Homozygous α-sarcoglycan mutation in two siblings: One asymptomatic and one steroid-responsive mild limb-girdle muscular dystrophy patient

Corrado Angelini, Marina Fanin, Elisabetta Menegazzo, Maria Pia Freda, David J. Duggan, Eric P. Hoffman

Research output: Contribution to journalArticle


We describe a couple of siblings who have a homozygous mutation in the α-sarcoglycan gene and present a striking clinical difference in their phenotype; the brother is asymptomatic, and the sister is affected with mild limb-girdle muscular dystrophy. Drug therapy with a new steroid (deflazacort) was done over 6 months in the mild limb-girdle patient, and we observed objective benefit in muscle strength and in functional tests. Side effects were minimal. Immunohistochemistry for α-sarcoglycan showed reduced intensity of reaction in the limb-girdle dystrophy patient and was similar to normal in the asymptomatic case. A reduced amount of residual α-sarcoglycan protein level was found in their muscle biopsies. Unknown epigenetic or environmental factors may have an important role in determining protein and clinical phenotype expression. This is the first report of a patient with homozygous sarcoglycan gene mutation without overt muscle weakness in his adulthood. The spectrum of clinical phenotypes in sarcoglycanopathies is therefore wider than previously thought.

Original languageEnglish
Pages (from-to)769-775
Number of pages7
JournalMuscle and Nerve
Issue number6
Publication statusPublished - 1998



  • α-Sarcoglycan
  • Limb-girdle muscular dystrophy
  • Sarcoglycan complex

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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