Desmin-related myopathy with mallory body–like inclusions is caused by mutations of the selenoprotein N gene†
Corresponding Author
Ana Ferreiro MD, PhD
Institut National de la Santé et de la Recherche Médicale U582, Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
INSERM U582, Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, 47 Bd. de l'Hôpital, 75651 Paris, FranceSearch for more papers by this authorChantal Ceuterick-de Groote PhD
Department of Neuropathology, Born-Bunge Foundation and University of Antwerp, Antwerpen, Belgium
Search for more papers by this authorJared J. Marks BA
Children's Hospital of Philadelphia, Philadelphia, PA
Search for more papers by this authorNathalie Goemans MD
Department of Paediatrics, University Hospital Gasthuisberg, Leuven, Belgium
Search for more papers by this authorGudrun Schreiber MD
Abteilung Neuropädiatrie, Kinderklinik and Poliklinik, Georg-August Universität Göttingen, Göttingen, Germany
Search for more papers by this authorFolker Hanefeld MD
Abteilung Neuropädiatrie, Kinderklinik and Poliklinik, Georg-August Universität Göttingen, Göttingen, Germany
Search for more papers by this authorMichel Fardeau MD
Institut National de la Santé et de la Recherche Médicale U582, Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Search for more papers by this authorJean-Jacques Martin MD, PhD
Department of Neuropathology, Born-Bunge Foundation and University of Antwerp, Antwerpen, Belgium
Search for more papers by this authorHans H. Goebel MD
Department of Neuropathology, Johannes Gutenberg University, Mainz, Germany
Search for more papers by this authorPascale Richard PhD
Service de Biochimie B, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Search for more papers by this authorPascale Guicheney PhD
Institut National de la Santé et de la Recherche Médicale U582, Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Search for more papers by this authorCarsten G. Bönnemann MD
Children's Hospital of Philadelphia, Philadelphia, PA
Search for more papers by this authorCorresponding Author
Ana Ferreiro MD, PhD
Institut National de la Santé et de la Recherche Médicale U582, Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
INSERM U582, Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, 47 Bd. de l'Hôpital, 75651 Paris, FranceSearch for more papers by this authorChantal Ceuterick-de Groote PhD
Department of Neuropathology, Born-Bunge Foundation and University of Antwerp, Antwerpen, Belgium
Search for more papers by this authorJared J. Marks BA
Children's Hospital of Philadelphia, Philadelphia, PA
Search for more papers by this authorNathalie Goemans MD
Department of Paediatrics, University Hospital Gasthuisberg, Leuven, Belgium
Search for more papers by this authorGudrun Schreiber MD
Abteilung Neuropädiatrie, Kinderklinik and Poliklinik, Georg-August Universität Göttingen, Göttingen, Germany
Search for more papers by this authorFolker Hanefeld MD
Abteilung Neuropädiatrie, Kinderklinik and Poliklinik, Georg-August Universität Göttingen, Göttingen, Germany
Search for more papers by this authorMichel Fardeau MD
Institut National de la Santé et de la Recherche Médicale U582, Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Search for more papers by this authorJean-Jacques Martin MD, PhD
Department of Neuropathology, Born-Bunge Foundation and University of Antwerp, Antwerpen, Belgium
Search for more papers by this authorHans H. Goebel MD
Department of Neuropathology, Johannes Gutenberg University, Mainz, Germany
Search for more papers by this authorPascale Richard PhD
Service de Biochimie B, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Search for more papers by this authorPascale Guicheney PhD
Institut National de la Santé et de la Recherche Médicale U582, Institut de Myologie, Groupe Hospitalier Pitié-Salpêtrière, Paris, France
Search for more papers by this authorCarsten G. Bönnemann MD
Children's Hospital of Philadelphia, Philadelphia, PA
Search for more papers by this authorAccession numbers are listed in the Appendix on the last page of this article.
Abstract
Desmin-related myopathies (DRMs) are a heterogeneous group of muscle disorders, morphologically defined by intrasarcoplasmic aggregates of desmin. Mutations in the desmin and the α-B crystallin genes account for approximately one third of the DRM cases. The genetic basis of the other forms remain unknown, including the early-onset, recessive form with Mallory body–like inclusions (MB-DRMs), first described in five related German patients. Recently, we identified the selenoprotein N gene (SEPN1) as responsible for SEPN-related myopathy (SEPN-RM), a unique early-onset myopathy formerly divided in two different nosological categories: rigid spine muscular dystrophy and the severe form of classical multiminicore disease. The finding of Mallory body–like inclusions in two cases of genetically documented SEPN-RM led us to suspect a relationship between MB-DRM and SEPN1. In the original MB-DRM German family, we demonstrated a linkage of the disease to the SEPN1 locus (1p36), and subsequently a homozygous SEPN1 deletion (del 92 nucleotide −19/+73) in the affected patients. A comparative reevaluation showed that MB-DRM and SEPN-RM share identical clinical features. Therefore, we propose that MB-DRM should be categorized as SEPN-RM. These findings substantiate the molecular heterogeneity of DRM, expand the morphological spectrum of SEPN-RM, and implicate a necessary reassessment of the nosological boundaries in early-onset myopathies. Ann Neurol 2004
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