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Anatomy · General anatomy and histology
Sample itemA boy with progressive calf hypertrophy and Gowers sign has absent staining for a protein that links the actin cytoskeleton to the sarcolemmal glycoprotein complex. Which protein is missing?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Dystrophin
Dystrophin connects F-actin to the dystroglycan complex in the sarcolemma and protects fibres from contraction-induced damage. Its absence causes Duchenne muscular dystrophy.
Option by option
A. Dystrophin (correct)
Correct. Dystrophin anchors actin to the sarcolemma through the glycoprotein complex.
B. Titin
Titin is an elastic sarcomere protein joining the Z line to the M line.
C. Troponin T
Troponin T anchors the troponin complex to tropomyosin and does not reach the sarcolemma.
D. Nebulin
Nebulin is a thin-filament template that regulates actin length.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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