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<title xml:lang="en">Mutation Update: The Spectra of Nebulin Variants and Associated Myopathies</title>
<author>
<name sortKey="Lehtokari, Vilma Lotta" sort="Lehtokari, Vilma Lotta" uniqKey="Lehtokari V" first="Vilma-Lotta" last="Lehtokari">Vilma-Lotta Lehtokari</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kiiski, Kirsi" sort="Kiiski, Kirsi" uniqKey="Kiiski K" first="Kirsi" last="Kiiski">Kirsi Kiiski</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sandaradura, Sarah A" sort="Sandaradura, Sarah A" uniqKey="Sandaradura S" first="Sarah A." last="Sandaradura">Sarah A. Sandaradura</name>
<affiliation>
<nlm:aff id="A2">INMR, The Children’s Hospital at Westmead and Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Laporte, Jocelyn" sort="Laporte, Jocelyn" uniqKey="Laporte J" first="Jocelyn" last="Laporte">Jocelyn Laporte</name>
<affiliation>
<nlm:aff id="A4">Department of Translational Medicine, IGBMC, Inserm U964, CNRS UMR7104, Collège de France, Strasbourg University, Illkirch, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Repo, Pauliina" sort="Repo, Pauliina" uniqKey="Repo P" first="Pauliina" last="Repo">Pauliina Repo</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Frey, Jennifer A" sort="Frey, Jennifer A" uniqKey="Frey J" first="Jennifer A." last="Frey">Jennifer A. Frey</name>
<affiliation>
<nlm:aff id="A5">Prevention Genetics Marshfield, Marshfield, Wisconsin</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Donner, Kati" sort="Donner, Kati" uniqKey="Donner K" first="Kati" last="Donner">Kati Donner</name>
<affiliation>
<nlm:aff id="A6">Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Marttila, Minttu" sort="Marttila, Minttu" uniqKey="Marttila M" first="Minttu" last="Marttila">Minttu Marttila</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Saunders, Carol" sort="Saunders, Carol" uniqKey="Saunders C" first="Carol" last="Saunders">Carol Saunders</name>
<affiliation>
<nlm:aff id="A7">Center for Pediatric Genomic Medicine Children’s Mercy Hospitals and Clinics, Kansas City, Missouri</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Barth, Peter G" sort="Barth, Peter G" uniqKey="Barth P" first="Peter G." last="Barth">Peter G. Barth</name>
<affiliation>
<nlm:aff id="A8">Department of Pediatric Neurology, Emma Children’s Hospital/AMC, University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Den Dunnen, Johan T" sort="Den Dunnen, Johan T" uniqKey="Den Dunnen J" first="Johan T." last="Den Dunnen">Johan T. Den Dunnen</name>
<affiliation>
<nlm:aff id="A9">Human and Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Beggs, Alan H" sort="Beggs, Alan H" uniqKey="Beggs A" first="Alan H." last="Beggs">Alan H. Beggs</name>
<affiliation>
<nlm:aff id="A10">Division of Genetics and Genomics, Manton Center for Orphan Disease Research, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Clarke, Nigel F" sort="Clarke, Nigel F" uniqKey="Clarke N" first="Nigel F." last="Clarke">Nigel F. Clarke</name>
<affiliation>
<nlm:aff id="A2">INMR, The Children’s Hospital at Westmead and Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="North, Kathryn N" sort="North, Kathryn N" uniqKey="North K" first="Kathryn N." last="North">Kathryn N. North</name>
<affiliation>
<nlm:aff id="A11">Murdoch Childrens Research, Melbourne, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Laing, Nigel G" sort="Laing, Nigel G" uniqKey="Laing N" first="Nigel G." last="Laing">Nigel G. Laing</name>
<affiliation>
<nlm:aff id="A12">Centre for Medical Research University of Western Australia and Harry Perkins Institute of Medical Research, QEII Medical Centre, Nedlands, Perth, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Romero, Norma B" sort="Romero, Norma B" uniqKey="Romero N" first="Norma B." last="Romero">Norma B. Romero</name>
<affiliation>
<nlm:aff id="A13">Myology Institute, UPMC Paris-6, INSERM UMR 974, GHU La Pitié-Salpêtrière, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Winder, Thomas L" sort="Winder, Thomas L" uniqKey="Winder T" first="Thomas L." last="Winder">Thomas L. Winder</name>
<affiliation>
<nlm:aff id="A5">Prevention Genetics Marshfield, Marshfield, Wisconsin</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pelin, Katarina" sort="Pelin, Katarina" uniqKey="Pelin K" first="Katarina" last="Pelin">Katarina Pelin</name>
<affiliation>
<nlm:aff id="A14">Department of Biosciences, Division of Genetics, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Wallgren Pettersson, Carina" sort="Wallgren Pettersson, Carina" uniqKey="Wallgren Pettersson C" first="Carina" last="Wallgren-Pettersson">Carina Wallgren-Pettersson</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
