ICNMD XIII 13Th International Congress on Neuromuscular
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The Role of Z-Disc Proteins in Myopathy and Cardiomyopathy
International Journal of Molecular Sciences Review The Role of Z-disc Proteins in Myopathy and Cardiomyopathy Kirsty Wadmore 1,†, Amar J. Azad 1,† and Katja Gehmlich 1,2,* 1 Institute of Cardiovascular Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham B15 2TT, UK; [email protected] (K.W.); [email protected] (A.J.A.) 2 Division of Cardiovascular Medicine, Radcliffe Department of Medicine and British Heart Foundation Centre of Research Excellence Oxford, University of Oxford, Oxford OX3 9DU, UK * Correspondence: [email protected]; Tel.: +44-121-414-8259 † These authors contributed equally. Abstract: The Z-disc acts as a protein-rich structure to tether thin filament in the contractile units, the sarcomeres, of striated muscle cells. Proteins found in the Z-disc are integral for maintaining the architecture of the sarcomere. They also enable it to function as a (bio-mechanical) signalling hub. Numerous proteins interact in the Z-disc to facilitate force transduction and intracellular signalling in both cardiac and skeletal muscle. This review will focus on six key Z-disc proteins: α-actinin 2, filamin C, myopalladin, myotilin, telethonin and Z-disc alternatively spliced PDZ-motif (ZASP), which have all been linked to myopathies and cardiomyopathies. We will summarise pathogenic variants identified in the six genes coding for these proteins and look at their involvement in myopathy and cardiomyopathy. Listing the Minor Allele Frequency (MAF) of these variants in the Genome Aggregation Database (GnomAD) version 3.1 will help to critically re-evaluate pathogenicity based on variant frequency in normal population cohorts. -
Neuromuscular Disorders Neurology in Practice: Series Editors: Robert A
Neuromuscular Disorders neurology in practice: series editors: robert a. gross, department of neurology, university of rochester medical center, rochester, ny, usa jonathan w. mink, department of neurology, university of rochester medical center,rochester, ny, usa Neuromuscular Disorders edited by Rabi N. Tawil, MD Professor of Neurology University of Rochester Medical Center Rochester, NY, USA Shannon Venance, MD, PhD, FRCPCP Associate Professor of Neurology The University of Western Ontario London, Ontario, Canada A John Wiley & Sons, Ltd., Publication This edition fi rst published 2011, ® 2011 by Blackwell Publishing Ltd Blackwell Publishing was acquired by John Wiley & Sons in February 2007. Blackwell’s publishing program has been merged with Wiley’s global Scientifi c, Technical and Medical business to form Wiley-Blackwell. Registered offi ce: John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial offi ces: 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offi ces, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell The right of the author to be identifi ed as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. -
Orphanet Report Series Rare Diseases Collection
Marche des Maladies Rares – Alliance Maladies Rares Orphanet Report Series Rare Diseases collection DecemberOctober 2013 2009 List of rare diseases and synonyms Listed in alphabetical order www.orpha.net 20102206 Rare diseases listed in alphabetical order ORPHA ORPHA ORPHA Disease name Disease name Disease name Number Number Number 289157 1-alpha-hydroxylase deficiency 309127 3-hydroxyacyl-CoA dehydrogenase 228384 5q14.3 microdeletion syndrome deficiency 293948 1p21.3 microdeletion syndrome 314655 5q31.3 microdeletion syndrome 939 3-hydroxyisobutyric aciduria 1606 1p36 deletion syndrome 228415 5q35 microduplication syndrome 2616 3M syndrome 250989 1q21.1 microdeletion syndrome 96125 6p subtelomeric deletion syndrome 2616 3-M syndrome 250994 1q21.1 microduplication syndrome 251046 6p22 microdeletion syndrome 293843 3MC syndrome 250999 1q41q42 microdeletion syndrome 96125 6p25 microdeletion syndrome 6 3-methylcrotonylglycinuria 250999 1q41-q42 microdeletion syndrome 99135 6-phosphogluconate dehydrogenase 67046 3-methylglutaconic aciduria type 1 deficiency 238769 1q44 microdeletion syndrome 111 3-methylglutaconic aciduria type 2 13 6-pyruvoyl-tetrahydropterin synthase 976 2,8 dihydroxyadenine urolithiasis deficiency 67047 3-methylglutaconic aciduria type 3 869 2A syndrome 75857 6q terminal deletion 67048 3-methylglutaconic aciduria type 4 79154 2-aminoadipic 2-oxoadipic aciduria 171829 6q16 deletion syndrome 66634 3-methylglutaconic aciduria type 5 19 2-hydroxyglutaric acidemia 251056 6q25 microdeletion syndrome 352328 3-methylglutaconic -
