Mutations in the DMD gene, encoding dystrophins, cause Duchenne muscular dystrophy (DMD). However, loss of DMD expression impacts a broader spectrum of cells than those affected in DMD. Tumours were used as a model to investigate whether DMD loss across dissimilar tissues evokes related outcomes. Transcriptomic, proteomic, and mutation datasets from forty-nine healthy tissues and corresponding primary tumours (10,542 samples), and 180 related tumour cell lines were analysed. DMD expression was widespread across healthy tissues at levels comparable to common housekeeping genes, with corresponding full-length dystrophin identified by mass spectrometry. DMD expression was reduced in 80% of analysed tumours due to transcriptional downregulation not somatic mutations. The full-length transcript encoding Dp427m was decreased significantly in 68% of tumours, while Dp71 showed variability of expression. Hierarchical clustering analysis of the most highly expressed DMD transcripts revealed six clusters distinguishing malignant from healthy tissues. Transcriptomes of primary tumours and corresponding tumour cell lines with low DMD expression showed enrichment of specific pathways in the downregulated genes, compared to tumours and cell lines with higher DMD expression. Pathways consistently identified, such as ECM-receptor interaction, calcium signalling and PI3K-Akt, are also altered in DMD. Thus, DMD transcription occurs across a spectrum of healthy tissues and the molecular signature associated with its downregulation, which frequently occurs in malignancies, is concordant with changes found in Duchenne muscles, even though these malignancies originate from tissues not commonly associated with dystrophin expression or function. Therefore, the importance of the DMD gene extends beyond its roles identified in DMD.