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논문KCI 등재

TPM3유전자 이형접합 과오돌연변이에 의한 캡근병증

Cap Myopathy With a Heterozygous TPM3 Missense Mutation

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참고문헌

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주제분류신경과학

초록

Cap myopathy is pathologically characterized by cap structures comprising well-demarcated areas under the sarcolemma and containing deranged myofibrils and scattered Z-disks. Clinically it presents with slowly progressive muscle weakness, myopathic face, and frequent respiratory insufficiency. Four genes have been reported to be associated with the disease: TPM2, TPM3, ACTA1, and NEB. Here we describe that a patient presenting with mild limb weakness with facial affection showed cap structures on muscle pathology and carried a heterozygous TPM3 mutation.

Abstract

Cap myopathy is pathologically characterized by cap structures comprising well-demarcated areas under the sarcolemma and containing deranged myofibrils and scattered Z-disks. Clinically it presents with slowly progressive muscle weakness, myopathic face, and frequent respiratory insufficiency. Four genes have been reported to be associated with the disease: TPM2, TPM3, ACTA1, and NEB. Here we describe that a patient presenting with mild limb weakness with facial affection showed cap structures on muscle pathology and carried a heterozygous TPM3 mutation.

참고문헌 (9)

  1. Fidzianska A, "“Cap disease”: new congenital myopathy", Neurology, 31, pp.1113~1120 (1981)
  2. Fidziańska A., "“Cap disease”--a failure in the correct muscle fibre formation", J Neurol Sci, 201, pp.27~31 (2002)
  3. Lehtokari VL, "Cap disease caused by heterozygous deletion of the beta-tropomyosin gene TPM2", Neuromuscul Disord, 17, pp.433~442 (2007)
  4. Ohlsson M, "TPM3 mutation in one of the original cases of cap disease", Neurology, 72, pp.1961~1963 (2009)
  5. Hung RM, "Cap myopathy caused by a mutation of the skeletal alpha-actin gene ACTA1", Neuromuscul Disord, 20, pp.238~240 (2010)
  6. Malfatti E, "Combined cap disease and nemaline myopathy in the same patient caused by an autosomal dominant mutation in the TPM3 gene", Neuromuscul Disord, 23, pp.992~997 (2013)
  7. Piteau SJ, "Congenital myopathy with cap-like structures and nemaline rods:case report and literature review", Pediatr Neurol, 51, pp.192~197 (2014)
  8. Clarke NF, "Cap disease due to mutation of the beta-tropomyosin gene (TPM2)", Neuromuscul Disord, 19, pp.348~351 (2009)
  9. Waddell LB, "Evidence for a dominant negative disease mechanism in cap myopathy due to TPM3", Neuromuscul Disord, 20, pp.464~466 (2010)

관련 논문AI추천

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