Limb-girdle muscular dystrophy: diagnostic evaluation, frequency and clues to pathogenesis |
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Authors: | Lo Harriet P Cooper Sandra T Evesson Frances J Seto Jane T Chiotis Maria Tay Valerie Compton Alison G Cairns Anita G Corbett Alistair MacArthur Daniel G Yang Nan Reardon Katrina North Kathryn N |
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Affiliation: | Institute for Neuromuscular Research, The Children's Hospital at Westmead, Sydney, Australia. |
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Abstract: | We characterized the frequency of limb-girdle muscular dystrophy (LGMD) subtypes in a cohort of 76 Australian muscular dystrophy patients using protein and DNA sequence analysis. Calpainopathies (8%) and dysferlinopathies (5%) are the most common causes of LGMD in Australia. In contrast to European populations, cases of LGMD2I (due to mutations in FKRP) are rare in Australasia (3%). We have identified a cohort of patients in whom all common disease candidates have been excluded, providing a valuable resource for identification of new disease genes. Cytoplasmic localization of dysferlin correlates with fiber regeneration in a subset of muscular dystrophy patients. In addition, we have identified a group of patients with unidentified forms of LGMD and with markedly abnormal dysferlin localization that does not correlate with fiber regeneration. This pattern is mimicked in primary caveolinopathy, suggesting a subset of these patients may also possess mutations within proteins required for membrane targeting of dysferlin. |
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