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SEPN1: Associated with congenital fiber‐type disproportion and insulin resistance

Identifieur interne : 002299 ( Istex/Corpus ); précédent : 002298; suivant : 002300

SEPN1: Associated with congenital fiber‐type disproportion and insulin resistance

Auteurs : Nigel F. Clarke ; Warren Kidson ; Susana Quijano-Roy ; Brigitte Estournet ; Ana Ferreiro ; Pascale Guicheney ; James I. Manson ; Andrew J. Kornberg ; Lloyd K. Shield ; Kathryn N. North

Source :

RBID : ISTEX:BB957079C5102318712D56E6CC10E28C18BC6CAA

English descriptors

Abstract

Our first objective was to determine whether SEPN1 gene mutations are a cause of congenital fiber‐type disproportion (CFTD), a rare form of congenital myopathy in which relative hypotrophy of type 1 (slow twitch) muscle fibers is the principal abnormality on histology. Second, we investigated an association between SEPN1‐related myopathy and insulin resistance.

Url:
DOI: 10.1002/ana.20761

Links to Exploration step

ISTEX:BB957079C5102318712D56E6CC10E28C18BC6CAA

Le document en format XML

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<term>Abnormality</term>
<term>Activity levels</term>
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<term>Atpase stains</term>
<term>Base pair fragment</term>
<term>Biopsy</term>
<term>Blood samples</term>
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<term>Bone density</term>
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<term>Clinical features</term>
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<term>Congenital myopathy</term>
<term>Desminrelated myopathy</term>
<term>Diagnostic guidelines</term>
<term>Different sepn1 mutations</term>
<term>Disproportion</term>
<term>Dystrophic features</term>
<term>Electron microscopy</term>
<term>Entire coding sequence</term>
<term>Family trees</term>
<term>Fiber diameter</term>
<term>Glucose</term>
<term>Glucose dose</term>
<term>Glucose load</term>
<term>Glucose metabolism</term>
<term>Glucose tolerance testing</term>
<term>Glucose tolerance tests</term>
<term>Healthy parents</term>
<term>Histological</term>
<term>Homozygous cftd</term>
<term>Homozygous unbiopsied</term>
<term>Insulin</term>
<term>Insulin levels</term>
<term>Insulin peak</term>
<term>Insulin receptor gene</term>
<term>Insulin resistance</term>
<term>Insulin sensitivity</term>
<term>Inverse relationship</term>
<term>Main histological abnormality</term>
<term>Many cases</term>
<term>Mild hirsutism</term>
<term>Multiminicore disease</term>
<term>Muscle biopsies</term>
<term>Muscle biopsy</term>
<term>Muscle disease</term>
<term>Muscle fibers</term>
<term>Muscular dystrophy</term>
<term>Mutation</term>
<term>Myopathy</term>
<term>Myopathy patients</term>
<term>Neck weakness</term>
<term>Neurology</term>
<term>Other cftd patients</term>
<term>Peak insulin levels</term>
<term>Phenotype</term>
<term>Poor head control</term>
<term>Progressive scoliosis</term>
<term>Rare form</term>
<term>Reference range</term>
<term>Relative hypotrophy</term>
<term>Respiratory muscle weakness</term>
<term>Rigid spine</term>
<term>Rsmd1</term>
<term>Scoliosis</term>
<term>Selenoprotein</term>
<term>Sepn1</term>
<term>Sepn1 gene</term>
<term>Sepn1 gene mutations</term>
<term>Sepn1 mutation</term>
<term>Sepn1 mutations</term>
<term>Skeletal muscle</term>
<term>Slow twitch</term>
<term>Spinal rigidity</term>
<term>Standard techniques</term>
<term>Truncal hypotonia</term>
<term>Upper limit</term>
<term>Upper limits</term>
<term>Western blot</term>
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<term>Abnormality</term>
<term>Activity levels</term>
<term>Ambulant</term>
<term>Atpase stains</term>
<term>Base pair fragment</term>
<term>Biopsy</term>
<term>Blood samples</term>
<term>Body mass index</term>
<term>Bone density</term>
<term>Cftd</term>
<term>Cftd patients</term>
<term>Cftd study</term>
<term>Clinical clues</term>
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<term>Congenital disproportion</term>
<term>Congenital myopathy</term>
<term>Desminrelated myopathy</term>
<term>Diagnostic guidelines</term>
<term>Different sepn1 mutations</term>
<term>Disproportion</term>
<term>Dystrophic features</term>
<term>Electron microscopy</term>
<term>Entire coding sequence</term>
<term>Family trees</term>
<term>Fiber diameter</term>
<term>Glucose</term>
<term>Glucose dose</term>