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<idno type="doi">10.1002/humu.22693</idno>
<date when="2014">2014</date>
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<title xml:lang="en" level="a" type="main">Mutation Update: The Spectra of Nebulin Variants and Associated Myopathies</title>
<author>
<name sortKey="Lehtokari, Vilma Lotta" sort="Lehtokari, Vilma Lotta" uniqKey="Lehtokari V" first="Vilma-Lotta" last="Lehtokari">Vilma-Lotta Lehtokari</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kiiski, Kirsi" sort="Kiiski, Kirsi" uniqKey="Kiiski K" first="Kirsi" last="Kiiski">Kirsi Kiiski</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sandaradura, Sarah A" sort="Sandaradura, Sarah A" uniqKey="Sandaradura S" first="Sarah A." last="Sandaradura">Sarah A. Sandaradura</name>
<affiliation>
<nlm:aff id="A2">INMR, The Children’s Hospital at Westmead and Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Laporte, Jocelyn" sort="Laporte, Jocelyn" uniqKey="Laporte J" first="Jocelyn" last="Laporte">Jocelyn Laporte</name>
<affiliation>
<nlm:aff id="A4">Department of Translational Medicine, IGBMC, Inserm U964, CNRS UMR7104, Collège de France, Strasbourg University, Illkirch, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Repo, Pauliina" sort="Repo, Pauliina" uniqKey="Repo P" first="Pauliina" last="Repo">Pauliina Repo</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Frey, Jennifer A" sort="Frey, Jennifer A" uniqKey="Frey J" first="Jennifer A." last="Frey">Jennifer A. Frey</name>
<affiliation>
<nlm:aff id="A5">Prevention Genetics Marshfield, Marshfield, Wisconsin</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Donner, Kati" sort="Donner, Kati" uniqKey="Donner K" first="Kati" last="Donner">Kati Donner</name>
<affiliation>
<nlm:aff id="A6">Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Marttila, Minttu" sort="Marttila, Minttu" uniqKey="Marttila M" first="Minttu" last="Marttila">Minttu Marttila</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Saunders, Carol" sort="Saunders, Carol" uniqKey="Saunders C" first="Carol" last="Saunders">Carol Saunders</name>
<affiliation>
<nlm:aff id="A7">Center for Pediatric Genomic Medicine Children’s Mercy Hospitals and Clinics, Kansas City, Missouri</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Barth, Peter G" sort="Barth, Peter G" uniqKey="Barth P" first="Peter G." last="Barth">Peter G. Barth</name>
<affiliation>
<nlm:aff id="A8">Department of Pediatric Neurology, Emma Children’s Hospital/AMC, University of Amsterdam, Amsterdam, The Netherlands</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Den Dunnen, Johan T" sort="Den Dunnen, Johan T" uniqKey="Den Dunnen J" first="Johan T." last="Den Dunnen">Johan T. Den Dunnen</name>
<affiliation>
<nlm:aff id="A9">Human and Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Beggs, Alan H" sort="Beggs, Alan H" uniqKey="Beggs A" first="Alan H." last="Beggs">Alan H. Beggs</name>
<affiliation>
<nlm:aff id="A10">Division of Genetics and Genomics, Manton Center for Orphan Disease Research, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Clarke, Nigel F" sort="Clarke, Nigel F" uniqKey="Clarke N" first="Nigel F." last="Clarke">Nigel F. Clarke</name>
<affiliation>
<nlm:aff id="A2">INMR, The Children’s Hospital at Westmead and Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Sydney, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="North, Kathryn N" sort="North, Kathryn N" uniqKey="North K" first="Kathryn N." last="North">Kathryn N. North</name>
<affiliation>
<nlm:aff id="A11">Murdoch Childrens Research, Melbourne, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Laing, Nigel G" sort="Laing, Nigel G" uniqKey="Laing N" first="Nigel G." last="Laing">Nigel G. Laing</name>
<affiliation>
<nlm:aff id="A12">Centre for Medical Research University of Western Australia and Harry Perkins Institute of Medical Research, QEII Medical Centre, Nedlands, Perth, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Romero, Norma B" sort="Romero, Norma B" uniqKey="Romero N" first="Norma B." last="Romero">Norma B. Romero</name>
<affiliation>
<nlm:aff id="A13">Myology Institute, UPMC Paris-6, INSERM UMR 974, GHU La Pitié-Salpêtrière, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Winder, Thomas L" sort="Winder, Thomas L" uniqKey="Winder T" first="Thomas L." last="Winder">Thomas L. Winder</name>
<affiliation>
<nlm:aff id="A5">Prevention Genetics Marshfield, Marshfield, Wisconsin</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pelin, Katarina" sort="Pelin, Katarina" uniqKey="Pelin K" first="Katarina" last="Pelin">Katarina Pelin</name>
<affiliation>
