“…Costameres are structures at the sarcolemma of striated muscle fibers that align circumferentially around the Z disks and the M bands of the nearest myofibrils, and longitudinally, to form a rectilinear sarcolemmal network comprised of integral membrane proteins (such as dystroglycan, the sarcoglycans, and Na-K-ATPase), proteins of the extracellular matrix (such as laminin and collagen IV), and proteins of the membraneassociated cytoskeleton (such as dystrophin, syntrophins, spectrin, ankyrin, and vinculin) (12,23,26,41,48,66,71,76,82,87,93,95). Many muscular dystrophies are attributable to mutations in costameric proteins, especially to mutations of proteins of the dystrophin-glycoprotein complex (2,6,10,12,15,27,42,63,74,95).Costameres are linked to the superficial myofibrils of the contractile apparatus by microfilaments, comprised at least in part of ␥-actin (26,43,82), and by IFs, including desmin and several forms of keratin (4,5,7,10,49,54,68,73,88,92). Elimination of these proteins by homologous recombination leads to myopathies.…”