Genetic and clinical findings in a Chinese cohort of patients with collagen VI-related myopathies.

Abstract:

:Collagen VI-related myopathy, caused by pathogenic variants in the genes encoding collagen VI, represents a clinical continuum from Ullrich congenital muscular dystrophy (UCMD) to Bethlem myopathy (BM). Clinical data of 60 probands and their family members were collected and muscle biopsies of 26 patients were analyzed. COL6A1, COL6A2 and COL6A3 exons were analyzed by direct sequencing or next generation sequencing (NGS). Sixty patients were characterized by delayed motor milestones, muscle weakness, skin and joint changes with 40 UCMD and 20 BM. Muscle with biopsies revealed dystrophic changes and showed completely deficiency of collagen VI or sarcolemma specific collagen VI deficiency. We identified 62 different pathogenic variants in these 60 patients, with 34 were first reported while 28 were previously known; 72 allelic pathogenic variants in COL6A1 (25/72, 34.7%), COL6A2 (33/72, 45.8%) and COL6A3 (14/72, 19.4%). We also found somatic mosaic variant in the parent of 1 proband by personal genome machine amplicon deep sequencing for mosaicism. Here we provide clinical, histological and genetic evidence of collagen VI-related myopathy in 60 Chinese patients. NGS is a valuable approach for diagnosis and accurate diagnosis provides useful information for genetic counseling of related families.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Fan Y,Liu A,Wei C,Yang H,Chang X,Wang S,Yuan Y,Bonnemann C,Wu Q,Wu X,Xiong H

doi

10.1111/cge.13230

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

1159-1171

issue

6

eissn

0009-9163

issn

1399-0004

journal_volume

93

pub_type

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