Limb-girdle muscular dystrophy: Diagnostic evaluation, frequency and clues to pathogenesis

被引:71
作者
Lo, Harriet P. [2 ]
Cooper, Sandra T. [1 ,2 ]
Evesson, Frances J. [2 ]
Seto, Jane T. [1 ,2 ]
Chiotis, Maria [3 ]
Tay, Valerie [3 ]
Compton, Alison G. [2 ]
Cairns, Anita G. [2 ]
Corbett, Alistair [4 ]
MacArthur, Daniel G. [1 ,2 ]
Yang, Nan [2 ]
Reardon, Katrina [3 ]
North, Kathryn N. [1 ,2 ]
机构
[1] Univ Sydney, Childrens Hosp Westmead, Discipline Paediat & Child Hlth, Fac Med, Westmead, NSW 2145, Australia
[2] Childrens Hosp Westmead, Inst Neuromuscular Res, Sydney, NSW, Australia
[3] St Vincents Hosp, Ctr Clin Neurosci & Neurol Res, Melbourne, Vic, Australia
[4] Concord Repatriat Gen Hosp, Sydney, NSW, Australia
基金
英国医学研究理事会;
关键词
limb-girdle muscular dystrophy; dysferlin;
D O I
10.1016/j.nmd.2007.08.009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We characterized the frequency of limb-girdle muscular dystrophy (LGMD) subtypes in a cohort of 76 Australian muscular dystrophy patients using protein and DNA sequence analysis. Calpainopathies (8%) and dysferlinopathies (5%) are the most common causes of LGMD in Australia. In contrast to European populations, cases of LGMD21 (due to mutations in FKRP) are rare in Australasia (3%). We have identified a cohort of patients in whom all common disease candidates have been excluded, providing a valuable resource for identification of new disease genes. Cytoplasmic localization of dysferlin correlates with fiber regeneration in a subset of muscular dystrophy patients. In addition, we have identified a group of patients with unidentified forms of LGMD and with markedly abnormal dysferlin localization that does not correlate with fiber regeneration. This pattern is mimicked in primary caveolinopathy, suggesting a subset of these patients may also possess mutations within proteins required for membrane targeting of dysferlin. (C) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:34 / 44
页数:11
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