Distal Myopathies a Review: Highlights on Distal Myopathies with Rimmed Vacuoles
Review Article Distal myopathies a review: Highlights on distal myopathies with rimmed vacuoles May Christine V. Malicdan, Ikuya Nonaka Department of Neuromuscular Research, National Institutes of Neurosciences, National Center of Neurology and Psychiatry, Tokyo, Japan Distal myopathies are a group of heterogeneous disorders Since the discovery of the gene loci for a number classiÞ ed into one broad category due to the presentation of distal myopathies, several diseases previously of weakness involving the distal skeletal muscles. The categorized as different disorders have now proven to recent years have witnessed increasing efforts to identify be the same or allelic disorders (e.g. distal myopathy the causative genes for distal myopathies. The identiÞ cation with rimmed vacuoles and hereditary inclusion body of few causative genes made the broad classiÞ cation of myopathy, Miyoshi myopathy and limb-girdle muscular these diseases under “distal myopathies” disputable and dystrophy type 2B (LGMD 2B). added some enigma to why distal muscles are preferentially This review will focus on the most commonly affected. Nevertheless, with the clariÞ cation of the molecular known and distinct distal myopathies, using a simple basis of speciÞ c conditions, additional clues have been classification: distal myopathies with known molecular uncovered to understand the mechanism of each condition. defects [Table 1] and distal myopathies with unknown This review will give a synopsis of the common distal causative genes [Table 2]. The identification of the myopathies, presenting salient facts regarding the clinical, genes involved in distal myopathies has broadened pathological, and molecular aspects of each disease. Distal this classification into sub-categories as to the location myopathy with rimmed vacuoles, or Nonaka myopathy, will of encoded proteins: sarcomere (titin, myosin); plasma be discussed in more detail. -
Nemaline MYOPATHY Myopathy
NEMALINENemaline MYOPATHY Myopathy due to chest muscle weakness, feeding and swallowing What is nemaline myopathy? problems, and speech difficulties. Often, children with the condition have an elongated face and a Nemaline myopathy (NM) is a group of high arched palate. rare, inherited conditions that affect muscle tone and strength. It is also What causes nemaline myopathy? The condition can be caused by a mutation in one known as rod body disease because of several different genes that are responsible for at a microscopic level, abnormal making muscle protein. Most cases of nemaline rod-shaped bodies (nemalines) can myopathy are inherited, although there are some- be seen in affected muscle tissue. times sporadic cases. People with a family history may choose to undergo genetic counseling to help At various stages in life, the muscles of understand the risks of passing the gene on to their the shoulders, upper arms, pelvis and children. thighs may be affected. Symptoms usually start anywhere from birth to What are the types of nemaline myopathy? There are two main groups of nemaline myopathy: early childhood. In rare cases, it is ‘typical’ and ‘severe.’ Typical nemaline myopathy diagnosed during adulthood. NM is the most common form, presenting usually in affects an estimated 1 in 50,000 infants with muscle weakness and floppiness. It may people -- both males and females. be slowly progressive or non progressive, and most adults are able to walk. Severe nemaline myopathy is characterized by absence of spontaneous movement What are the symptoms? or respiration at birth, and often leads to death in Symptoms vary depending on the age of onset of the first months of life. -
Psykisk Utviklingshemming Og Forsinket Utvikling
