Infantile onset myofibrillar myopathy due to recessive CRYAB mutations

Katharine M. L. Forrest, Safa Al-Sarraj, Caroline Sewry, Stefan Buk, S. Veronica Tan, Matthew Pitt, Andrew Durward , Marilyn McDougall, Melita Irving, Michael G. Hanna, Emma Matthews, Anna Sarkozyi, Judith Hudson, Rita Barresi, Kate Bushby, Heinz Jungbluth, Elizabeth Wraige

Research output: Contribution to journalArticlepeer-review

56 Citations (Scopus)

Abstract

Mutations in the alpha B-crystallin (CRYAB) gene, encoding a small heat shock protein with chaperone function, are a rare cause of myofibrillar myopathy with autosomal-dominant inheritance, late-onset and moderate severity. We report a female infant presenting from 4 months with profound muscle stiffness, persistent creatine kinase elevation and electromyography characterized by spontaneous electrical activity and pseudomyotonic discharges. Muscle biopsy suggested a myofibrillar myopathy and genetic testing revealed homozygosity for the CRYAB mutation c.343delT (p.Ser115ProfsX14). These findings suggest a severe, recessively inherited form of CRYAB-related myofibrillar myopathy. Profound muscle stiffness as the main presenting feature indicates alpha B-crystallin as a potent modifier of muscle contractility.
Original languageEnglish
Pages (from-to)37 - 40
Number of pages4
JournalNeuromuscular Disorders
Volume21
Issue number1
DOIs
Publication statusPublished - Jan 2011

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