HNRNPA1 variants are known to cause degenerative motoneuron and muscle diseases which manifests in middle age or later. We report on a girl with early childhood onset, rapidly progressive generalized myopathy including ultrastructural findings in line with a proteinopathy. Proteomics of patient-derived muscle and combined screening of genomic data for copy number variations identified a HNRNPA1 de novo intragenic deletion as causative for the phenotype. Our report expands the spectrum of HNRNPA1-related diseases towards early-childhood onset and adds HNRNPA1 to the growing list of ALS and myopathy genes for which certain mutations may cause severe pediatric phenotypes.
FörderungenBMBF Federal Ministry of Education and Research, Germany (BMBF) Canadian Insti-tutes of Health Research (CIHR) for Foundation Canada Foundation for Innovation Canada Research Chairs program (Canada Research Chair in Neu-romuscular Genomics and Health) European Commission Canada Research Coordinating Committee New Frontiers in Research Fund Government of Canada Canada First Research Excellence Fund (CFREF) Fritz-Thyssen-Stiftung des Nordrhein-Westfalen