Psykisk utviklingshemming og forsinket utvikling Genpanel, versjon v03 Tabellen er sortert på gennavn (HGNC gensymbol) Navn på gen er iht. HGNC >x10 Andel av genet som har blitt lest med tilfredstillende kvalitet flere enn 10 ganger under sekvensering x10 er forventet dekning; faktisk dekning vil variere. Gen Gen (HGNC Transkript >10x Fenotype (symbol) ID) AAAS 13666 NM_015665.5 100% Achalasia-addisonianism-alacrimia syndrome OMIM AARS 20 NM_001605.2 100% Charcot-Marie-Tooth disease, axonal, type 2N OMIM Epileptic encephalopathy, early infantile, 29 OMIM AASS 17366 NM_005763.3 100% Hyperlysinemia OMIM Saccharopinuria OMIM ABCB11 42 NM_003742.2 100% Cholestasis, benign recurrent intrahepatic, 2 OMIM Cholestasis, progressive familial intrahepatic 2 OMIM ABCB7 48 NM_004299.5 100% Anemia, sideroblastic, with ataxia OMIM ABCC6 57 NM_001171.5 93% Arterial calcification, generalized, of infancy, 2 OMIM Pseudoxanthoma elasticum OMIM Pseudoxanthoma elasticum, forme fruste OMIM ABCC9 60 NM_005691.3 100% Hypertrichotic osteochondrodysplasia OMIM ABCD1 61 NM_000033.3 77% Adrenoleukodystrophy OMIM Adrenomyeloneuropathy, adult OMIM ABCD4 68 NM_005050.3 100% Methylmalonic aciduria and homocystinuria, cblJ type OMIM ABHD5 21396 NM_016006.4 100% Chanarin-Dorfman syndrome OMIM ACAD9 21497 NM_014049.4 99% Mitochondrial complex I deficiency due to ACAD9 deficiency OMIM ACADM 89 NM_000016.5 100% Acyl-CoA dehydrogenase, medium chain, deficiency of OMIM ACADS 90 NM_000017.3 100% Acyl-CoA dehydrogenase, short-chain, deficiency of OMIM ACADVL 92 NM_000018.3 100% VLCAD -
Full Disclosure Forms
Expanding genotype/phenotype of neuromuscular diseases by comprehensive target capture/NGS Xia Tian, PhD* ABSTRACT * Wen-Chen Liang, MD Objective: To establish and evaluate the effectiveness of a comprehensive next-generation * Yanming Feng, PhD sequencing (NGS) approach to simultaneously analyze all genes known to be responsible for Jing Wang, MD the most clinically and genetically heterogeneous neuromuscular diseases (NMDs) involving spi- Victor Wei Zhang, PhD nal motoneurons, neuromuscular junctions, nerves, and muscles. Chih-Hung Chou, MS Methods: All coding exons and at least 20 bp of flanking intronic sequences of 236 genes causing Hsien-Da Huang, PhD NMDs were enriched by using SeqCap EZ solution-based capture and enrichment method fol- Ching Wan Lam, PhD lowed by massively parallel sequencing on Illumina HiSeq2000. Ya-Yun Hsu, PhD ; 3 Thy-Sheng Lin, MD Results: The target gene capture/deep sequencing provides an average coverage of 1,000 per Wan-Tzu Chen, MS nucleotide. Thirty-five unrelated NMD families (38 patients) with clinical and/or muscle pathologic Lee-Jun Wong, PhD diagnoses but without identified causative genetic defects were analyzed. Deleterious mutations Yuh-Jyh Jong, MD were found in 29 families (83%). Definitive causative mutations were identified in 21 families (60%) and likely diagnoses were established in 8 families (23%). Six families were left without diagnosis due to uncertainty in phenotype/genotype correlation and/or unidentified causative Correspondence to genes. Using this comprehensive panel, we not only identified mutations in expected genes but Dr. Wong: also expanded phenotype/genotype among different subcategories of NMDs. [email protected] or Dr. Jong: Conclusions: Target gene capture/deep sequencing approach can greatly improve the genetic [email protected] diagnosis of NMDs. -
Myopathies Infosheet
The University of Chicago Genetic Services Laboratories 5841 S. Maryland Ave., Rm. G701, MC 0077, Chicago, Illinois 60637 Toll Free: (888) UC GENES (888) 824 3637 Local: (773) 834 0555 FAX: (773) 702 9130 [email protected] dnatesting.uchicago.edu CLIA #: 14D0917593 CAP #: 18827-49 Gene tic Testing for Congenital Myopathies/Muscular Dystrophies Congenital Myopathies Congenital myopathies are typically characterized by the presence of specific structural and histochemical features on muscle biopsy and clinical presentation can include congenital hypotonia, muscle weakness, delayed motor milestones, feeding difficulties, and facial muscle involvement (1). Serum creatine kinase may be normal or elevated. Heterogeneity in presenting symptoms can occur even amongst affected members of the same family. Congenital myopathies can be divided into three main clinicopathological defined categories: nemaline myopathy, core myopathy and centronuclear myopathy (2). Nemaline Myopathy Nemaline Myopathy is characterized by weakness, hypotonia and depressed or absent deep tendon reflexes. Weakness is typically proximal, diffuse or selective, with or without facial weakness and the diagnostic hallmark is the presence of distinct rod-like inclusions in the sarcoplasm of skeletal muscle fibers (3). Core Myopathy Core Myopathy is characterized by areas lacking histochemical oxidative and glycolytic enzymatic activity on histopathological exam (2). Symptoms include proximal muscle weakness with onset either congenitally or in early childhood. Bulbar and facial weakness may also be present. Patients with core myopathy are typically subclassified as either having central core disease or multiminicore disease. Centronuclear Myopathy Centronuclear Myopathy (CNM) is a rare muscle disease associated with non-progressive or slowly progressive muscle weakness that can develop from infancy to adulthood (4, 5). -
The MOGE(S) Classification of Cardiomyopathy for Clinicians
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY VOL. 64, NO. 3, 2014 ª 2014 BY THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION ISSN 0735-1097/$36.00 PUBLISHED BY ELSEVIER INC. http://dx.doi.org/10.1016/j.jacc.2014.05.027 THE PRESENT AND FUTURE STATE-OF-THE-ART REVIEW The MOGE(S) Classification of Cardiomyopathy for Clinicians Eloisa Arbustini, MD,* Navneet Narula, MD,y Luigi Tavazzi, MD, PHD,z Alessandra Serio, MD, PHD,* Maurizia Grasso, BD, PHD,* Valentina Favalli, PHD,* Riccardo Bellazzi, ME, PHD,x Jamil A. Tajik, MD,k Robert O. Bonow, MD,{ Valentin Fuster, MD, PHD,# Jagat Narula, MD, PHD# ABSTRACT Most cardiomyopathies are familial diseases. Cascade family screening identifies asymptomatic patients and family members with early traits of disease. The inheritance is autosomal dominant in a majority of cases, and recessive, X-linked, or matrilinear in the remaining. For the last 50 years, cardiomyopathy classifications have been based on the morphofunctional phenotypes, allowing cardiologists to conveniently group them in broad descriptive categories. However, the phenotype may not always conform to the genetic characteristics, may not allow risk stratification, and may not provide pre-clinical diagnoses in the family members. Because genetic testing is now increasingly becoming a part of clinical work-up, and based on the genetic heterogeneity, numerous new names are being coined for the description of cardiomyopathies associated with mutations in different genes; a comprehensive nosology is needed that could inform the clinical phenotype and -
The Role of Genetics in Cardiomyopaties: a Review Luis Vernengo and Haluk Topaloglu
Chapter The Role of Genetics in Cardiomyopaties: A Review Luis Vernengo and Haluk Topaloglu Abstract Cardiomyopathies are defined as disorders of the myocardium which are always associated with cardiac dysfunction and are aggravated by arrhythmias, heart failure and sudden death. There are different ways of classifying them. The American Heart Association has classified them in either primary or secondary cardiomyopathies depending on whether the heart is the only organ involved or whether they are due to a systemic disorder. On the other hand, the European Society of Cardiology has classified them according to the different morphological and functional phenotypes associated with their pathophysiology. In 2013 the MOGE(S) classification started to be published and clinicians have started to adopt it. The purpose of this review is to update it. Keywords: cardiomyopathy, primary and secondary cardiomyopathies, sarcomeric genes 1. Introduction Cardiomyopathies can be defined as disorders of the myocardium associated with cardiac dysfunction and which are aggravated by arrhythmias, heart failure and sudden death [1]. The aim of this chapter is focused on updating and reviewing cardiomyopathies. In 1957, Bridgen coined the word “cardiomyopathy” for the first time and in 1958, the British pathologist Teare reported nine cases of septum hypertrophy [2]. Genetics has played a key role in the understanding of these disorders. In general, the overall prevalence of cardiomyopathies in the world population is 3%. The genetic forms of cardiomyopathies are characterized by both locus and allelic heterogeneity. The mutations of the genes which encode for a variety of proteins of the sarcomere, cytoskeleton, nuclear envelope, sarcolemma, ion channels and intercellular junctions alter many pathways and cellular structures affecting in a negative form the mechanism of muscle contraction and its function, and the sensi- tivity of ion channels to electrolytes, calcium homeostasis and how mechanic force in the myocardium is generated and transmitted [3, 4]. -
