Subtle central and peripheral nervous system abnormalities in a family with centronuclear myopathy and a novel
Andoni Echaniz-Laguna1, Anne-Sophie Nicot, Sophie Carré
1Département de Neurologie, Hôpital Civil de Strasbourg, 1 Place de l'Hôpital, BP426, 67091 Strasbourg, France. Echaniz-Laguna@medecine.u-strasbg.fr
Abstract:
Mutations in dynamin 2 (DNM2), an ubiquitously-expressed large GTPase, cause autosomal dominant centronuclear myopathy (DNM2-CNM) and AD Charcot-Marie-Tooth disease type 2B (DNM2-CMT2B). We report a series of 5 patients from the same family who all presented with dominant centronuclear myopathy, mild cognitive impairment, mild axonal peripheral nerve involvement, and the novel E368Q mutation in the DNM2 gene. This study suggests that the phenotypes of dynamin 2 related centronuclear myopathy and Charcot-Marie-Tooth disease overlap and that DNM2 mutations may alter cerebral function. This report extends the clinical knowledge of DNM2-centronuclear myopathy and shows that the role of DNM2 mutations in the central nervous system should be further studied.
Insights
Dynamin 2 (DNM2) gene mutations can cause centronuclear myopathy and Charcot-Marie-Tooth disease. A novel mutation (E368Q) in DNM2 was identified in a family with overlapping symptoms, including mild cognitive impairment.
Area of Science:
- Genetics
- Neurology
- Molecular Biology
Background:
- Dynamin 2 (DNM2) is a large GTPase involved in membrane trafficking.
- Mutations in DNM2 are linked to autosomal dominant centronuclear myopathy (DNM2-CNM) and Charcot-Marie-Tooth disease type 2B (DNM2-CMT2B).
Observation:
- A family with five members presented with dominant centronuclear myopathy.
- Patients exhibited mild cognitive impairment and mild axonal peripheral nerve involvement.
- A novel mutation, E368Q, in the DNM2 gene was identified in affected individuals.
Findings:
- The study identified a novel E368Q mutation in the DNM2 gene.
- Phenotypes associated with DNM2 mutations, including centronuclear myopathy and peripheral neuropathy, were observed to overlap.
- Mild cognitive impairment suggests potential central nervous system involvement.
Implications:
- DNM2 mutations may contribute to a broader spectrum of neurological disorders than previously recognized.
- The findings suggest a potential role for DNM2 in cerebral function.
- Further research into the role of DNM2 in the central nervous system is warranted.
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