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Published on: August 8, 2022
A new distal myopathy with mutation in anoctamin 5
Ibrahim Mahjneh1, Jyoti Jaiswal, Antti Lamminen
1Department of Neurology, Oulu University Hospital, Oulu, Finland; Department of Neurology, Pietarsaari Central Hospital, Pietarsaari, Finland. ibrahim.mahjneh@mhso.fi
Abstract:
We have been following clinically and with muscle MRI for the past 3-decades a Finnish family with two patients with distal muscular dystrophy. Previously we demonstrated the cellular defect in these patients to be defective membrane repair and more recently have identified the causative gene to be anoctamin 5 (ANO5). The disorder seen in these patients is characterized by onset in the third decade. First symptoms were burning sensation on the calves and later on calf tightness during running. Muscle weakness and wasting were asymmetric and early involving the calf muscles, later spread to the thigh muscles. Biceps brachi was later manifestation. Clinical course was slow. CK levels were high. Muscle biopsy showed dystrophic pattern and multifocal disruption of the sarcolemmal membrane but no subsarcolemmal vesicle accumulation nor active inflammation. We conclude that the disease seen in our cases is a new separate clinical, genetic and histopathologic entity to include within the classification of autosomal recessive distal muscular dystrophies.
Insights
This study identifies anoctamin 5 (ANO5) as the gene causing a new form of distal muscular dystrophy. The research highlights defective membrane repair as the cellular defect in this slow-progressing genetic muscle disorder.
Area of Science:
- Neurology
- Genetics
- Cell Biology
Background:
- Distal muscular dystrophies are a group of inherited muscle-wasting disorders.
- Understanding the genetic basis of these conditions is crucial for diagnosis and treatment.
Observation:
- A Finnish family with a unique distal muscular dystrophy was studied over 3 decades.
- Patients presented with calf burning/tightness in their third decade, followed by asymmetric muscle weakness and wasting.
- Muscle MRI revealed dystrophic changes, and biopsies showed sarcolemmal membrane disruption without inflammation.
Findings:
- The causative gene for this specific distal muscular dystrophy was identified as anoctamin 5 (ANO5).
- The primary cellular defect involves impaired membrane repair mechanisms.
- High creatine kinase (CK) levels were consistently observed in affected individuals.
Implications:
- This discovery establishes a new clinical, genetic, and histopathologic entity within autosomal recessive distal muscular dystrophies.
- Identifying the ANO5 gene opens avenues for genetic counseling and potential therapeutic strategies.
- Further research into ANO5 function may elucidate mechanisms underlying other muscular dystrophies.
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