Congenital muscular dystrophy with glycosylation defects of alpha-dystroglycan in Japan

Neuromuscul Disord. 2005 May;15(5):342-8. doi: 10.1016/j.nmd.2005.01.009.

Abstract

Glycosylation defects of alpha-dystroglycan (alpha-DG) cause various muscular dystrophies. We performed clinical, pathological and genetic analyses of 62 Japanese patients with congenital muscular dystrophy, whose skeletal muscle showed deficiency of glycosylated form of alpha-DG. We found, the first Japanese patient with congenital muscular dystrophy 1C with a novel compound heterozygous mutation in the fukutin-related protein gene. Fukuyama-type congenital muscular dystrophy was genetically confirmed in 54 of 62 patients. Two patients with muscle-eye-brain disease and one Walker-Warburg syndrome were also genetically confirmed. Four patients had no mutation in any known genes associated with glycosylation of alpha-DG. Interestingly, the molecular mass of alpha-DG in the skeletal muscle was similar and was reduced to approximately 90 kDa among these patients, even though the causative gene and the clinico-pathological severity were different. This result suggests that other factors can modify clinical features of the patients with glycosylation defects of alpha-DG.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blotting, Western
  • Brain / pathology
  • Brain / physiopathology
  • Child, Preschool
  • DNA Mutational Analysis
  • Dystroglycans / deficiency*
  • Dystroglycans / genetics
  • Electroencephalography / methods
  • Female
  • Glycosylation
  • Guanine Nucleotide Exchange Factors / genetics
  • Guanine Nucleotide Exchange Factors / metabolism
  • Humans
  • Immunohistochemistry / methods
  • Infant
  • Japan / epidemiology
  • Magnetic Resonance Imaging / methods
  • Male
  • Mannosyltransferases / genetics
  • Mannosyltransferases / metabolism
  • Membrane Proteins
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / pathology
  • Muscle, Skeletal / physiopathology
  • Muscular Dystrophies / genetics
  • Muscular Dystrophies / metabolism*
  • Muscular Dystrophies / physiopathology
  • Mutation
  • N-Acetylglucosaminyltransferases / genetics
  • N-Acetylglucosaminyltransferases / metabolism
  • Pentosyltransferases
  • Polymorphism, Single-Stranded Conformational
  • Proteins / genetics
  • Proteins / metabolism
  • Rho Guanine Nucleotide Exchange Factors
  • Staining and Labeling / methods

Substances

  • ARHGEF12 protein, human
  • FKTN protein, human
  • Guanine Nucleotide Exchange Factors
  • Membrane Proteins
  • Proteins
  • Rho Guanine Nucleotide Exchange Factors
  • Dystroglycans
  • Mannosyltransferases
  • N-Acetylglucosaminyltransferases
  • protein O-mannose beta-1,2-N-acetylglucosaminyltransferase
  • protein O-mannosyltransferase
  • FKRP protein, human
  • Pentosyltransferases