2009
DOI: 10.1002/humu.21059
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Mutations and polymorphisms of the skeletal muscle α-actin gene (ACTA1)

Abstract: The ACTA1 gene encodes skeletal muscle a-actin, which is the predominant actin isoform in the sarcomeric thin filaments of adult skeletal muscle, and essential, along with myosin, for muscle contraction. ACTA1 disease-causing mutations were first described in 1999, when a total of 15 mutations were known. In this article we describe 177 different disease-causing ACTA1 mutations, including 85 that have not been described before. ACTA1 mutations result in five overlapping congenital myopathies: nemaline myopathy… Show more

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Cited by 208 publications
(184 citation statements)
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“…4 All previously described patients with recessive ACTA1 disease (B10% of ACTA1 patients) have had functional 'null' variants and make no a-skeletal actin. 1,4,5 All have had severe congenital nemaline myopathy and survival after birth is only possible due to persistence of cardiac a-actin in the skeletal muscle of these children. 5 We describe the first recessive ACTA1 variant associated with expression of a-skeletal actin in skeletal muscle and survival well into adulthood.…”
Section: Discussionmentioning
confidence: 99%
“…4 All previously described patients with recessive ACTA1 disease (B10% of ACTA1 patients) have had functional 'null' variants and make no a-skeletal actin. 1,4,5 All have had severe congenital nemaline myopathy and survival after birth is only possible due to persistence of cardiac a-actin in the skeletal muscle of these children. 5 We describe the first recessive ACTA1 variant associated with expression of a-skeletal actin in skeletal muscle and survival well into adulthood.…”
Section: Discussionmentioning
confidence: 99%
“…12 Of these, most variants are dominant, missense, and have arisen de novo. 13 About 10% are recessive variants. Most recessive variants are genetic or functional null variants 13 but recently recessive ACTA1 disease with retention of skeletal muscle actin expression was described in a family presenting with a rigid spine syndrome.…”
Section: Mutational Spectrummentioning
confidence: 99%
“…13 About 10% are recessive variants. Most recessive variants are genetic or functional null variants 13 but recently recessive ACTA1 disease with retention of skeletal muscle actin expression was described in a family presenting with a rigid spine syndrome. 14 Dominant inheritance is less common, and only seen in families with a milder phenotype.…”
Section: Mutational Spectrummentioning
confidence: 99%
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“…It is worth noting that the second mutation, M49V, has previously been described for the skeletal isoform of a-actin (encoded by the gene ACTA1) in patients with nemaline or cap-type congenital myopathy. 13,14 All three mutations were absent from 192 control chromosomes and were not listed in the GenBank dbSNP library. The mutation R39C was predicted to have benign consequences by the PolyPhen program, but it was called 'deleterious' by the program PANTHER.…”
Section: Detection Of Three Novel Mutations In the Acta2 Genementioning
confidence: 99%