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A CCG expansion in ABCD3 causes oculopharyngodistal myopathy in individuals of European ancestry
Journal article   Open access

A CCG expansion in ABCD3 causes oculopharyngodistal myopathy in individuals of European ancestry

Andrea Cortese, Sarah J Beecroft, Stefano Facchini, Riccardo Curro, Macarena Cabrera-Serrano, Igor Stevanovski, Sanjog R Chintalaphani, Hasindu Gamaarachchi, Ben Weisburd, Chiara Folland, …
Nature communications, Vol.15(1), 6327
2024
PMID: 39068203
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Published3.54 MBDownloadView
Open Access CC BY V4.0

Abstract

Adolescent Adult Aged ATP-Binding Cassette Transporters - genetics Female Fibroblasts - metabolism Fibroblasts - pathology Humans Male Middle Aged Muscle Weakness - genetics Muscle Weakness - pathology Muscle, Skeletal - pathology Muscular Dystrophies Myopathies, Structural, Congenital - genetics Myopathies, Structural, Congenital - pathology Pedigree Trinucleotide Repeat Expansion White People - genetics Young Adult
Oculopharyngodistal myopathy (OPDM) is an inherited myopathy manifesting with ptosis, dysphagia and distal weakness. Pathologically it is characterised by rimmed vacuoles and intranuclear inclusions on muscle biopsy. In recent years CGG • CCG repeat expansion in four different genes were identified in OPDM individuals in Asian populations. None of these have been found in affected individuals of non-Asian ancestry. In this study we describe the identification of CCG expansions in ABCD3, ranging from 118 to 694 repeats, in 35 affected individuals across eight unrelated OPDM families of European ancestry. ABCD3 transcript appears upregulated in fibroblasts and skeletal muscle from OPDM individuals, suggesting a potential role of over-expression of CCG repeat containing ABCD3 transcript in progressive skeletal muscle degeneration. The study provides further evidence of the role of non-coding repeat expansions in unsolved neuromuscular diseases and strengthens the association between the CGG • CCG repeat motif and a specific pattern of muscle weakness.

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