Autosomal-dominant centronuclear myopathy is a rare hereditary disease in adolescents,mainly involving the distal muscles of the lower extremity.It is extremely rare in pregnancy.This study presented a case of a woman...Autosomal-dominant centronuclear myopathy is a rare hereditary disease in adolescents,mainly involving the distal muscles of the lower extremity.It is extremely rare in pregnancy.This study presented a case of a woman by successful IVF and caesarean delivery without complications in autosomal dominant centronuclear myopathy.This report also reviewed the clinical spectrum of CNM and its management,which resulted in the delivery of a healthy infant.It is important that the clinician has a clear understanding of the clinical spectrum of CNM,the available methods for perinatal diagnosis,and optimal antenatal care.A multidisciplinary team approach is emphasized,with specific reference to the method of analgesia and anesthesia during labor and route of delivery.展开更多
目的 分析2例新生儿X-连锁肌管肌病(XLMTM)的临床表现及致病基因突变情况。方法 采集2例XLMTM患儿及其父母外周血,提取基因组DNA,进行全外显子组测序,经比对分析发现可疑变异位点,采用Sanger测序法进行验证。分析2例患儿的临床资料。结...目的 分析2例新生儿X-连锁肌管肌病(XLMTM)的临床表现及致病基因突变情况。方法 采集2例XLMTM患儿及其父母外周血,提取基因组DNA,进行全外显子组测序,经比对分析发现可疑变异位点,采用Sanger测序法进行验证。分析2例患儿的临床资料。结果 2例均为男性。例1出生时刺激无反应,无自主呼吸,出生1 min Apgar评分1分,出生5 min Apgar评分6分。例2出生时呼吸频率慢、表浅,刺激无反应,出生1 min Apgar评分5分,出生5 min Apgar评分7分。2例均四肢肌张力低下、肌力Ⅱ级,吞咽困难,隐睾。2例均给予呼吸机辅助、控制感染、鼻饲配方奶及其他对症支持治疗。基因检测结果显示,例1存在MTM1基因(c.584G>A p.Cys195Tyr)杂合突变,RYR1基因c.6251G>A(p.Arg2084Gln)和c.11516G>A(p.Ser3839Asn)杂合突变;例2存在MTM1基因c.1116delTp.Val373fs移码突变。结论 XLMTM患儿临床发病早,症状重,预后不良;MTM1基因有多个基因变异位点,例1为罕见的MTM1基因联合RYR1基因复合杂合突变,未见相关文献报道,例2为MTM1基因突变。早期进行基因检测对准确诊断XLMTM有重要意义。展开更多
The reduced diameter of skeletal myofibres is a hallmark of several congenital myopathies,yet the underlying cellular and molecular mechanisms remain elusive.In this study,we investigate the role of HACD1/PTPLA,which ...The reduced diameter of skeletal myofibres is a hallmark of several congenital myopathies,yet the underlying cellular and molecular mechanisms remain elusive.In this study,we investigate the role of HACD1/PTPLA,which is involved in the elongation of the very long chain fatty acids,in muscle fibre formation.In humans and dogs,HACD1 deficiency leads to a congenital myopathy with fibre size disproportion associated with a generalized muscleweakness.Throughanalysis of HACD1-deficient Labradors,Hacd1-knockout mice,and Hacd1-deficient myoblasts,we provide evidence that HACD1 promotes myoblast fusion during muscle development and regeneration.We further demonstrate that in normal differentiating myoblasts,expression of the catalytically active HACD1 isoform,which is encoded by a muscle-enriched splice variant,yields decreased lysophosphatidylcholine content,a potent inhibitor of myoblast fusion,and increased concentrations of≥C18 and monounsaturated fatty acids of phospholipids.These lipid modifications correlate with a reduction in plasma membrane rigidity.In conclusion,we propose that fusion impairment constitutes a novel,non-exclusive pathological mechanism operating in congenital myopathies and reveal that HACD1 is a key regulator of a lipid-dependent muscle fibre growth mechanism.展开更多
文摘Autosomal-dominant centronuclear myopathy is a rare hereditary disease in adolescents,mainly involving the distal muscles of the lower extremity.It is extremely rare in pregnancy.This study presented a case of a woman by successful IVF and caesarean delivery without complications in autosomal dominant centronuclear myopathy.This report also reviewed the clinical spectrum of CNM and its management,which resulted in the delivery of a healthy infant.It is important that the clinician has a clear understanding of the clinical spectrum of CNM,the available methods for perinatal diagnosis,and optimal antenatal care.A multidisciplinary team approach is emphasized,with specific reference to the method of analgesia and anesthesia during labor and route of delivery.
