Centronuclear myopathies: genotype–phenotype correlation and frequency of defined genetic forms in an Italian cohort

Fabiana Fattori, Lorenzo Maggi, Claudio Bruno, Denise Cassandrini, Valentina Codemo, Michela Catteruccia, Giorgio Tasca, Angela Berardinelli, Francesca Magri, Marika Pane, Anna Rubegni, Lucio Santoro, Lucia Ruggiero, Patrizio Fiorini, Antonella Pini, Tiziana Mongini, Sonia Messina, Giacomo Brisca, Irene Colombo, Guja AstreaChiara Fiorillo, Cinzia Bragato, Isabella Moroni, Elena Pegoraro, Maria Rosaria D’Apice, Enrico Alfei, Marina Mora, Lucia Morandi, Alice Donati, Anni Evilä, Anna Vihola, Bjarne Udd, Pia Bernansconi, Eugenio Mercuri, Filippo Maria Santorelli, Enrico Bertini, Adele D’Amico

Research output: Contribution to journalArticle

Abstract

Centronuclear myopathies (CNMs) are a group of clinically and genetically heterogeneous muscle disorders. To date, mutation in 7 different genes has been reported to cause CNMs but 30 % of cases still remain genetically undefined. Genetic investigations are often expensive and time consuming. Clinical and morphological clues are needed to facilitate genetic tests and to choose the best approach for genetic screening. We aimed to describe genotype–phenotype correlation in an Italian cohort of patients affected by CNMs, to define the relative frequencies of its defined genetic forms and to draw a diagnostic algorithm to address genetic investigations. We recruited patients with CNMs from all the Italian tertiary neuromuscular centers following clinical and histological criteria. All selected patients were screened for the four ‘canonical’ genes related to CNMs: MTM1, DNM2, RYR1 and BIN1. Pathogenetic mutations were found in 38 of the 54 screened patients (70 %), mostly in patients with congenital onset (25 of 30 patients, 83 %): 15 in MTM1, 6 in DNM2, 3 in RYR1 and one in TTN. Among the 13 patients with a childhood–adolescence onset, mutations were found in 6 patients (46 %), all in DNM2. In the group of the 11 patients with adult onset, mutations were identified in 7 patients (63 %), again in DNM2, confirming that variants in this gene are relatively more common in late-onset phenotypes. The present study provides the relative molecular frequency of centronuclear myopathy and of its genetically defined forms in Italy and also proposes a diagnostic algorithm to be used in clinical practice to address genetic investigations.

Original languageEnglish
Pages (from-to)1728-1740
Number of pages13
JournalJournal of Neurology
Volume262
Issue number7
DOIs
Publication statusPublished - May 10 2015

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Congenital Structural Myopathies
Mutation
Genes
Genetic Testing
Muscular Diseases
Italy

Keywords

  • Algorithm
  • Centronuclear
  • Congenital myopathy
  • DNM2
  • RYR1

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Centronuclear myopathies : genotype–phenotype correlation and frequency of defined genetic forms in an Italian cohort. / Fattori, Fabiana; Maggi, Lorenzo; Bruno, Claudio; Cassandrini, Denise; Codemo, Valentina; Catteruccia, Michela; Tasca, Giorgio; Berardinelli, Angela; Magri, Francesca; Pane, Marika; Rubegni, Anna; Santoro, Lucio; Ruggiero, Lucia; Fiorini, Patrizio; Pini, Antonella; Mongini, Tiziana; Messina, Sonia; Brisca, Giacomo; Colombo, Irene; Astrea, Guja; Fiorillo, Chiara; Bragato, Cinzia; Moroni, Isabella; Pegoraro, Elena; D’Apice, Maria Rosaria; Alfei, Enrico; Mora, Marina; Morandi, Lucia; Donati, Alice; Evilä, Anni; Vihola, Anna; Udd, Bjarne; Bernansconi, Pia; Mercuri, Eugenio; Santorelli, Filippo Maria; Bertini, Enrico; D’Amico, Adele.

In: Journal of Neurology, Vol. 262, No. 7, 10.05.2015, p. 1728-1740.

