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Familial childhood onset, slowly progressive myopathy plus cardiomyopathy expands the phenotype related to variants in the TTN gene

Title: Familial childhood onset, slowly progressive myopathy plus cardiomyopathy expands the phenotype related to variants in the TTN gene
Authors: Perna, Alessia; Torchia, Eleonora; Modoni, Anna; Tasca, Giorgio; Ricci, Enzo; Bertini, Enrico Silvio; Silvestri, Gabriella
Contributors: Perna, Alessia; Bosco, Luca; Fattori, Fabiana; Torchia, Eleonora; Modoni, Anna; Papacci, Manuela; Petrucci, Antonio; Tasca, Giorgio; Ricci, Enzo; Bertini, Enrico Silvio; Silvestri, Gabriella
Publication Year: 2024
Collection: Università Cattolica del Sacro Cuore: PubliCatt
Subject Terms: Cardiomyopathy; TTN gene; TTN myopathy; Titin; Titinopathy; Settore MED/26 - NEUROLOGIA
Description: This report describes a novel TTN -related phenotype in two brothers, both affected by a childhood onset, very slowly progressive myopathy with cores, associated with dilated cardiomyopathy only in their late disease stages. Clinical exome sequencing documented in both siblings the heterozygous c.2089A>T and c.19426+2T>A variants in TTN. The c.2089A>T, classified in ClinVar as possibly pathogenic, introduces a premature stop codon in exon 14, whereas the c.19426+2T>A affects TTN alternative splicing. The unfeasibility of segregation studies prevented us from establishing the inheritance mode of the muscle disease in this family, although the lack of any reported muscle or heart symptoms in both parents might support an autosomal recessive transmission. In this view, the occurrence of cardiomyopathy in both probands might be related to the c.2089A>T truncating variant in exon 14, and the childhood onset, slowly progressive myopathy to the c.19426+2T>A splicing variant, possibly allowing translation of an almost full length TTN protein.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/38430701; info:eu-repo/semantics/altIdentifier/wos/WOS:001211112200001; volume:37; issue:Feb 8;37; firstpage:1; lastpage:5; numberofpages:5; issueyear:2024; journal:NEUROMUSCULAR DISORDERS; https://hdl.handle.net/10807/270322
DOI: 10.1016/j.nmd.2024.02.001
Availability: https://hdl.handle.net/10807/270322; https://doi.org/10.1016/j.nmd.2024.02.001
Accession Number: edsbas.57C40A8D
Database: BASE