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Distal myopathy with ADSSL1 mutations in Korean patients

Authors
 Hyung Jun Park  ;  Ha Young Shin  ;  Sungjun Kim  ;  Se Hoon Kim  ;  Yunbeom Lee  ;  Jung Hwan Lee  ;  Ji-Man Hong  ;  Seung Min Kim  ;  Kee Duk Park  ;  Byung-Ok Choi  ;  Ji Hyun Lee  ;  Young-Chul Choi 
Citation
 NEUROMUSCULAR DISORDERS, Vol.27 : 465-472, 2017 
Journal Title
NEUROMUSCULAR DISORDERS
ISSN
 0960-8966 
Issue Date
2017
MeSH
Adenylosuccinate Synthase/genetics* ; Adolescent ; Adult ; Asian Continental Ancestry Group/genetics ; DNA Mutational Analysis ; Distal Myopathies/diagnostic imaging ; Distal Myopathies/genetics* ; Distal Myopathies/pathology ; Distal Myopathies/physiopathology* ; Female ; Follow-Up Studies ; Genetic Association Studies ; Humans ; Magnetic Resonance Imaging ; Male ; Muscle, Skeletal/diagnostic imaging ; Muscle, Skeletal/pathology ; Mutation* ; Republic of Korea ; Retrospective Studies ; Whole Body Imaging ; Young Adult
Keywords
ADSSL1 ; Diagnosis ; Distal myopathy ; Muscle MRI ; Phenotype–genotype correlation
Abstract
To understand the characteristics of ADSSL1 myopathy, we investigated the clinical manifestation in Korean patients with ADSSL1 mutations. We developed a targeted panel of 16 distal-myopathy genes and recruited a total of 12 patients with genetically undetermined distal myopathy. We found four (33%) with ADSSL1 mutations and one (8%) with GNE mutations. ADSSL1 mutations consisted of c.910G>A, c.1048delA and c.1220T>C mutations. Patients with ADSSL1 mutations demonstrated distal muscle weakness in adolescence, followed by quadriceps muscle weakness in the early 30s. All patients had mild facial weakness and two patients complained of easy fatigue while eating and chewing. Vastus lateralis muscle biopsies revealed non-specific chronic myopathic features with a few nemaline rods. Whole body muscle MR imaging showed more fatty replacement in the distal limb and tongue muscles than in the proximal limb and axial muscles. This study showed that ADSSL1 myopathy was not rare among distal myopathy patients of Korean origin, and expanded the clinical and genetic spectrum. Therefore, we suggest that the screening test of ADSSL1 gene should be considered for the diagnosis of distal myopathy.
Full Text
http://www.sciencedirect.com/science/article/pii/S0960896616310720
DOI
10.1016/j.nmd.2017.02.004
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sungjun(김성준) ORCID logo https://orcid.org/0000-0002-7876-7901
Kim, Se Hoon(김세훈) ORCID logo https://orcid.org/0000-0001-7516-7372
Kim, Seung Min(김승민) ORCID logo https://orcid.org/0000-0002-4384-9640
Shin, Ha Young(신하영) ORCID logo https://orcid.org/0000-0002-4408-8265
Lee, Jung Hwan(이정환)
Choi, Young Chul(최영철) ORCID logo https://orcid.org/0000-0001-5525-6861
Hong, Ji Man(홍지만) ORCID logo https://orcid.org/0000-0002-0696-8448
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/153907
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