Mild congenital muscular dystrophy in two patients with an internally deleted laminin alpha2-chain

Hum Mol Genet. 1997 May;6(5):747-52. doi: 10.1093/hmg/6.5.747.

Abstract

Congenital muscular dystrophy (CMD) is a group of clinically and genetically heterogeneous disorders inherited in an autosomal recessive mode. The alpha2-chain of laminin-2 (previously called merosin) has been shown by immunohistochemical and genetic analyses to be implicated in the pathogenesis of the 'classic' form of CMD. In the 'merosin-deficient' subgroup, which represents about half of the cases, more definite evidence of the involvement of the laminin alpha2-chain has recently been reported with the identification of mutations in the gene encoding the alpha2-chain of laminin 2 (LAMA2) in CMD patients. Here we report on two siblings from a consanguineous family expressing an internally deleted laminin alpha2-chain as a result of a splice site mutation in the LAMA2 gene which causes the splicing of exon 25. The predicted protein lacks 63 amino acids in domain IVa which forms a globular structure on the short arm of the alpha2-chain. Interestingly, these patients appear mildly affected compared to others who completely lack this protein. This situation presents a striking analogy with Becker muscular dystrophy, where in-frame deletions in the dystrophin gene result in the expression of a semi-functional protein and lead to a mild phenotype.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Amino Acid Sequence
  • Base Sequence
  • Binding Sites
  • Child, Preschool
  • Consanguinity
  • Conserved Sequence
  • Female
  • Fluorescent Antibody Technique
  • Humans
  • Immunoblotting
  • Infant
  • Laminin / genetics*
  • Laminin / immunology
  • Laminin / metabolism
  • Male
  • Molecular Sequence Data
  • Muscle, Skeletal / immunology
  • Muscular Dystrophies / congenital*
  • Muscular Dystrophies / genetics*
  • Polymerase Chain Reaction
  • Pregnancy
  • RNA Splicing
  • Saudi Arabia
  • Sequence Deletion*

Substances

  • Laminin
  • laminin alpha 2