Blueprint Genetics Comprehensive Muscular Dystrophy / Myopathy Panel
Comprehensive Muscular Dystrophy / Myopathy Panel Test code: NE0701 Is a 125 gene panel that includes assessment of non-coding variants. In addition, it also includes the maternally inherited mitochondrial genome. Is ideal for patients with distal myopathy or a clinical suspicion of muscular dystrophy. Includes the smaller Nemaline Myopathy Panel, LGMD and Congenital Muscular Dystrophy Panel, Emery-Dreifuss Muscular Dystrophy Panel and Collagen Type VI-Related Disorders Panel. About Comprehensive Muscular Dystrophy / Myopathy Muscular dystrophies and myopathies are a complex group of neuromuscular or musculoskeletal disorders that typically result in progressive muscle weakness. The age of onset, affected muscle groups and additional symptoms depend on the type of the disease. Limb girdle muscular dystrophy (LGMD) is a group of disorders with atrophy and weakness of proximal limb girdle muscles, typically sparing the heart and bulbar muscles. However, cardiac and respiratory impairment may be observed in certain forms of LGMD. In congenital muscular dystrophy (CMD), the onset of muscle weakness typically presents in the newborn period or early infancy. Clinical severity, age of onset, and disease progression are highly variable among the different forms of LGMD/CMD. Phenotypes overlap both within CMD subtypes and among the congenital muscular dystrophies, congenital myopathies, and LGMDs. Emery-Dreifuss muscular dystrophy (EDMD) is a condition that affects mainly skeletal muscle and heart. Usually it presents in early childhood with contractures, which restrict the movement of certain joints – most often elbows, ankles, and neck. Most patients also experience slowly progressive muscle weakness and wasting, beginning with the upper arm and lower leg muscles and progressing to shoulders and hips. -
Manifestations of Zaspopathy in Skeletal Muscle, Peripheral Nerves, and Heart
East African Scholars Journal of Medical Sciences Abbreviated Key Title: East African Scholars J Med Sci ISSN 2617-4421 (Print) | ISSN 2617-7188 (Online) | Published By East African Scholars Publisher, Kenya Volume-2 | Issue-9| Sept -2019 | DOI: 10.36349/EASJMS.2019.v02i09.020 Letter to the Editor Manifestations of Zaspopathy in Skeletal Muscle, Peripheral Nerves, and Heart Finsterer J, MD, PhD 1Krankenanstalt Rudolfstiftung, Messerli Institute, Vienna, Austria *Corresponding Author Josef Finsterer, MD, PhD Keywords: electromyography (EMG), ZASP, myotilin, B-crystallin, hypertrabeculation / noncompaction. In a recent article, Selcen and Engel’s reported Was affection of family members defined upon about 11 patients with Zaspopathy, presenting with neurologic, cardiac or genetic findings? Concerning distal, proximal, or diffuse muscle weakness (n=11), ZASP expression in the brain it is worthwhile to present cardiac involvement (n=3), or neuropathy (n=5) results of imaging studies and to report if there was (Selcen, D., & Engel, A.G. 2005). We have the clinical evidence of encephalopathy. following comments and concerns: Cardiologic findings are only scarcely How can one be sure about peripheral nerve presented and definition of cardiac involvement is involvement when assessed only by electromyography lacking. Was history, clinical examination, ECG, 24h- (EMG) and not by nerve-conduction-studies? A ECG, and echocardiography carried out in all patients, neuropathic EMG may also occur in a myopathic which abnormalities did the authors look for, and which patient (Zalewska, E. et al., 2004). Which are the were the results? Did any of the patients have unequivocal, clinical and histological features of hypertrophic, dilative, or restrictive cardiomyopathy neuropathy that 5 patients had peripheral nerve (Vatta, M.