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미요시근육병 환자에서 밝혀진 Dysferlin 유전자 돌연변이

Identification of a Dysferlin Gene Mutation in One Patient Showing Clinical Manifestation of Miyoshi Myopathy

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초록

Miyoshi myopathy (MM) is caused by the mutations of dysferlin gene (DYSF), which impairs the function of dysferlin protein causing muscle membrane dysfunction. We report a patient showing the MM phenotype who has a sister with LGMD 2B phenotype, along with the results of the immunohistochemical and molecular analyses of the DYSF gene. Immunohistochemical analysis noted negative immunoreactivity against dysferlin. Direct DNA sequencing of whole exons of DYSF gene revealed heterozygous nonsense mutations (c.610C>T + c.2494C>T). To our knowledge, this is the first reported MM case with this very combination of heterozygous mutations.

Abstract

Miyoshi myopathy (MM) is caused by the mutations of dysferlin gene (DYSF), which impairs the function of dysferlin protein causing muscle membrane dysfunction. We report a patient showing the MM phenotype who has a sister with LGMD 2B phenotype, along with the results of the immunohistochemical and molecular analyses of the DYSF gene. Immunohistochemical analysis noted negative immunoreactivity against dysferlin. Direct DNA sequencing of whole exons of DYSF gene revealed heterozygous nonsense mutations (c.610C>T + c.2494C>T). To our knowledge, this is the first reported MM case with this very combination of heterozygous mutations.

참고문헌 (10)

  1. Miyoshi K, "Autosomal recessive distal muscular dystrophy as a new type of progressive muscular dystrophy. Seventeen cases in eight families including an autopsied case", Brain, 109, pp.31~54 (1986)
  2. Liu J, "Dysferlin, a novel skeletal muscle gene, is mutated in Miyoshi myopathy and limb girdle muscular dystrophy", Nat Genet, 20, pp.31~36 (1998)
  3. Illa I, "Distal anterior compartment myopathy: A dysferlin mutation causing a new muscular dystrophy phenotype", Ann Neurol, 49, pp.130~134 (2001)
  4. Takahashi T, "Dysferlin mutations in Japanese Miyoshi myopathy: Relationship to phenotype", Neurology, 60, pp.1799~1804 (2003)
  5. Krahn M, "Analysis of the dysf mutational spectrum in a large cohort of patients", Hum Mutat, 30, pp.E345~E375 (2009)
  6. Bansal D, "Defective membrane repair in dysferlin-deficient muscular dystrophy", Nature, 423, pp.168~172 (2003)
  7. Hyun Jung Cho, "Clinical and Genetic Analysis of Korean Patients with Miyoshi Myopathy: Identification of Three Novel Mutations in the DYSF Gene", Journal of Korean Medical Science, 21(4), pp.724~727 (2006), 대한의학회
  8. 오승헌, "Identification of a Dysferlin Gene Mutation in a Korean Case with Miyoshi Myopathy", Yonsei Medical Journal, 45(5), pp.927~930 (2004), 연세대학교의과대학
  9. 오승헌, "미요시근병증에서 Dysferlin의 면역세포화학검사와 Western Blot의 분석", 대한신경과학회지, 23(4), pp.490~495 (2005), 대한신경과학회
  10. Gallardo E, "Inflammation in dysferlin myopathy: Immunohistochemical characterization of 13 patients", Neurology, 57, pp.2136~2138 (2001)

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