<nlm:aff id="A14">Department of Biosciences, Division of Genetics, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Wallgren Pettersson, Carina" sort="Wallgren Pettersson, Carina" uniqKey="Wallgren Pettersson C" first="Carina" last="Wallgren-Pettersson">Carina Wallgren-Pettersson</name>
<affiliation>
<nlm:aff id="A1">The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Human mutation</title>
<idno type="ISSN">1059-7794</idno>
<idno type="eISSN">1098-1004</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P1">A mutation update on the nebulin gene (
<italic>NEB</italic>
) is necessary because of recent developments in analysis methodology, the identification of increasing numbers and novel types of variants, and a widening in the spectrum of clinical and histological phenotypes associated with this gigantic, 183 exons containing gene. Recessive pathogenic variants in
<italic>NEB</italic>
are the major cause of nemaline myopathy (NM), one of the most common congenital myopathies. Moreover, pathogenic
<italic>NEB</italic>
variants have been identified in core-rod myopathy and in distal myopathies. In this update, we present the disease-causing variants in
<italic>NEB</italic>
in 159 families, 143 families with NM, and 16 families with NM-related myopathies. Eighty-eight families are presented here for the first time. We summarize 86 previously published and 126 unpublished variants identified in
<italic>NEB</italic>
. Furthermore, we have analyzed the
<italic>NEB</italic>
variants deposited in the Exome Variant Server (
<ext-link ext-link-type="uri" xlink:href="http://evs.gs.washington.edu/EVS/">http://evs.gs.washington.edu/EVS/</ext-link>
), identifying that pathogenic variants are a minor fraction of all coding variants (~7%). This indicates that nebulin tolerates substantial changes in its amino acid sequence, providing an explanation as to why variants in such a large gene result in relatively rare disorders. Lastly, we discuss the difficulties of drawing reliable genotype–phenotype correlations in
<italic>NEB</italic>
-associated disease.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9215429</journal-id>
<journal-id journal-id-type="pubmed-jr-id">2408</journal-id>
<journal-id journal-id-type="nlm-ta">Hum Mutat</journal-id>
<journal-id journal-id-type="iso-abbrev">Hum. Mutat.</journal-id>
<journal-title-group>
<journal-title>Human mutation</journal-title>
</journal-title-group>
<issn pub-type="ppub">1059-7794</issn>
<issn pub-type="epub">1098-1004</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25205138</article-id>
<article-id pub-id-type="pmc">4295925</article-id>
<article-id pub-id-type="doi">10.1002/humu.22693</article-id>
<article-id pub-id-type="manuscript">NIHMS654396</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Mutation Update: The Spectra of Nebulin Variants and Associated Myopathies</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lehtokari</surname>
<given-names>Vilma-Lotta</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="corresp" rid="CR1">*</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kiiski</surname>
<given-names>Kirsi</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sandaradura</surname>
<given-names>Sarah A.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Laporte</surname>
<given-names>Jocelyn</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Repo</surname>
<given-names>Pauliina</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Frey</surname>
<given-names>Jennifer A.</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Donner</surname>
<given-names>Kati</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Marttila</surname>
<given-names>Minttu</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Saunders</surname>
<given-names>Carol</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Barth</surname>
<given-names>Peter G.</given-names>
</name>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>den Dunnen</surname>
<given-names>Johan T.</given-names>
</name>
<xref ref-type="aff" rid="A9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Beggs</surname>
<given-names>Alan H.</given-names>
</name>
<xref ref-type="aff" rid="A10">10</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Clarke</surname>
<given-names>Nigel F.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>North</surname>
<given-names>Kathryn N.</given-names>
</name>
<xref ref-type="aff" rid="A11">11</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Laing</surname>
<given-names>Nigel G.</given-names>
</name>
<xref ref-type="aff" rid="A12">12</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Romero</surname>
<given-names>Norma B.</given-names>
</name>
<xref ref-type="aff" rid="A13">13</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Winder</surname>
