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Krenn, M.* ; Salzer, E.* ; Simonitsch-Klupp, I.* ; Rath, J.* ; Wagner, M. ; Haack, T.B.* ; Strom, T.M. ; Schänzer, A.* ; Kilimann, M.W.* ; Schmidt, R.L.J.* ; Schmetterer, K.G.* ; Zimprich, A.* ; Boztug, K.* ; Hahn, A.* ; Zimprich, F.*

Mutations outside the N-terminal part of RBCK1 may cause polyglucosan body myopathy with immunological dysfunction: Expanding the genotype-phenotype spectrum.

J. Neurol. 265, 394–401 (2018)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
A subset of patients with polyglucosan body myopathy was found to have underlying mutations in the RBCK1 gene. Affected patients may display diverse symptoms ranging from skeletal muscular weakness, cardiomyopathy to chronic autoinflammation and immunodeficiency. It was suggested that the exact localization of the mutation within the gene might be responsible for the specific phenotype, with N-terminal mutations causing severe immunological dysfunction and mutations in the middle or C-terminal part leading to a myopathy phenotype. We report the clinical, immunological and genetic findings of two unrelated individuals suffering from a childhood-onset RBCK1-asscociated disease caused by the same homozygous truncating mutation (NM_031229.2:c.896_899del, p.Glu299Valfs*46) in the middle part of the RBCK1 gene. Our patients suffered from a myopathy with cardiac involvement, but in contrast to previous reports on mutations in this part of the gene, also displayed signs of autoinflammation and immunodeficiency. Our report suggests that RBCK1 mutations at locations that were previously thought to lack immunological features may also present with immunological dysfunction later in the disease course. This notably broadens the genotype-phenotype correlation of RBCK1-related polyglucosan body myopathy.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Polyglucosan Body Myopathy ; Glycogen Storage Disease ; Cardiomyopathy ; Rbck1 ; Hoil-1 ; Whole-exome Sequencing; Mendelian Disorders; Diagnosis; Diseases; Muscle
ISSN (print) / ISBN 0340-5354
e-ISSN 1432-1459
Journal Journal of Neurology
Quellenangaben Volume: 265, Issue: 2, Pages: 394–401 Article Number: , Supplement: ,
Publisher Springer
Publishing Place Heidelberg
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Human Genetics (IHG)