Norma B. Romero, Nathalie Streichenberger, Kristina Lagerstedt-Robinson, Anna Wredenberg, Gianina Ravenscroft, Gianantonio Battistuzzi, Martin Lammens, Chiara S. M. Straathof, Martin Engvall, Christophe Vial, Haibo Jiang, Marzia Bellei, Marco Borsari, Fengqing Xiang, Juha Kere, Giulia Di Rocco, Helena M. Viola, Núria Benseny-Cases, Edoardo Malfatti, Nigel G. Laing, Bjarne Udd, Juan José Baiges, Lars Edström, Thomas Sejersen, Carlo Augusto Bortolotti, Marcello Pignataro, Noemi Vidal, Paula Clemente, Anna Wedell, Alistair R. R. Forrest, Stefan Hofbauer, Kristl G. Claeys, An Goris, Macarena Cabrera-Serrano, Matteo Lambrughi, Francesc Miralles, Montse Olivé, Christian Obinger, Isidre Ferrer, Livia C. Hool, Christoph Freyer, Guillaume Bassez, Hong Jiao, Josep Cladera, Instituto de Salud Carlos III, European Commission, Fundación Genzyme, Generalitat de Catalunya, National Health and Medical Research Council (Australia), Cancer Research Trust New Zealand, Australian Research Council, Swedish Research Council, Stockholm County Council, Swedish Brain Foundation, Knut and Alice Wallenberg Foundation, University of Leuven, KOOR, Stiftelsen Frimurare Barnhuset i Stockholm, Royal Society (UK), Promobilia Foundation, National Heart Foundation of Australia, Institut d'Investigació Biomèdica de Bellvitge [Barcelone] (IDIBELL), Karolinska Institutet [Stockholm], Karolinska University Hospital [Stockholm], The University of Western Australia (UWA), Hospital Universitario Virgen del Rocío [Sevilla], Università degli Studi di Modena e Reggio Emilia (UNIMORE), ALBA Synchrotron light source [Barcelone], University of Natural Resources and Life Sciences (BOKU), Victor Chang Cardiac Research Institute, University of New South Wales [Sydney] (UNSW), Universitat Autònoma de Barcelona (UAB), Institut de Myologie, Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Association française contre les myopathies (AFM-Téléthon)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Sorbonne Université (SU), Centre de Recherche en Myologie, Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Hospices Civils de Lyon (HCL), Institut NeuroMyoGène (INMG), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Lyon, University Hospitals Leuven [Leuven], Catholic University of Leuven - Katholieke Universiteit Leuven (KU Leuven), Leiden University Medical Center (LUMC), Antwerp University Hospital [Edegem] (UZA), University of Antwerp (UA), Radboud University Medical Center [Nijmegen], Hôpital Henri Mondor, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Henri Mondor-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), Institut Mondor de Recherche Biomédicale (IMRB), Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), Université Paris-Est Créteil Val-de-Marne - Faculté de médecine (UPEC Médecine), Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), University of Helsinki, King‘s College London, University of Tampere [Finland], Tampere University Hospital, Centro de Investigacion Biomédica en Red sobre Enfermedades Neurodegenerativas (CIBERNED), Instituto de Salud Carlos III [Madrid] (ISC), University of Barcelona, STEMM - Stem Cells and Metabolism Research Program, Juha Kere / Principal Investigator, Research Programs Unit, Clinicum, Università degli Studi di Modena e Reggio Emilia = University of Modena and Reggio Emilia (UNIMORE), Universität für Bodenkultur Wien = University of Natural Resources and Life [Vienne, Autriche] (BOKU), Centre de recherche en Myologie – U974 SU-INSERM, Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), Helsingin yliopisto = Helsingfors universitet = University of Helsinki, Centre National de la Recherche Scientifique (CNRS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Association française contre les myopathies (AFM-Téléthon)-Sorbonne Université (SU), Gestionnaire, Hal Sorbonne Université, and Universiteit Leiden
Myoglobin, encoded by MB, is a small cytoplasmic globular hemoprotein highly expressed in cardiac myocytes and oxidative skeletal myofibers. Myoglobin binds O-2, facilitates its intracellular transport and serves as a controller of nitric oxide and reactive oxygen species. Here, we identify a recurrent c.292C>T ( p.His98Tyr) substitution in MB in fourteen members of six European families suffering from an autosomal dominant progressive myopathy with highly characteristic sarcoplasmic inclusions in skeletal and cardiac muscle. Myoglobinopathy manifests in adulthood with proximal and axial weakness that progresses to involve distal muscles and causes respiratory and cardiac failure. Biochemical characterization reveals that the mutant myoglobin has altered O-2 binding, exhibits a faster heme dissociation rate and has a lower reduction potential compared to wild-type myoglobin. Preliminary studies show that mutant myoglobin may result in elevated superoxide levels at the cellular level. These data define a recognizable muscle disease associated with MB mutation., We thank the patients and their families for their collaboration. This study has been funded by Instituto de Salud Carlos III through the project PI14/00738 (co-funded by European Regional Development Fund. ERDF, a way to build Europe) and from a grant from Genzyme Foundation to MO. We thank CERCA Programme/Generalitat de Catalunya for institutional support. GR, NGL, and ARRF are supported by Australian National Health and Medical Research Council Fellowships APP1002147, APP1035955, APP1154524, and Project Grants APP1080587 and APP1146321. ARRF was also supported by a Senior Research Fellowship from the Cancer Research Trust, the MACA Ride to Conquer Cancer and an Australian Research Council Discovery Project Grant (DP160101960). MC is supported by ISCIII (JR15/00042). AWr is a Ragnar Soderberg Fellow in Medicine (M77/13) and is supported by the Swedish Research Council (AW (VR2016-02179). AWe is supported by the Swedish Research Council (2016-01082), Stockholm County Council (20170022), the Swedish Brain Foundation (FO2015-0146), and the Knut & Alice Wallenberg Foundation (KAW 2013.0026 and KAW 2014.0293). KGC is supported by the KOOR, UZ Leuven, Belgium. AG is supported by the Research Council KU Leuven (C24/16/045). JK is a recipient of the Royal Society Wolfson Research Merit Award. TS is supported by Stockholm County Council (20170831), Stiftelsen Frimurare Foundation, and Promobilia. LH is supported by an Australian National Health and Medical Research Council Fellowship (APP1117366). HV is supported by a National Heart Foundation of Australia Fellowship (101930). mu FTIR microscope analysis was performed at MIRAS beamline at ALBA Synchrotron with the collaboration of ALBA staff. We thank professor Josep Garcia Valero from the University of Barcelona for helpful comments on the ultrastructural features. We thank Dolores Moreno, Susana Arnedo, Guy Brochier, and Benjamin Torrejon-Escribano for excellent technical assistance and to the Audiovisual Department from Hospital Universitari de Bellvitge for their help with the preparation of the figures. KCG wants to thank Klara Mallants for technical support and to Dr. Sjoerd G. van Duinen (Leiden), and professsor Joachim Weis (Aachen). Muscle sample and associated data from Family 5 were obtained from Cardiobiotec Biobank (CRB-HCL Hospices Civils de Lyon BB-0033-00046).