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표현형 차이를 보인 CLCN1유전자(p.A313T)돌연변이를 가진 한국인 선천근긴장증 가족

Phenotypic Difference of CLCN1 Gene Variant (A313T) in a Korean Family with Myotonia Congenita

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초록

Myotonia congenita (MC) is a hereditary disease of the chloride channels of skeletal muscle caused by mutation of CLCN1. It characteristically manifests as delayed relaxation of the skeletal muscle or myotonia. It has a wide phenotypic variability, ranging from asymptomatic to severe disability. However, it is uncommon for a phenotypic difference to appear within a family. We report the first Korean family with the p.A313T mutation exhibiting marked phenotypic variability.

Abstract

Myotonia congenita (MC) is a hereditary disease of the chloride channels of skeletal muscle caused by mutation of CLCN1. It characteristically manifests as delayed relaxation of the skeletal muscle or myotonia. It has a wide phenotypic variability, ranging from asymptomatic to severe disability. However, it is uncommon for a phenotypic difference to appear within a family. We report the first Korean family with the p.A313T mutation exhibiting marked phenotypic variability.

참고문헌 (10)

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  7. 문인수, "Novel CLCN1 Mutations and Clinical Features of Korean Patients with Myotonia Congenita", Journal of Korean Medical Science, 24(6), pp.1038~1044 (2009), 대한의학회
  8. Kotdaji Ha, "Electrophysiological Characteristics of Six Mutations in hClC-1 of Korean Patients with Myotonia Congenita", Molecules and Cells, 37(3), pp.202~212 (2014), 한국분자세포생물학회[DOI]
  9. Fialho D, "Non-genomic effects of sex hormones on CLC-1 may contribute to gender differences in myotonia congenita", Neuromuscul Disord, 18, pp.869~872 (2008)
  10. Dunø M, "Difference in allelic expression of the CLCN1 gene and the possible influence on the myotonia congenita phenotype", Eur J Hum Genet, 12, pp.738~743 (2004)

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