Genotype-phenotype analysis in X-linked Emery–Dreifuss muscular dystrophy and identification of a missense mutation associated with a milder phenotype

Direct sequencing of the emerin gene in 22 families with Emery–Dreifuss muscular dystrophy (EMD) revealed mutations in 21 (95%), confirming that emerin mutations can be identified in the majority of families with X-linked EMD. Most emerin mutations result in absence of the protein. In this study thr...

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Veröffentlicht in:Neuromuscular disorders : NMD 1999-05, Vol.9 (3), p.159-165
Hauptverfasser: Yates, John R.W, Bagshaw, Jane, Aksmanovic, Veronica M.A, Coomber, Ellen, McMahon, Robert, Whittaker, Joanne L, Morrison, Patrick J, Kendrick-Jones, John, Ellis, Juliet A
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container_issue 3
container_start_page 159
container_title Neuromuscular disorders : NMD
container_volume 9
creator Yates, John R.W
Bagshaw, Jane
Aksmanovic, Veronica M.A
Coomber, Ellen
McMahon, Robert
Whittaker, Joanne L
Morrison, Patrick J
Kendrick-Jones, John
Ellis, Juliet A
description Direct sequencing of the emerin gene in 22 families with Emery–Dreifuss muscular dystrophy (EMD) revealed mutations in 21 (95%), confirming that emerin mutations can be identified in the majority of families with X-linked EMD. Most emerin mutations result in absence of the protein. In this study three mutations (a missense mutation Pro183Thr and two in-frame deletions removing residues 95-99 and 236-241, respectively) were unusual in being associated with expression of mutant protein. The phenotype in these families was compared in detail with the clinical features in cases with typical null mutations. For the in-frame deletions there were no significant differences. In the family with the missense mutation the phenotype was milder. Age at onset was later for first symptoms and for development of ankle contractures and muscle weakness. These findings have diagnostic implications as well as pointing to functionally important regions of the emerin protein.
doi_str_mv 10.1016/S0960-8966(98)00121-7
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Amino Acid Substitution
Cardiac disease
DNA - chemistry
DNA - genetics
DNA Mutational Analysis
Emerin
Emery–Dreifuss muscular dystrophy
Family Health
Female
Genetic Linkage
Genotype
Humans
Male
Membrane Proteins - genetics
Muscle disease
Muscular Dystrophies - genetics
Muscular Dystrophy, Emery-Dreifuss
Mutation detection
Mutation, Missense
Nuclear Proteins
Pedigree
Phenotype
Proline - genetics
Threonine - genetics
Thymopoietins - genetics
X chromosome
X Chromosome - genetics
title Genotype-phenotype analysis in X-linked Emery–Dreifuss muscular dystrophy and identification of a missense mutation associated with a milder phenotype
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