<term>Glucose load</term>
<term>Glucose metabolism</term>
<term>Glucose tolerance testing</term>
<term>Glucose tolerance tests</term>
<term>Healthy parents</term>
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<term>Homozygous cftd</term>
<term>Homozygous unbiopsied</term>
<term>Insulin</term>
<term>Insulin levels</term>
<term>Insulin peak</term>
<term>Insulin receptor gene</term>
<term>Insulin resistance</term>
<term>Insulin sensitivity</term>
<term>Inverse relationship</term>
<term>Main histological abnormality</term>
<term>Many cases</term>
<term>Mild hirsutism</term>
<term>Multiminicore disease</term>
<term>Muscle biopsies</term>
<term>Muscle biopsy</term>
<term>Muscle disease</term>
<term>Muscle fibers</term>
<term>Muscular dystrophy</term>
<term>Mutation</term>
<term>Myopathy</term>
<term>Myopathy patients</term>
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<term>Neurology</term>
<term>Other cftd patients</term>
<term>Peak insulin levels</term>
<term>Phenotype</term>
<term>Poor head control</term>
<term>Progressive scoliosis</term>
<term>Rare form</term>
<term>Reference range</term>
<term>Relative hypotrophy</term>
<term>Respiratory muscle weakness</term>
<term>Rigid spine</term>
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<term>Scoliosis</term>
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<term>Slow twitch</term>
<term>Spinal rigidity</term>
<term>Standard techniques</term>
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<div type="abstract">Our first objective was to determine whether SEPN1 gene mutations are a cause of congenital fiber‐type disproportion (CFTD), a rare form of congenital myopathy in which relative hypotrophy of type 1 (slow twitch) muscle fibers is the principal abnormality on histology. Second, we investigated an association between SEPN1‐related myopathy and insulin resistance.</div>
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<abstract>Our first objective was to determine whether SEPN1 gene mutations are a cause of congenital fiber‐type disproportion (CFTD), a rare form of congenital myopathy in which relative hypotrophy of type 1 (slow twitch) muscle fibers is the principal abnormality on histology. Second, we investigated an association between SEPN1‐related myopathy and insulin resistance.</abstract>
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<i>SEPN1</i>
mutation and had clinical features typical of previously reported patients with
<i>SEPN1</i>
‐related myopathy. Five of eight
<i>SEPN1</i>
‐related myopathy patients had abnormalities on OGTT suggestive of insulin resistance.</p>
</section>
<section xml:id="abs1-4">
<title type="main">
<span cssStyle="text-decoration:underline">
<i>Interpretation</i>
</span>
</title>
<p>
<i>SEPN1</i>
is the second genetic cause of CFTD and the first cause of autosomal recessive CFTD to be identified to our knowledge. CFTD is the fourth clinicopathological presentation that can be associated with mutations in
<i>SEPN1</i>
. Insulin resistance may be a specific, previously unrecognized aspect of
<i>SEPN1</i>
‐related myopathy. Ann Neurol 2006</p>
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<title>SEPN1: Associated with congenital fiber‐type disproportion and insulin resistance</title>
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<title>SEPN1, CFTD, and Insulin Resistance</title>
</titleInfo>
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<title>SEPN1: Associated with congenital fiber‐type disproportion and insulin resistance</title>
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<name type="personal">
<namePart type="given">Nigel F.</namePart>
<namePart type="family">Clarke</namePart>
<namePart type="termsOfAddress">MBChB</namePart>
<affiliation>Institute for Neuromuscular Research, Children's Hospital at Westmead, Discipline of Paediatrics and Child Health, University of Sydney, Sydney, Australia</affiliation>
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<name type="personal">
<namePart type="given">Warren</namePart>
<namePart type="family">Kidson</namePart>
<namePart type="termsOfAddress">MBBS</namePart>
<affiliation>Prince of Wales and Sydney Children's Hospitals, Sydney, New South Wales, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Susana</namePart>
