51. Variable pathogenic potentials of mutations located in the desmin alpha-helical domain
- Author
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Gunnar Sjöberg, Marianne de Visser, Marinos C. Dalakas, Lev G. Goldfarb, Patrick Vicart, Anna Kostareva, Pascal Laforêt, Monique Casteras-Simon, Dirk Fischer, Xavier Ferrer, Bertrand Goudeau, Nyamkhishig Sambuughin, Fernando Rodrigues-Lima, Thomas Sejersen, Françoise Chapon, and Neurology
- Subjects
Adult ,Male ,Models, Molecular ,Skeletal muscle weakness ,DNA Mutational Analysis ,Molecular Sequence Data ,Cardiomyopathy ,Mutation, Missense ,Alpha (ethology) ,macromolecular substances ,Biology ,Protein Structure, Secondary ,Cell Line ,Desmin ,Muscular Diseases ,Genetics ,medicine ,Humans ,Amino Acid Sequence ,Child ,Gene ,Genetics (clinical) ,Aged ,Desmin filament ,Anatomy ,Middle Aged ,medicine.disease ,Phenotype ,Molecular biology ,Immunohistochemistry ,Child, Preschool ,Female ,Sequence Alignment ,Sporadic disorder - Abstract
Mutations in the desmin gene have been recognized as a cause of desminopathy, a familial or sporadic disorder characterized by skeletal muscle weakness, often associated with cardiomyopathy or respiratory insufficiency. Distinctive histopathologic features include aberrant intracytoplasmic accumulation of desmin (DES). We present here comparative phenotypic, molecular, and functional characteristics of four novel and three previously reported, but not fully characterized, desmin mutations localized in desmin alpha-helical domain. The results indicate that the c.638C>T (p.A213V), c.1178A>T (p.N393I), and to some extent the c.1078G>C (p.A360P) mutations exhibit pathogenic potentials only if combined with other mutations in desmin or other genes and should therefore be considered conditionally pathogenic. The c.1009G>C (p.A337P), c.1013T>G (p.L338R), c.1195G>T (p.D399Y), and c.1201G>A (p.E401K) mutations make desmin filaments dysfunctional and are capable of causing disease. The pathogenic potentials of desmin mutations correlate with the type and location of the disease-associated mutations in the relatively large and structurally and functionally complex desmin molecule. Mutations within the highly conserved alpha-helical structures are especially damaging since the integrity of the alpha-helix is critical for desmin filament assembly and stability.
- Published
- 2006