文摘目的 分析2例新生儿X-连锁肌管肌病(XLMTM)的临床表现及致病基因突变情况。方法 采集2例XLMTM患儿及其父母外周血,提取基因组DNA,进行全外显子组测序,经比对分析发现可疑变异位点,采用Sanger测序法进行验证。分析2例患儿的临床资料。结果 2例均为男性。例1出生时刺激无反应,无自主呼吸,出生1 min Apgar评分1分,出生5 min Apgar评分6分。例2出生时呼吸频率慢、表浅,刺激无反应,出生1 min Apgar评分5分,出生5 min Apgar评分7分。2例均四肢肌张力低下、肌力Ⅱ级,吞咽困难,隐睾。2例均给予呼吸机辅助、控制感染、鼻饲配方奶及其他对症支持治疗。基因检测结果显示,例1存在MTM1基因(c.584G>A p.Cys195Tyr)杂合突变,RYR1基因c.6251G>A(p.Arg2084Gln)和c.11516G>A(p.Ser3839Asn)杂合突变;例2存在MTM1基因c.1116delTp.Val373fs移码突变。结论 XLMTM患儿临床发病早,症状重,预后不良;MTM1基因有多个基因变异位点,例1为罕见的MTM1基因联合RYR1基因复合杂合突变,未见相关文献报道,例2为MTM1基因突变。早期进行基因检测对准确诊断XLMTM有重要意义。
基金This work was supported by the Agence Nationale de la Recherche(ANR-12-JSV1-0005)the Association Franc¸aise contre les Myopathies(14577,15882,and 16143)+4 种基金the CNM Project(www.labradorcnm.com)the Alliance program(22866ZM)the Myotubular Trust and Grants-in-Aid for Scientific Research(B)to A.K.from Japan Society for the Promotion of Science(23370057)J.B.was supported by the French Ministry of Research and Technologies and the Universite´Paris 6(Paris)V.G.,A.P.,and A.R.were supported by the ANR,N.B-G.and I.B.were supported by the AFM,and G.W.was supported by the BBSRC CASE and the Myotubular Trust.
文摘The reduced diameter of skeletal myofibres is a hallmark of several congenital myopathies,yet the underlying cellular and molecular mechanisms remain elusive.In this study,we investigate the role of HACD1/PTPLA,which is involved in the elongation of the very long chain fatty acids,in muscle fibre formation.In humans and dogs,HACD1 deficiency leads to a congenital myopathy with fibre size disproportion associated with a generalized muscleweakness.Throughanalysis of HACD1-deficient Labradors,Hacd1-knockout mice,and Hacd1-deficient myoblasts,we provide evidence that HACD1 promotes myoblast fusion during muscle development and regeneration.We further demonstrate that in normal differentiating myoblasts,expression of the catalytically active HACD1 isoform,which is encoded by a muscle-enriched splice variant,yields decreased lysophosphatidylcholine content,a potent inhibitor of myoblast fusion,and increased concentrations of≥C18 and monounsaturated fatty acids of phospholipids.These lipid modifications correlate with a reduction in plasma membrane rigidity.In conclusion,we propose that fusion impairment constitutes a novel,non-exclusive pathological mechanism operating in congenital myopathies and reveal that HACD1 is a key regulator of a lipid-dependent muscle fibre growth mechanism.
