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Clinical and molecular findings in a cohort of ANO5-related myopathy.


ABSTRACT: OBJECTIVE:ANO5-related myopathy is an important cause of limb-girdle muscular dystrophy (LGMD) and hyperCKemia. The main descriptions have emerged from European cohorts, and the burden of the disease worldwide is unclear. We provide a detailed characterization of a large Brazilian cohort of ANO5 patients. METHODS:A national cross-sectional study was conducted to describe clinical, histopathological, radiological, and molecular features of patients carrying recessive variants in ANO5. Correlation of clinical and genetic characteristics with different phenotypes was studied. RESULTS:Thirty-seven patients from 34 nonrelated families with recessive mutations of ANO5 were identified. The most common phenotype was LGMD, observed in 25 (67.5%) patients, followed by pseudometabolic presentation in 7 (18.9%) patients, isolated asymptomatic hyperCKemia in 4 (10.8%) patients, and distal myopathy in a single patient. Nine patients presented axial involvement, including one patient with isolated axial weakness. The most affected muscles according to MRI were the semimembranosus and gastrocnemius, but paraspinal and abdominal muscles, when studied, were involved in most patients. Fourteen variants in ANO5 were identified, and the c.191dupA was present in 19 (56%) families. Sex, years of disease, and the presence of loss-of-function variants were not associated with specific phenotypes. INTERPRETATION:We present the largest series of anoctaminopathy outside Europe. The most common European founder mutation c.191dupA was very frequent in our population. Gender, disease duration, and genotype did not determine the phenotype.

SUBMITTER: Silva AMS 

PROVIDER: S-EPMC6649425 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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Clinical and molecular findings in a cohort of ANO5-related myopathy.

Silva André M S AMS   Coimbra-Neto Antônio R AR   Souza Paulo Victor S PVS   Winckler Pablo B PB   Gonçalves Marcus V M MVM   Cavalcanti Eduardo B U EBU   Carvalho Alzira A D S AADS   Sobreira Cláudia F D R CFDR   Camelo Clara G CG   Mendonça Rodrigo D H RDH   Estephan Eduardo D P EDP   Reed Umbertina C UC   Machado-Costa Marcela C MC   Dourado-Junior Mario E T MET   Pereira Vanessa C VC   Cruzeiro Marcelo M MM   Helito Paulo V P PVP   Aivazoglou Laís U LU   Camargo Leonardo V D LVD   Gomes Hudson H HH   Camargo Amaro J S D AJSD   Pinto Wladimir B V D R WBVDR   Badia Bruno M L BML   Libardi Luiz H LH   Yanagiura Mario T MT   Oliveira Acary S B ASB   Nucci Anamarli A   Saute Jonas A M JAM   França-Junior Marcondes C MC   Zanoteli Edmar E  

Annals of clinical and translational neurology 20190611 7


<h4>Objective</h4>ANO5-related myopathy is an important cause of limb-girdle muscular dystrophy (LGMD) and hyperCKemia. The main descriptions have emerged from European cohorts, and the burden of the disease worldwide is unclear. We provide a detailed characterization of a large Brazilian cohort of ANO5 patients.<h4>Methods</h4>A national cross-sectional study was conducted to describe clinical, histopathological, radiological, and molecular features of patients carrying recessive variants in AN  ...[more]

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