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Further evidence of Fukutin mutations as a cause of childhood onset limb-girdle muscular dystrophy without mental retardation
Journal article   Peer reviewed

Further evidence of Fukutin mutations as a cause of childhood onset limb-girdle muscular dystrophy without mental retardation

Rebecca L Puckett, Steven A Moore, Thomas L Winder, Tobias Willer, Stephen G Romansky, Kelly King Covault, Kevin P Campbell and Jose E Abdenur
Neuromuscular disorders : NMD, Vol.19(5), pp.352-356
2009
DOI: 10.1016/j.nmd.2009.03.001
PMCID: PMC2698593
PMID: 19342235
url
http://doi.org/10.1016/j.nmd.2009.03.001View
Open Access

Abstract

The dystroglycanopathies comprise a clinically and genetically heterogeneous group of muscular dystrophies characterized by deficient glycosylation of α-dystroglycan. Mutations in the fukutin ( FKTN) gene have primarily been identified among patients with classic Fukuyama congenital muscular dystrophy (FCMD), a severe form of dystroglycanopathy characterized by CMD, cobblestone lissencephaly and ocular defects. We describe two brothers of Caucasian and Japanese ancestry with normal intelligence and limb-girdle muscular dystrophy (LGMD) due to compound heterozygous FKTN mutations. Muscle biopsy showed a dystrophy with selectively reduced α-dystroglycan glycoepitope immunostaining. Immunoblots revealed hypoglycosylation of α-dystroglycan and loss of laminin binding. FKTN gene sequencing identified two variants: c.340G>A and c.527T>C, predicting missense mutations p.A114T and p.F176S, respectively. Our results provide further evidence for ethnic and allelic heterogeneity and the presence of milder phenotypes in FKTN-dystroglycanopathy despite a substantial degree of α-dystroglycan hypoglycosylation in skeletal muscle.
Dystroglycanopathy Fukuyama congenital muscular dystrophy (FCMD) Fukutin (FKTN) Limb-girdle muscular dystrophy (LGMD) α-Dystroglycan

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