and fragments?

Different antibody clones recognize distinct epitopes within the dystrophin protein, affecting their utility for specific research questions:

  • N-terminal antibodies (e.g., recognizing aa 114-263) are effective for detecting truncated dystrophin produced by exon-skipping therapies

  • Rod domain antibodies can detect internally deleted dystrophin in Becker Muscular Dystrophy

  • C-terminal antibodies are useful for distinguishing full-length from truncated proteins

When selecting an antibody clone, researchers should consider:

  • The specific dystrophin domain of interest

  • Whether therapeutic approaches might modify the epitope

  • The detection method being employed

  • Whether qualitative presence or quantitative measurement is required

Multiple laboratories have confirmed that immunohistochemistry is generally more sensitive than Western blotting for detecting trace amounts of dystrophin, with some laboratories able to detect dystrophin in samples that appeared negative by Western blot .

What are the confounding factors in interpreting DMD antibody signals in dystrophinopathy research?

Several factors can complicate the interpretation of results when using DMD antibody, HRP conjugated:

  • Sample heterogeneity - Dystrophinopathy biopsies show variable fibro-fatty replacement between samples and variable dystrophin content within serial sections of the same biopsy

  • Revertant fibers - Spontaneous genetic events can restore dystrophin expression in isolated muscle fibers

  • Background signal - Non-specific HRP activity or endogenous peroxidase activity can create false positives

  • Genetic modifiers - Factors such as SPP1 (osteopontin) genotype may influence dystrophin expression patterns

  • Inflammatory infiltrates - Varying levels of immune cell infiltration can affect background and signal interpretation

Advanced methodological approaches to address these confounders include:

  • Endogenous peroxidase blocking steps

  • Careful selection of muscle regions for analysis

  • Concurrent immunostaining for inflammatory markers (CD4+, CD68+) to assess infiltration

  • Application of digital image analysis to objectively quantify signal

How can DMD antibody, HRP conjugated be incorporated into ELISA systems for dystrophin quantification?

ELISA systems utilizing DMD antibody, HRP conjugated provide a quantitative approach for dystrophin detection in research samples. The sandwich ELISA method is particularly effective:

  • Plates are pre-coated with a capture antibody specific to human DMD

  • Standards or samples are added to the wells

  • A biotin-conjugated antibody specific to Human DMD is applied

  • Avidin conjugated to HRP is added and incubated

  • TMB substrate solution creates color change in positive wells

  • The reaction is terminated with sulfuric acid solution

  • Absorbance is measured at 450nm±10nm

  • DMD concentration is determined by comparing sample OD to standard curve

This method offers detection ranges typically from 0.16-10 ng/mL with sensitivity around 0.059 ng/mL for human dystrophin .

What considerations should be made when combining DMD antibody, HRP conjugated with genetic analysis?

Integrating protein detection with genetic analysis provides comprehensive characterization of dystrophinopathies. Key considerations include:

  • Genotype-phenotype correlation - Genetic variants such as rs28357094 in the SPP1 gene can modulate dystrophin expression or disease progression independent of the primary DMD mutation

  • Therapeutic monitoring - For gene therapies targeting dystrophin restoration, antibody detection should target epitopes that will be present in the therapeutic protein

  • Revertant fiber analysis - Combining antibody detection with genetic sequencing of microdissected positive fibers can reveal mechanisms of spontaneous dystrophin restoration

  • Immunological response monitoring - For patients receiving exogenous dystrophin through gene or protein therapy, monitoring anti-dystrophin antibody development alongside therapeutic dystrophin detection

When designing multi-modal studies, sample collection and processing should be optimized to allow both protein detection and nucleic acid extraction from the same specimen whenever possible.

How does fixation affect the detection of dystrophin using HRP-conjugated antibodies?

Fixation methodology significantly impacts dystrophin detection and quantification:

Researchers should validate detection protocols with appropriate controls when transitioning between fixation methods, as optimal dilutions and incubation conditions may vary significantly .

What are common sources of false positives and false negatives when using DMD antibody, HRP conjugated?

Understanding potential artifacts is crucial for accurate data interpretation:

False Positives:

  • Endogenous peroxidase activity in tissues not adequately blocked

  • Cross-reactivity with related proteins (utrophin upregulation in DMD)

  • Non-specific binding of antibody to fibrotic or necrotic tissue

  • Over-development of substrate reaction

  • Revertant fibers expressing dystrophin in otherwise negative samples

False Negatives:

  • Inadequate antigen retrieval for fixed tissues

  • Protein degradation due to improper sample handling

  • Suboptimal primary antibody concentration

  • Epitope masking by protein-protein interactions

  • Insufficient incubation times

To minimize these issues, researchers should include comprehensive controls and optimize protocols for each specific application and tissue type .

How should discrepancies between different dystrophin detection methods be interpreted and resolved?

When faced with discordant results between methods, a systematic approach is recommended:

  • Assess method sensitivity:

    • Immunohistochemistry is generally more sensitive than Western blotting for detecting trace amounts of dystrophin

    • Some laboratories can detect dystrophin in samples by immunohistochemistry that appear negative by Western blot

  • Consider dystrophin distribution:

    • Western blotting measures average dystrophin across the entire sample

    • Immunohistochemistry reveals spatial distribution and can detect isolated positive fibers

  • Examine protein size:

    • Western blotting provides information about protein size and integrity

    • Immunohistochemistry only confirms epitope presence without size information

  • Resolution strategy:

    • For clinical trials, consensus recommendations suggest using standardized immunohistochemical and Western blotting methods in parallel

    • Quantify results using multiple methodologies and report all data transparently

    • Consider digital image analysis to reduce subjective interpretation

What quality control metrics should be applied to dystrophin quantification data?

Robust quality control ensures reliable and reproducible dystrophin quantification:

  • For Western Blot Analysis:

    • Signal linearity verification using dilution series

    • Coefficient of variation (CV) between technical replicates (<15%)

    • Inclusion of standard samples across different blots for normalization

    • Regular monitoring of transfer efficiency

    • Documentation of exposure settings and image acquisition parameters

  • For Immunohistochemistry:

    • Minimum number of fibers analyzed (typically >500)

    • Sampling from multiple regions to account for heterogeneity

    • Consistency in threshold settings for positive/negative designation

    • Inter-observer concordance assessments

    • Regular calibration of imaging systems

  • For ELISA:

    • R² value of standard curve (should exceed 0.98)

    • Coefficient of variation between replicate wells (<10%)

    • Spike-recovery and dilution linearity tests

    • Regular calibration verification

Multi-institution studies have demonstrated that properly standardized protocols with appropriate quality control can achieve high concordance between laboratories, supporting their use as outcome measures in clinical trials .

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