Logo image
GMPPB-Associated Dystroglycanopathy: Emerging Common Variants with Phenotype Correlation
Journal article   Open access   Peer reviewed

GMPPB-Associated Dystroglycanopathy: Emerging Common Variants with Phenotype Correlation

Braden S Jensen, Tobias Willer, Dimah N Saade, Mary O Cox, Tahseen Mozaffar, Mena Scavina, Vikki A Stefans, Thomas L Winder, Kevin P Campbell, Steven A Moore, …
Human mutation, Vol.36(12), pp.1159-1163
12/2015
DOI: 10.1002/humu.22898
PMCID: PMC4843780
PMID: 26310427
url
https://doi.org/10.1002/humu.22898View
Published (Version of record) Open Access

Abstract

Mutations in GDP-mannose pyrophosphorylase B (GMPPB), a catalyst for the formation of the sugar donor GDP-mannose, were recently identified as a cause of muscular dystrophy resulting from abnormal glycosylation of α-dystroglycan. In this series, we report nine unrelated individuals with GMPPB-associated dystroglycanopathy. The most mildly affected subject has normal strength at 25 years, whereas three severely affected children presented in infancy with intellectual disability and epilepsy. Muscle biopsies of all subjects are dystrophic with abnormal immunostaining for glycosylated α-dystroglycan. This cohort, together with previously published cases, allows preliminary genotype-phenotype correlations to be made for the emerging GMPPB common variants c.79G>C (p.D27H) and c.860G>A (p.R287Q). We observe that c.79G>C (p.D27H) is associated with a mild limb-girdle muscular dystrophy phenotype, whereas c.860G>A (p.R287Q) is associated with a relatively severe congenital muscular dystrophy typically involving brain development. Sixty-six percent of GMPPB families to date have one of these common variants.
Muscular Dystrophies - metabolism Genetic Association Studies Humans Child, Preschool Dystroglycans - metabolism Infant Male Muscle, Skeletal - metabolism Muscular Dystrophies - genetics Young Adult Magnetic Resonance Imaging Phenotype Biopsy Adolescent Alleles Brain - pathology Nucleotidyltransferases - genetics Female Heterozygote Muscular Dystrophies - diagnosis Muscle, Skeletal - pathology Mutation Child

Details

Metrics

Logo image