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扩大与该基因变异相关的先天性肌病谱:一份临床报告。

Expanding the Spectrum of Congenital Myopathy Linked to Variants in the Gene: A Clinical Report.

作者信息

Lanvin Pierre-Louis, Li Dong, Conrad Solène, Magot Armelle, Micaelli Xavier, Péréon Yann, Vincent Marie, Isidor Bertrand, Sternberg Damien, McCormick Elizabeth M, Hakonarson Hakon, Mercier Sandra, Falk Marni J

机构信息

CHU Nantes (P-LL, SC, MV, BI, SM), Department of Medical Genetics, France; The Center for Applied Genomics (DL, HH); Division of Human Genetics (DL, HH); Department of Pediatrics (DL, HH, MJF), Perelman School of Medicine, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, PA; CHU Nantes (AM, YP), Department of Clinical Neurophysiology; Reference Centre for Neuromuscular Disorders AOC (AM, YP, SM), Filnemus, Euro-NMD, Nantes; CHD Vendée (XM), Service de Pédiatrie, La Roche sur Yon, France; Nantes Université (MV, BI, SM), CNRS, INSERM, l'institut du thorax; APHP (DS), Metabolic Biochemistry Department, Genetics Center, Pitié-Salpêtrière Hospital Group, Center of Research in Myology, APHP Sorbonne University, Paris, France; Mitochondrial Medicine Frontier Program (EMM, MJF), Division of Human Genetics, Department of Pediatrics; and Division of Pulmonary Medicine (HH), The Joseph Stokes, Jr. Research Institute, Children's Hospital of Philadelphia, PA.

出版信息

Neurol Clin Pract. 2024 Jun;14(3):e200228. doi: 10.1212/CPJ.0000000000200228. Epub 2024 Apr 26.

DOI:10.1212/CPJ.0000000000200228
PMID:38690148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11057435/
Abstract

OBJECTIVES

Heterozygous missense variants in have been recently identified in 13 patients from 6 families with congenital myopathy with tremor. All the patients had mild skeletal myopathy invariably associated with a distinctive myogenic tremor and hypotonia with gradual clinical improvement. However, no phenotypic description has been reported for the neonatal respiratory impairment that patients may suffer.

METHODS

We report 3 new patients from 2 independent families with congenital myopathy with tremor.

RESULTS

Tremors and respiratory distress associated with stridor should raise the diagnosis of congenital myopathy with tremors linked to -dominant variants in children with neonatal hypotonia.

DISCUSSION

Neonatal severe respiratory impairment requiring intensive noninvasive ventilation because of stridor is described in 2 patients. Stridor was previously reported in one other case and is part of the clinical features.

摘要

目的

最近在来自6个患有先天性肌病伴震颤的家族的13名患者中鉴定出了 中的杂合错义变体。所有患者均患有轻度骨骼肌病,始终伴有独特的肌源性震颤和肌张力减退,临床症状逐渐改善。然而,尚未有关于患者可能出现的新生儿呼吸功能损害的表型描述。

方法

我们报告了来自2个独立家族的3名患有先天性肌病伴震颤的新患者。

结果

震颤和与喘鸣相关的呼吸窘迫应提高对新生儿肌张力减退儿童中与 -显性变体相关的先天性肌病伴震颤的诊断。

讨论

2例患者出现了因喘鸣而需要强化无创通气的新生儿严重呼吸功能损害。喘鸣先前在另一例病例中已有报道,是临床特征的一部分。

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本文引用的文献

1
A case of congenital myopathy accompanied by tremor due to a MYBPC1 mutation.一例因MYBPC1突变导致的伴有震颤的先天性肌病病例。
Pediatr Int. 2022 Jan;64(1):e15061. doi: 10.1111/ped.15061.
2
Heterozygous variants in MYBPC1 are associated with an expanded neuromuscular phenotype beyond arthrogryposis.MYBPC1 中的杂合变异与除了关节挛缩症之外的扩展神经肌肉表型有关。
Hum Mutat. 2019 Aug;40(8):1115-1126. doi: 10.1002/humu.23760. Epub 2019 May 5.
3
Novel mutations in MYBPC1 are associated with myogenic tremor and mild myopathy.新发现的 MYBPC1 基因突变与肌源性震颤和轻度肌病相关。
Ann Neurol. 2019 Jul;86(1):129-142. doi: 10.1002/ana.25494. Epub 2019 May 17.
4
Expanding the MYBPC1 phenotypic spectrum: a novel homozygous mutation causes arthrogryposis multiplex congenita.扩大MYBPC1基因的表型谱:一种新的纯合突变导致先天性多发性关节挛缩症。
Clin Genet. 2016 Jul;90(1):84-9. doi: 10.1111/cge.12707. Epub 2016 Jan 20.
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MYBPC1 mutations impair skeletal muscle function in zebrafish models of arthrogryposis.MYBPC1 突变会损害关节挛缩症斑马鱼模型中的骨骼肌功能。
Hum Mol Genet. 2013 Dec 15;22(24):4967-77. doi: 10.1093/hmg/ddt344. Epub 2013 Jul 19.
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Autosomal recessive lethal congenital contractural syndrome type 4 (LCCS4) caused by a mutation in MYBPC1.常染色体隐性致死性先天性挛缩综合征 4 型(LCCS4)由 MYBPC1 突变引起。
Hum Mutat. 2012 Oct;33(10):1435-8. doi: 10.1002/humu.22122. Epub 2012 Jun 7.
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Myosin binding protein C1: a novel gene for autosomal dominant distal arthrogryposis type 1.肌球蛋白结合蛋白 C1:常染色体显性遗传远端型关节挛缩症 1 型的一个新基因。
Hum Mol Genet. 2010 Apr 1;19(7):1165-73. doi: 10.1093/hmg/ddp587. Epub 2010 Jan 2.