Journal article
Limb-girdle muscular dystrophy in the United States
Journal of neuropathology and experimental neurology, Vol.65(10), pp.995-1003
2006
DOI: 10.1097/01.jnen.0000235854.77716.6c
PMID: 17021404
Abstract
Limb-girdle muscular dystrophy (LGMD) has been linked to 15 chromosomal loci, 7 autosomal-dominant (LGMD1A to E) and 10 autosomal-recessive (LGMD2A to J). To determine the distribution of subtypes among patients in the United States, 6 medical centers evaluated patients with a referral diagnosis of LGMD. Muscle biopsies provided histopathology and immunodiagnostic testing, and their protein abnormalities along with clinical parameters directed mutation screening. The diagnosis in 23 patients was a disorder other than LGMD. Of the remaining 289 unrelated patients, 266 had muscle biopsies sufficient for complete microscopic evaluation; 121 also underwent Western blotting. From this combined evaluation, the distribution of immunophenotypes is 12% calpainopathy, 18% dysferlinopathy, 15% sarcoglycanopathy, 15% dystroglycanopathy, and 1.5% caveolinopathy. Genotypes distributed among 2 dominant and 7 recessive subtypes have been determined for 83 patients. This study of a large racially and ethnically diverse population of patients with LGMD indicates that establishing a putative subtype is possible more than half the time using available diagnostic testing. An efficient approach to genotypic diagnosis is muscle biopsy immunophenotyping followed by directed mutational analysis. The most common LGMDs in the United States are calpainopathies, dysferlinopathies, sarcoglycanopathies, and dystroglycanopathies.
Details
- Title: Subtitle
- Limb-girdle muscular dystrophy in the United States
- Creators
- Steven A MOORE - University of Iowa, Iowa City, Iowa, United StatesChristopher J SHILLING - The Ohio State University and Columbus Children's Hospital, Columbus, Ohio, United StatesAaron STENCE - University of Iowa, Iowa City, Iowa, United StatesRita BARRESI - University of Iowa, Iowa City, Iowa, United StatesNick KING - The Ohio State University and Columbus Children's Hospital, Columbus, Ohio, United StatesWendy KING - The Ohio State University and Columbus Children's Hospital, Columbus, Ohio, United StatesJulaine FLORENCE - Washington University, St. Louis, St. Louis, Missouri, United StatesKevin P CAMPBELL - University of Iowa, Iowa City, Iowa, United StatesGerald M FENICHEL - Vanderbilt University, Nashville, Tennessee, United StatesHansell H STEDMAN - University of Pennsylvania, Philadelphia, Pennsylvania, United StatesJohn T KISSEL - The Ohio State University and Columbus Children's Hospital, Columbus, Ohio, United StatesRobert C GRIGGS - Univer sity of Rochester, Rochester, New York, United StatesSteven WESTRA - University of Iowa, Iowa City, Iowa, United StatesShree PANDYA - Univer sity of Rochester, Rochester, New York, United StatesKatherine D MATHEWS - University of Iowa, Iowa City, Iowa, United StatesAlan PESTRONK - Washington University, St. Louis, St. Louis, Missouri, United StatesCarmen SERRANO - The Ohio State University and Columbus Children's Hospital, Columbus, Ohio, United StatesDaniel DARVISH - HIBM Research Group, Encino, California, United StatesJerry R MENDELL - The Ohio State University and Columbus Children's Hospital, Columbus, Ohio, United StatesCheryl WALL - The Ohio State University and Columbus Children's Hospital, Columbus, Ohio, United StatesMatthew P WICKLUND - The Ohio State University and Columbus Children's Hospital, Columbus, Ohio, United StatesCatherine STOLLE - University of Pennsylvania, Philadelphia, Pennsylvania, United StatesCharlotte A BROWN - University of Minnesota, Minneapolis, Minnesota, United StatesDaniel E MICHELE - University of Iowa, Iowa City, Iowa, United StatesFederica PICCOLO - University of Iowa, Iowa City, Iowa, United StatesThomas L WINDER - University of Iowa, Iowa City, Iowa, United States
- Resource Type
- Journal article
- Publication Details
- Journal of neuropathology and experimental neurology, Vol.65(10), pp.995-1003
- DOI
- 10.1097/01.jnen.0000235854.77716.6c
- PMID
- 17021404
- NLM abbreviation
- J Neuropathol Exp Neurol
- ISSN
- 0022-3069
- eISSN
- 1554-6578
- Publisher
- Lippincott Williams & Wilkins; Hagerstown, MD
- Language
- English
- Date published
- 2006
- Academic Unit
- Neurology; Molecular Physiology and Biophysics; Stead Family Department of Pediatrics; Pathology; Iowa Neuroscience Institute; Neurology (Pediatrics)
- Record Identifier
- 9984020651502771
Metrics
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