Defense Date

2026

Document Type

Thesis

Degree Name

Master of Science

Department

Physiology and Biophysics

First Advisor

Nicholas Johnson

Second Advisor

Carlos Escalante

Third Advisor

Melissa Hale

Abstract

Myotonic Dystrophy type 1 (DM1) is the most prevalent form of adult-onset muscular dystrophy and affects the skeletal muscles, heart, and central nervous system. While most research has focused on the skeletal muscle and heart, patient surveys indicate that the cognitive symptoms of DM1, including fatigue and executive dysfunction, impact patients’ quality of life as much as skeletal symptoms. There is a strong need for minimally invasive methods of diagnosing and monitoring the neural deficits of DM1. This study sought potential plasma protein biomarkers associated with the cognitive clinical outcome measures of DM1.  Correlation analyses identified four candidate plasma proteins that could form the basis for neural blood-based biomarker panels in DM1. This study establishes a foundation for future biomarker research. These findings require validation in larger cohorts and longitudinal studies to determine whether these proteins predict neural symptom progression over time and whether they can be used as objective outcome measures for CNS-focused clinical trials in DM1.

Rights

© The Author

Is Part Of

VCU University Archives

Is Part Of

VCU Theses and Dissertations

Date of Submission

5-6-2026

Available for download on Friday, May 05, 2028

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