Myosin storage myopathy associated with a heterozygous missense mutation in MYH7

H Tajsharghi, LE Thornell, C Lindberg… - Annals of Neurology …, 2003 - Wiley Online Library
H Tajsharghi, LE Thornell, C Lindberg, B Lindvall, KG Henriksson, A Oldfors
Annals of Neurology: Official Journal of the American Neurological …, 2003Wiley Online Library
Myosin constitutes the major part of the thick filaments in the contractile apparatus of striated
muscle. MYH7 encodes the slow/β‐cardiac myosin heavy chain (MyHC), which is the main
MyHC isoform in slow, oxidative, type 1 muscle fibers of skeletal muscle. It is also the major
MyHC isoform of cardiac ventricles. Numerous missense mutations in the globular head of
slow/β‐cardiac MyHC are associated with familial hypertrophic cardiomyopathy. We
identified a missense mutation, Arg1845Trp, in the rod region of slow/β‐cardiac MyHC in …
Abstract
Myosin constitutes the major part of the thick filaments in the contractile apparatus of striated muscle. MYH7 encodes the slow/β‐cardiac myosin heavy chain (MyHC), which is the main MyHC isoform in slow, oxidative, type 1 muscle fibers of skeletal muscle. It is also the major MyHC isoform of cardiac ventricles. Numerous missense mutations in the globular head of slow/β‐cardiac MyHC are associated with familial hypertrophic cardiomyopathy. We identified a missense mutation, Arg1845Trp, in the rod region of slow/β‐cardiac MyHC in patients with a skeletal myopathy from two different families. The myopathy was characterized by muscle weakness and wasting with onset in childhood and slow progression, but no overt cardiomyopathy. Slow, oxidative, type 1 muscle fibers showed large inclusions consisting of slow/β‐cardiac MyHC. The features were similar to a previously described entity: hyaline body myopathy. Our findings indicate that the mutated residue of slow/β‐cardiac MyHC is essential for the assembly of thick filaments in skeletal muscle. We propose the term myosin storage myopathy for this disease.
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