Department of Neurology, Division of Child Neurology and Neuromuscular Disease Research Laboratory, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA.
Curr Opin Neurol. 2010 Oct;23(5):477-81. doi: 10.1097/WCO.0b013e32833d38b0.
The aim of this communication is to provide an up-to-date overview of myofibrillar myopathies (MFMs).
The most important recent advance in the MFMs has been the identification of mutation in Bag3 (Bcl-2-associated athanogene-3) as a new cause of MFM. Although, the typical clinical manifestations of MFMs are slowly progressive weakness, the patients with Bag3opathy may have had a rapidly progressive and more severe phenotype.
Several MFM disease genes have recently been recognized. The identified disease proteins (desmin, alphaB-crystallin, myotilin, Zasp, filamin C, and Bag3) interact with components or with chaperones of the Z-disk. In each case the molecular defect leads to a largely stereotyped cascade of structural perturbation of the muscle fiber architecture.
本交流旨在提供关于肌纤维病(MFMs)的最新概述。
MFMs 最重要的新进展是发现 Bag3(Bcl-2 相关的抗凋亡基因 3)突变是一种新的 MFM 病因。尽管 MFMs 的典型临床表现为进行性肌无力,但 Bag3 病患者可能具有进行性更快和更严重的表型。
最近已经识别出几种肌纤维病疾病基因。已鉴定的疾病蛋白(结蛋白、αB-晶体蛋白、肌球蛋白、Zasp、细丝蛋白 C 和 Bag3)与 Z 盘的成分或伴侣相互作用。在每种情况下,分子缺陷导致肌肉纤维结构的广泛的、定型的结构扰动级联。