2013
DOI: 10.1002/ana.23963
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Polyglucosan body myopathy caused by defective ubiquitin ligase RBCK1

Abstract: Glycogen storage diseases are important causes of myopathy and cardiomyopathy. We describe 10 patients from 8 families with childhood or juvenile onset of myopathy, 8 of whom also had rapidly progressive cardiomyopathy, requiring heart transplant in 4. The patients were homozygous or compound heterozygous for missense or truncating mutations in RBCK1, which encodes for a ubiquitin ligase, and had extensive polyglucosan accumulation in skeletal muscle and in the heart in cases of cardiomyopathy. We conclude tha… Show more

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Cited by 134 publications
(144 citation statements)
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“…Given that HOIP levels were lower in interferon-treated cpdm keratinocytes than in WT keratinocytes, augmented activation of antiapoptotic NF-B mediated by an increase in HOIL-1L/HOIP-containing LUBAC might not be able to completely override the augmented cell death caused by loss of SHARPIN. Some humans lacking HOIL-1L, however, exhibit autoinflammation and immunodeficiency in addition to amylopectinosis in early childhood (30), whereas in other cases, mutations in the HOIL-1L gene cause various degrees of myopathies without immunological symptoms beginning in childhood or the juvenile years (39,41). We have not observed any overt inflammatory diseases in HOIL-1L KO or HOIL-1L Ϫ/Ϫ SHARPIN ϩ/cpdm mice, at least by 12 weeks of age ( Fig.…”
Section: Discussionmentioning
confidence: 64%
“…Given that HOIP levels were lower in interferon-treated cpdm keratinocytes than in WT keratinocytes, augmented activation of antiapoptotic NF-B mediated by an increase in HOIL-1L/HOIP-containing LUBAC might not be able to completely override the augmented cell death caused by loss of SHARPIN. Some humans lacking HOIL-1L, however, exhibit autoinflammation and immunodeficiency in addition to amylopectinosis in early childhood (30), whereas in other cases, mutations in the HOIL-1L gene cause various degrees of myopathies without immunological symptoms beginning in childhood or the juvenile years (39,41). We have not observed any overt inflammatory diseases in HOIL-1L KO or HOIL-1L Ϫ/Ϫ SHARPIN ϩ/cpdm mice, at least by 12 weeks of age ( Fig.…”
Section: Discussionmentioning
confidence: 64%
“…A large deletion of 31 799 kb including the last three exons of TRIB3 and the first four exons of RBCK1 has been reported in three patients with immune dysfunction (Boisson et al, 2012). The same deletion has also been found in one patient with severe cardiomyopathy in addition to a possible but unconfirmed immune dysfunction (Nilsson et al, 2013). How this large deletion is related to the immune dysfunction remains to be established.…”
Section: Molecular Geneticsmentioning
confidence: 91%
“…Homozygous or compound heterozygous RBCK1 mutations are associated with early onset of disease, which includes polyglucosan accumulation in several tissues, skeletal myopathy, and rapidly progressing cardiomyopathy (Boisson et al, 2012;Nilsson et al, 2013;Wang et al, 2013). Two distinct phenotypes have been described.…”
Section: Clinical and Morphological Characteristicsmentioning
confidence: 99%
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