<namePart type="family">Quijano‐Roy</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>AP HP, Hôpital Raymond Poincaré, Garches, France</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Brigitte</namePart>
<namePart type="family">Estournet</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>AP HP, Hôpital Raymond Poincaré, Garches, France</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Ana</namePart>
<namePart type="family">Ferreiro</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Institut National de la Santé et de la Recherche Médicale, U582, Institut de Myologie, IFR14, France</affiliation>
<affiliation>Université Pierre et Marie Curie, Paris, France</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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<name type="personal">
<namePart type="given">Pascale</namePart>
<namePart type="family">Guicheney</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>Institut National de la Santé et de la Recherche Médicale, U582, Institut de Myologie, IFR14, France</affiliation>
<affiliation>Université Pierre et Marie Curie, Paris, France</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">James I.</namePart>
<namePart type="family">Manson</namePart>
<namePart type="termsOfAddress">MBBS</namePart>
<affiliation>Department of Neurology, Women's and Children's Hospital, Adelaide, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Andrew J.</namePart>
<namePart type="family">Kornberg</namePart>
<namePart type="termsOfAddress">MBBS (Hons)</namePart>
<affiliation>Department of Neurology, Royal Children's Hospital, Melbourne, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Lloyd K.</namePart>
<namePart type="family">Shield</namePart>
<namePart type="termsOfAddress">MBBS (Hons)</namePart>
<affiliation>Department of Neurology, Royal Children's Hospital, Melbourne, Australia</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Kathryn N.</namePart>
<namePart type="family">North</namePart>
<namePart type="termsOfAddress">MBBS, MD</namePart>
<affiliation>Institute for Neuromuscular Research, Children's Hospital at Westmead, Discipline of Paediatrics and Child Health, University of Sydney, Sydney, Australia</affiliation>
<affiliation>E-mail: kathryn@chw.edu.au</affiliation>
<affiliation>Correspondence address: Children's Hospital at Westmead, Locked Bag 4001, Westmead, New South Wales 2145, Australia</affiliation>
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<abstract>Our first objective was to determine whether SEPN1 gene mutations are a cause of congenital fiber‐type disproportion (CFTD), a rare form of congenital myopathy in which relative hypotrophy of type 1 (slow twitch) muscle fibers is the principal abnormality on histology. Second, we investigated an association between SEPN1‐related myopathy and insulin resistance.</abstract>
<abstract>We sequenced SEPN1 in five unrelated CFTD patients with scoliosis and respiratory muscle weakness and screened an additional 22 CFTD patients for abnormalities in SEPN1 by Western blotting and restriction digest for the 943G→A mutation. We performed oral glucose tolerance tests (OGTTs) in eight SEPN1‐related myopathy patients.</abstract>
<abstract>Two sisters with CFTD were homozygous for the 943G→A SEPN1 mutation and had clinical features typical of previously reported patients with SEPN1‐related myopathy. Five of eight SEPN1‐related myopathy patients had abnormalities on OGTT suggestive of insulin resistance.</abstract>
<abstract>SEPN1 is the second genetic cause of CFTD and the first cause of autosomal recessive CFTD to be identified to our knowledge. CFTD is the fourth clinicopathological presentation that can be associated with mutations in SEPN1. Insulin resistance may be a specific, previously unrecognized aspect of SEPN1‐related myopathy. Ann Neurol 2006</abstract>
<note type="funding">National Health and Medical Research Council of Australia - No. 139039; No. 206529; </note>
<note type="funding">Muscular Dystrophy Association of New South Wales, Australia</note>
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<identifier type="ISSN">0364-5134</identifier>
<identifier type="eISSN">1531-8249</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8249</identifier>
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<number>59</number>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 American Neurological Association</accessCondition>
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