1. A novel point mutation affecting Asn76 of dystrophin protein leads to dystrophinopathy
- Author
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Gabriella Merő, Gabriella P. Szabó, Tibor Hortobágyi, Éva Ajzner, Katalin Koczok, Éva Gombos, László Madar, János András Mótyán, and Istvan Balogh
- Subjects
Male ,Models, Molecular ,musculoskeletal diseases ,0301 basic medicine ,congenital, hereditary, and neonatal diseases and abnormalities ,Mutation, Missense ,Biology ,Klinikai orvostudományok ,medicine.disease_cause ,Dystrophin ,03 medical and health sciences ,Exon ,0302 clinical medicine ,medicine ,Humans ,Point Mutation ,Missense mutation ,Computer Simulation ,Multiplex ligation-dependent probe amplification ,Muscular dystrophy ,Muscle, Skeletal ,Creatine Kinase ,Genetics (clinical) ,Mutation ,Point mutation ,Infant ,Orvostudományok ,medicine.disease ,Molecular biology ,Hypotonia ,Muscular Dystrophy, Duchenne ,030104 developmental biology ,Neurology ,Pediatrics, Perinatology and Child Health ,biology.protein ,Neurology (clinical) ,medicine.symptom ,030217 neurology & neurosurgery - Abstract
Mutations in the DMD gene lead to Duchenne and Becker muscular dystrophy (DMD/BMD). Missense mutations are rare cause of DMD/BMD. A six-month-old male patient presented with mild generalized muscle weakness, hypotonia, and delayed motor development. Dystrophinopathy was suspected because of highly elevated serum creatine kinase level (1497 U/L) and tiered DMD gene analysis was performed. Multiplex ligation-dependent probe amplification (MLPA) assay showed deletion of exon 4, which could not be confirmed by another method. Sequencing of exon 4 revealed a novel de novo point mutation (c.227A>T, p.Asn76Ile) in the N-terminal actin-binding domain (N-ABD) of dystrophin protein. The false positive MLPA result was explained by the fact that the affected nucleotide lies directly at the 3' ligation site of the MLPA probe. Sequencing of the whole coding region of DMD gene proved c.227A>T to be the sole variant being potentially pathogenic. According to in silico analyses the mutation was predicted to be highly destabilizing on N-ABD structure possibly leading to protein malfunction. Muscle biopsy was performed and dystrophin immunohistochemistry results were suggestive of BMD. Our results highlight the importance of confirmatory testing of single-exon deletions detected by MLPA and we describe a novel, destabilizing missense mutation in the DMD gene.
- Published
- 2018