A novel CAPN3 mutation in late-onset limb-girdle muscular dystrophy with early respiratory insufficiency

Copyright © 2018 Elsevier Ltd. All rights reserved..

We describe a 70 year-old independently ambulatory man with a 10-year history of progressive axial and limb-girdle weakness, hyperCKemia, and a 5-year history of dyspnea requiring nocturnal ventilatory support due to a known c.1309C>T (p.Arg437Cys) variant and a novel in-frame deletion of exons 17-19 in the calpain-3 encoding gene (CAPN3). Pulmonary function tests revealed neuromuscular respiratory weakness. Biceps femoris biopsy showed chronic myopathic changes, numerous lobulated fibers, and reduced calpain-3 immunoreactivity. Muscle immunoblot showed markedly reduced calpain-3 expression. Respiratory insufficiency is uncommon in autosomal recessive calpainopathy, and generally develops in the advanced stages of the disease when individuals become wheelchair-dependent. Our patient broadens the phenotypic spectrum of recessive calpainopathy to include early respiratory insufficiency and also further expands its molecular spectrum.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:53

Enthalten in:

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia - 53(2018) vom: 22. Juli, Seite 229-231

Sprache:

Englisch

Beteiligte Personen:

Martinez-Thompson, Jennifer M [VerfasserIn]
Moore, Steven A [VerfasserIn]
Liewluck, Teerin [VerfasserIn]

Links:

Volltext

Themen:

Axial myopathy
CAPN3
CAPN3 protein, human
Calpain
Calpain-3
Case Reports
EC 3.4.22.-
Early respiratory insufficiency
Journal Article
LGMD2A
Limb-girdle muscular dystrophy
Muscle Proteins

Anmerkungen:

Date Completed 21.09.2018

Date Revised 23.10.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jocn.2018.04.025

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM283332832