DAG1 haploinsufficiency is associated with sporadic and familial isolated or pauci-symptomatic hyperCKemia.


Journal

European journal of human genetics : EJHG
ISSN: 1476-5438
Titre abrégé: Eur J Hum Genet
Pays: England
ID NLM: 9302235

Informations de publication

Date de publication:
04 Jan 2024
Historique:
received: 25 08 2023
accepted: 27 11 2023
revised: 31 10 2023
medline: 5 1 2024
pubmed: 5 1 2024
entrez: 4 1 2024
Statut: aheadofprint

Résumé

DAG1 encodes for dystroglycan, a key component of the dystrophin-glycoprotein complex (DGC) with a pivotal role in skeletal muscle function and maintenance. Biallelic loss-of-function DAG1 variants cause severe muscular dystrophy and muscle-eye-brain disease. A possible contribution of DAG1 deficiency to milder muscular phenotypes has been suggested. We investigated the genetic background of twelve subjects with persistent mild-to-severe hyperCKemia to dissect the role of DAG1 in this condition. Genetic testing was performed through exome sequencing (ES) or custom NGS panels including various genes involved in a spectrum of muscular disorders. Histopathological and Western blot analyses were performed on muscle biopsy samples obtained from three patients. We identified seven novel heterozygous truncating variants in DAG1 segregating with isolated or pauci-symptomatic hyperCKemia in all families. The variants were rare and predicted to lead to nonsense-mediated mRNA decay or the formation of a truncated transcript. In four cases, DAG1 variants were inherited from similarly affected parents. Histopathological analysis revealed a decreased expression of dystroglycan subunits and Western blot confirmed a significantly reduced expression of beta-dystroglycan in muscle samples. This study supports the pathogenic role of DAG1 haploinsufficiency in isolated or pauci-symptomatic hyperCKemia, with implications for clinical management and genetic counseling.

Identifiants

pubmed: 38177406
doi: 10.1038/s41431-023-01516-4
pii: 10.1038/s41431-023-01516-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2023. The Author(s), under exclusive licence to European Society of Human Genetics.

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Auteurs

Monica Traverso (M)

Pediatric Neurology and Muscular Diseases Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Serena Baratto (S)

Centre of Translational and Experimental Myology, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Michele Iacomino (M)

Medical Genetics Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Marco Di Duca (M)

Medical Genetics Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Chiara Panicucci (C)

Centre of Translational and Experimental Myology, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Sara Casalini (S)

Centre of Translational and Experimental Myology, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Marina Grandis (M)

IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Antonio Falace (A)

Pediatric Neurology and Muscular Diseases Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

Annalaura Torella (A)

Department of Precision Medicine, University "Luigi Vanvitelli", Naples, Italy.
Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.

Esther Picillo (E)

Department of Precision Medicine, University "Luigi Vanvitelli", Naples, Italy.
Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.

Maria Elena Onore (ME)

Department of Precision Medicine, University "Luigi Vanvitelli", Naples, Italy.
Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.

Luisa Politano (L)

Department of Precision Medicine, University "Luigi Vanvitelli", Naples, Italy.
Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.

Vincenzo Nigro (V)

Department of Precision Medicine, University "Luigi Vanvitelli", Naples, Italy.
Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.

A Micheil Innes (AM)

Department of Medical Genetics and Pediatrics, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Rita Barresi (R)

IRCCS San Camillo Hospital, Venice, Italy.

Claudio Bruno (C)

Centre of Translational and Experimental Myology, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.

Federico Zara (F)

Medical Genetics Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy. federico.zara@unige.it.
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy. federico.zara@unige.it.

Chiara Fiorillo (C)

Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy. chiarafiorillo@gaslini.org.
Child Neuropsychiatry Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy. chiarafiorillo@gaslini.org.

Marcello Scala (M)

Medical Genetics Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy. mscala.md@gmail.com.
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy. mscala.md@gmail.com.

Classifications MeSH