2016
DOI: 10.1016/j.nmd.2016.07.011
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Mild clinical presentation in KLHL40-related nemaline myopathy (NEM 8)

Abstract: Nemaline myopathies are clinically and genetically heterogeneous muscle diseases characterized by the presence of nemaline bodies (rods) in muscle fibers. Mutations in the KLHL40 (kelch-like family member 40) gene (NEM 8) are common cause of severe/lethal nemaline myopathy. We report an 8-year-old girl born to consanguineous Moroccan parents, who presented with hypotonia and poor sucking at birth, delayed motor development, and further mild difficulties in walking and fatigability. A muscle biopsy revealed the… Show more

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Cited by 15 publications
(16 citation statements)
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“…In humans, mutations in the Klhl40 gene have been associated with various forms of nemaline myopathies [216][217][218][219][220][221][222][223][224]. Intriguingly, acetylcholinesterase inhibition initiated a sustained positive response in a patient with a Klhl40 mutation, suggesting a role for this BTB-domain-containing protein in NMJ formation and function [225].…”
Section: Klhl40/kbtbd5mentioning
confidence: 99%
“…In humans, mutations in the Klhl40 gene have been associated with various forms of nemaline myopathies [216][217][218][219][220][221][222][223][224]. Intriguingly, acetylcholinesterase inhibition initiated a sustained positive response in a patient with a Klhl40 mutation, suggesting a role for this BTB-domain-containing protein in NMJ formation and function [225].…”
Section: Klhl40/kbtbd5mentioning
confidence: 99%
“…22 One patient with a mild form of NM has been reported to be homozygous for a missense mutation, p.Arg500Cys, in KLHL40. 63 This mutation has not been found in the severe cases published to date. 22,64,65 Furthermore, one patient with severe NM due to compound heterozygous mutations in KLHL40 showed prolonged beneficial response to treatment with high-dose acetylcholinesterase inhibitors (pyridostigmine).…”
Section: Dominant Variants Inherited Acrossmentioning
confidence: 84%
“…The KLHL40 gene, which is predicted to be a cis-regulation gene of LOC105603392 in this study, was reported as a muscle-specific transcript gene locus ( Garg et al, 2014 ). A number of studies have verified that KLHL40 is a key regulatory control gene in sarcomere thin filament growth ( Chen et al, 2016 ; Seferian et al, 2016 ; Winter et al, 2016 ), though its impact on muscle production is still unknown. Our results indicate that LOC105603392 may affect muscle growth through the cis-regulation of KLHL40.…”
Section: Discussionmentioning
confidence: 99%