Research output: Contribution to journalArticle

Fattori, F, Maggi, L, Bruno, C, Cassandrini, D, Codemo, V, Catteruccia, M, Tasca, G, Berardinelli, A, Magri, F, Pane, M, Rubegni, A, Santoro, L, Ruggiero, L, Fiorini, P, Pini, A, Mongini, T, Messina, S, Brisca, G, Colombo, I, Astrea, G, Fiorillo, C, Bragato, C, Moroni, I, Pegoraro, E, D’Apice, MR, Alfei, E, Mora, M, Morandi, L, Donati, A, Evilä, A, Vihola, A, Udd, B, Bernansconi, P, Mercuri, E, Santorelli, FM, Bertini, E & D’Amico, A 2015, 'Centronuclear myopathies: genotype–phenotype correlation and frequency of defined genetic forms in an Italian cohort', Journal of Neurology, vol. 262, no. 7, pp. 1728-1740. https://doi.org/10.1007/s00415-015-7757-9
Fattori, Fabiana ; Maggi, Lorenzo ; Bruno, Claudio ; Cassandrini, Denise ; Codemo, Valentina ; Catteruccia, Michela ; Tasca, Giorgio ; Berardinelli, Angela ; Magri, Francesca ; Pane, Marika ; Rubegni, Anna ; Santoro, Lucio ; Ruggiero, Lucia ; Fiorini, Patrizio ; Pini, Antonella ; Mongini, Tiziana ; Messina, Sonia ; Brisca, Giacomo ; Colombo, Irene ; Astrea, Guja ; Fiorillo, Chiara ; Bragato, Cinzia ; Moroni, Isabella ; Pegoraro, Elena ; D’Apice, Maria Rosaria ; Alfei, Enrico ; Mora, Marina ; Morandi, Lucia ; Donati, Alice ; Evilä, Anni ; Vihola, Anna ; Udd, Bjarne ; Bernansconi, Pia ; Mercuri, Eugenio ; Santorelli, Filippo Maria ; Bertini, Enrico ; D’Amico, Adele. / Centronuclear myopathies : genotype–phenotype correlation and frequency of defined genetic forms in an Italian cohort. In: Journal of Neurology. 2015 ; Vol. 262, No. 7. pp. 1728-1740.
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AU - Fattori, Fabiana

AU - Maggi, Lorenzo

AU - Bruno, Claudio

AU - Cassandrini, Denise

AU - Codemo, Valentina

AU - Catteruccia, Michela

AU - Tasca, Giorgio

AU - Berardinelli, Angela

AU - Magri, Francesca

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AU - Rubegni, Anna

AU - Santoro, Lucio

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AU - Fiorini, Patrizio

AU - Pini, Antonella

AU - Mongini, Tiziana

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AU - Brisca, Giacomo

AU - Colombo, Irene

AU - Astrea, Guja

AU - Fiorillo, Chiara

AU - Bragato, Cinzia

AU - Moroni, Isabella

AU - Pegoraro, Elena

AU - D’Apice, Maria Rosaria

AU - Alfei, Enrico

AU - Mora, Marina

AU - Morandi, Lucia

AU - Donati, Alice

AU - Evilä, Anni

AU - Vihola, Anna

AU - Udd, Bjarne

AU - Bernansconi, Pia

AU - Mercuri, Eugenio

AU - Santorelli, Filippo Maria

AU - Bertini, Enrico

AU - D’Amico, Adele

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N2 - Centronuclear myopathies (CNMs) are a group of clinically and genetically heterogeneous muscle disorders. To date, mutation in 7 different genes has been reported to cause CNMs but 30 % of cases still remain genetically undefined. Genetic investigations are often expensive and time consuming. Clinical and morphological clues are needed to facilitate genetic tests and to choose the best approach for genetic screening. We aimed to describe genotype–phenotype correlation in an Italian cohort of patients affected by CNMs, to define the relative frequencies of its defined genetic forms and to draw a diagnostic algorithm to address genetic investigations. We recruited patients with CNMs from all the Italian tertiary neuromuscular centers following clinical and histological criteria. All selected patients were screened for the four ‘canonical’ genes related to CNMs: MTM1, DNM2, RYR1 and BIN1. Pathogenetic mutations were found in 38 of the 54 screened patients (70 %), mostly in patients with congenital onset (25 of 30 patients, 83 %): 15 in MTM1, 6 in DNM2, 3 in RYR1 and one in TTN. Among the 13 patients with a childhood–adolescence onset, mutations were found in 6 patients (46 %), all in DNM2. In the group of the 11 patients with adult onset, mutations were identified in 7 patients (63 %), again in DNM2, confirming that variants in this gene are relatively more common in late-onset phenotypes. The present study provides the relative molecular frequency of centronuclear myopathy and of its genetically defined forms in Italy and also proposes a diagnostic algorithm to be used in clinical practice to address genetic investigations.

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