<given-names>Thomas L.</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pelin</surname>
<given-names>Katarina</given-names>
</name>
<xref ref-type="aff" rid="A14">14</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wallgren-Pettersson</surname>
<given-names>Carina</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland</aff>
<aff id="A2">
<label>2</label>
INMR, The Children’s Hospital at Westmead and Sydney Medical School, University of Sydney, Sydney, Australia</aff>
<aff id="A3">
<label>3</label>
Discipline of Paediatrics and Child Health, Sydney Medical School, University of Sydney, Sydney, Australia</aff>
<aff id="A4">
<label>4</label>
Department of Translational Medicine, IGBMC, Inserm U964, CNRS UMR7104, Collège de France, Strasbourg University, Illkirch, France</aff>
<aff id="A5">
<label>5</label>
Prevention Genetics Marshfield, Marshfield, Wisconsin</aff>
<aff id="A6">
<label>6</label>
Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland</aff>
<aff id="A7">
<label>7</label>
Center for Pediatric Genomic Medicine Children’s Mercy Hospitals and Clinics, Kansas City, Missouri</aff>
<aff id="A8">
<label>8</label>
Department of Pediatric Neurology, Emma Children’s Hospital/AMC, University of Amsterdam, Amsterdam, The Netherlands</aff>
<aff id="A9">
<label>9</label>
Human and Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands</aff>
<aff id="A10">
<label>10</label>
Division of Genetics and Genomics, Manton Center for Orphan Disease Research, Boston Children’s Hospital, Harvard Medical School, Boston, Massachusetts</aff>
<aff id="A11">
<label>11</label>
Murdoch Childrens Research, Melbourne, Australia</aff>
<aff id="A12">
<label>12</label>
Centre for Medical Research University of Western Australia and Harry Perkins Institute of Medical Research, QEII Medical Centre, Nedlands, Perth, Australia</aff>
<aff id="A13">
<label>13</label>
Myology Institute, UPMC Paris-6, INSERM UMR 974, GHU La Pitié-Salpêtrière, Paris, France</aff>
<aff id="A14">
<label>14</label>
Department of Biosciences, Division of Genetics, University of Helsinki, Helsinki, Finland</aff>
<author-notes>
<corresp id="CR1">
<label>*</label>
Correspondence to: Vilma-Lotta Lehtokari, The Folkhälsan Institute of Genetics and the Department of Medical Genetics, Haartman Institute, University of Helsinki, Biomedicum Helsinki, PO Box #63 (Haartmaninkatu 8), University of Helsinki, Helsinki 00014, Finland.
<email>vilma.lehtokari@helsinki.fi</email>
.</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>10</day>
<month>1</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>12</month>
<year>2015</year>
</pub-date>
<volume>35</volume>
<issue>12</issue>
<fpage>1418</fpage>
<lpage>1426</lpage>
<pmc-comment>elocation-id from pubmed: 10.1002/humu.22693</pmc-comment>
<permissions>
<copyright-statement>© 2014 WILEY PERIODICALS, INC.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<p id="P1">A mutation update on the nebulin gene (
<italic>NEB</italic>
) is necessary because of recent developments in analysis methodology, the identification of increasing numbers and novel types of variants, and a widening in the spectrum of clinical and histological phenotypes associated with this gigantic, 183 exons containing gene. Recessive pathogenic variants in
<italic>NEB</italic>
are the major cause of nemaline myopathy (NM), one of the most common congenital myopathies. Moreover, pathogenic
<italic>NEB</italic>
variants have been identified in core-rod myopathy and in distal myopathies. In this update, we present the disease-causing variants in
<italic>NEB</italic>
in 159 families, 143 families with NM, and 16 families with NM-related myopathies. Eighty-eight families are presented here for the first time. We summarize 86 previously published and 126 unpublished variants identified in
<italic>NEB</italic>
. Furthermore, we have analyzed the
<italic>NEB</italic>
variants deposited in the Exome Variant Server (
<ext-link ext-link-type="uri" xlink:href="http://evs.gs.washington.edu/EVS/">http://evs.gs.washington.edu/EVS/</ext-link>
), identifying that pathogenic variants are a minor fraction of all coding variants (~7%). This indicates that nebulin tolerates substantial changes in its amino acid sequence, providing an explanation as to why variants in such a large gene result in relatively rare disorders. Lastly, we discuss the difficulties of drawing reliable genotype–phenotype correlations in
<italic>NEB</italic>
-associated disease.</p>
</abstract>
<kwd-group>
<kwd>nebulin</kwd>
<kwd>
<italic>NEB</italic>
</kwd>
<kwd>nemaline (rod) myopathy</kwd>
<kwd>actin–myosin</kwd>
<kwd>sarcomere</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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