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Molecular Study of the Fukutin-Related Protein ( FKRP ) Gene in Patients from Southern Italy with Duchenne/Becker-like Phenotype

Title: Molecular Study of the Fukutin-Related Protein ( FKRP ) Gene in Patients from Southern Italy with Duchenne/Becker-like Phenotype
Authors: Antonio Qualtieri; Selene De Benedittis; Annamaria Cerantonio; Luigi Citrigno; Gemma Di Palma; Olivier Gallo; Francesca Cavalcanti; Patrizia Spadafora
Source: International Journal of Molecular Sciences, Vol 25, Iss 19, p 10356 (2024)
Publisher Information: MDPI AG
Publication Year: 2024
Collection: Directory of Open Access Journals: DOAJ Articles
Subject Terms: LGMDR9; LGMD2I; limb girdle muscular dystrophy type R9; FKRP; molecular dynamic; Biology (General); QH301-705.5; Chemistry; QD1-999
Description: Pathogenic variants localized in the gene coding for the Fukutin-Related Protein (FKRP) are responsible for Limb-Girdle Muscular Dystrophy type 9 (LGMDR9), Congenital Muscular Dystrophies type 1C (MDC1C), Walker–Warburg Syndrome (WWS), and Muscle–Eye–Brain diseases (MEBs). LGMDR9 is the fourth most common hereditary Limb Girdle Muscular Dystrophy in Italy. LGMDR9 patients with severe disease show an overlapping Duchenne/Becker phenotype and may have secondary dystrophin reduction on muscle biopsy. We conducted a molecular analysis of the FKRP gene by direct sequencing in 153 patients from Southern Italy (Calabria) with Duchenne/Becker-like phenotypes without confirmed genetic diagnosis. Mutational screening of the patients (112 men and 41 women, aged between 5 and 84 years), revealed pathogenic variants in 16 subjects. The most frequent variants identified were c.427C > A, p.R143S, and c.826C > A, p.L276I (NM_024301.5). The results obtained show that the Duchenne/Becker-like phenotype is frequently determined by mutations in the FKRP gene in our cohort and highlight the importance of considering LGMDR9 in the differential diagnosis of dystrophinopathies in Calabria. Finally, this study, which, to our knowledge, is the first conducted on Calabrian subjects, will contribute to the rapid identification and management of LGMDR9 patients.
Document Type: article in journal/newspaper
Language: English
Relation: https://www.mdpi.com/1422-0067/25/19/10356; https://doaj.org/toc/1661-6596; https://doaj.org/toc/1422-0067; https://doaj.org/article/c54856e0a4fd403aa621c07f9d6817dd
DOI: 10.3390/ijms251910356
Availability: https://doi.org/10.3390/ijms251910356; https://doaj.org/article/c54856e0a4fd403aa621c07f9d6817dd
Accession Number: edsbas.9332412
Database: BASE