Identification of a novel MICU1 nonsense variant causes myopathy with extrapyramidal signs in an Iranian consanguineous family
Background Ca 2+ as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell death. Lack of the protein mitochondrial calcium uptake1 (MICU1), which has been regarded as a gatekeeper of Ca ions, leads to the abnormal m...
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Published in | Molecular and cellular pediatrics Vol. 8; no. 1; p. 6 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
09.05.2021
Springer Nature B.V |
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Abstract | Background
Ca
2+
as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell death. Lack of the protein mitochondrial calcium uptake1 (MICU1), which has been regarded as a gatekeeper of Ca ions, leads to the abnormal mitochondrial Ca
2+
handling, excessive production of reactive oxygen species (ROS), and increased cell death. Mutations in
MICU1
gene causes a very rare neuromuscular disease, myopathy with extrapyramidal signs (MPXPS), due to primary alterations in mitochondrial calcium signaling which demonstrates the key role of mitochondrial Ca
2+
uptake. To date, 13 variants have been reported in
MICU1
gene in 44 patients presented with the vast spectrum of symptoms.
Case presentation
Here, we report a 44-year-old Iranian patient presented with learning disability, muscle weakness, easy fatigability, reduced tendon reflexes, ataxia, gait disturbance, elevated hepatic transaminases, elevated serum creatine kinase (CK), and elevated lactate dehydrogenase (LDH). We identified a novel nonsense variant c.385C>T; p.(R129*) in
MICU1
gene by whole exome sequencing (WES) and segregation analysis.
Conclusions
Our finding along with previous studies provides more evidence on the clinical presentation of the disease caused by pathogenic mutations in
MICU1
. Finding more variants and expanding the spectrum of the disease increases the diagnostic rate of molecular testing in screening of this kind of diseases and in turn improves the quality of counseling for at risk couples and helps them to minimize the risks of having affected children. |
---|---|
AbstractList | Abstract
Background
Ca
2+
as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell death. Lack of the protein mitochondrial calcium uptake1 (MICU1), which has been regarded as a gatekeeper of Ca ions, leads to the abnormal mitochondrial Ca
2+
handling, excessive production of reactive oxygen species (ROS), and increased cell death. Mutations in
MICU1
gene causes a very rare neuromuscular disease, myopathy with extrapyramidal signs (MPXPS), due to primary alterations in mitochondrial calcium signaling which demonstrates the key role of mitochondrial Ca
2+
uptake. To date, 13 variants have been reported in
MICU1
gene in 44 patients presented with the vast spectrum of symptoms.
Case presentation
Here, we report a 44-year-old Iranian patient presented with learning disability, muscle weakness, easy fatigability, reduced tendon reflexes, ataxia, gait disturbance, elevated hepatic transaminases, elevated serum creatine kinase (CK), and elevated lactate dehydrogenase (LDH). We identified a novel nonsense variant c.385C>T; p.(R129*) in
MICU1
gene by whole exome sequencing (WES) and segregation analysis.
Conclusions
Our finding along with previous studies provides more evidence on the clinical presentation of the disease caused by pathogenic mutations in
MICU1
. Finding more variants and expanding the spectrum of the disease increases the diagnostic rate of molecular testing in screening of this kind of diseases and in turn improves the quality of counseling for at risk couples and helps them to minimize the risks of having affected children. BackgroundCa2+ as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell death. Lack of the protein mitochondrial calcium uptake1 (MICU1), which has been regarded as a gatekeeper of Ca ions, leads to the abnormal mitochondrial Ca2+ handling, excessive production of reactive oxygen species (ROS), and increased cell death. Mutations in MICU1 gene causes a very rare neuromuscular disease, myopathy with extrapyramidal signs (MPXPS), due to primary alterations in mitochondrial calcium signaling which demonstrates the key role of mitochondrial Ca2+ uptake. To date, 13 variants have been reported in MICU1 gene in 44 patients presented with the vast spectrum of symptoms.Case presentationHere, we report a 44-year-old Iranian patient presented with learning disability, muscle weakness, easy fatigability, reduced tendon reflexes, ataxia, gait disturbance, elevated hepatic transaminases, elevated serum creatine kinase (CK), and elevated lactate dehydrogenase (LDH). We identified a novel nonsense variant c.385C>T; p.(R129*) in MICU1 gene by whole exome sequencing (WES) and segregation analysis.ConclusionsOur finding along with previous studies provides more evidence on the clinical presentation of the disease caused by pathogenic mutations in MICU1. Finding more variants and expanding the spectrum of the disease increases the diagnostic rate of molecular testing in screening of this kind of diseases and in turn improves the quality of counseling for at risk couples and helps them to minimize the risks of having affected children. Background Ca 2+ as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell death. Lack of the protein mitochondrial calcium uptake1 (MICU1), which has been regarded as a gatekeeper of Ca ions, leads to the abnormal mitochondrial Ca 2+ handling, excessive production of reactive oxygen species (ROS), and increased cell death. Mutations in MICU1 gene causes a very rare neuromuscular disease, myopathy with extrapyramidal signs (MPXPS), due to primary alterations in mitochondrial calcium signaling which demonstrates the key role of mitochondrial Ca 2+ uptake. To date, 13 variants have been reported in MICU1 gene in 44 patients presented with the vast spectrum of symptoms. Case presentation Here, we report a 44-year-old Iranian patient presented with learning disability, muscle weakness, easy fatigability, reduced tendon reflexes, ataxia, gait disturbance, elevated hepatic transaminases, elevated serum creatine kinase (CK), and elevated lactate dehydrogenase (LDH). We identified a novel nonsense variant c.385C>T; p.(R129*) in MICU1 gene by whole exome sequencing (WES) and segregation analysis. Conclusions Our finding along with previous studies provides more evidence on the clinical presentation of the disease caused by pathogenic mutations in MICU1 . Finding more variants and expanding the spectrum of the disease increases the diagnostic rate of molecular testing in screening of this kind of diseases and in turn improves the quality of counseling for at risk couples and helps them to minimize the risks of having affected children. Ca as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell death. Lack of the protein mitochondrial calcium uptake1 (MICU1), which has been regarded as a gatekeeper of Ca ions, leads to the abnormal mitochondrial Ca handling, excessive production of reactive oxygen species (ROS), and increased cell death. Mutations in MICU1 gene causes a very rare neuromuscular disease, myopathy with extrapyramidal signs (MPXPS), due to primary alterations in mitochondrial calcium signaling which demonstrates the key role of mitochondrial Ca uptake. To date, 13 variants have been reported in MICU1 gene in 44 patients presented with the vast spectrum of symptoms. Here, we report a 44-year-old Iranian patient presented with learning disability, muscle weakness, easy fatigability, reduced tendon reflexes, ataxia, gait disturbance, elevated hepatic transaminases, elevated serum creatine kinase (CK), and elevated lactate dehydrogenase (LDH). We identified a novel nonsense variant c.385C>T; p.(R129*) in MICU1 gene by whole exome sequencing (WES) and segregation analysis. Our finding along with previous studies provides more evidence on the clinical presentation of the disease caused by pathogenic mutations in MICU1. Finding more variants and expanding the spectrum of the disease increases the diagnostic rate of molecular testing in screening of this kind of diseases and in turn improves the quality of counseling for at risk couples and helps them to minimize the risks of having affected children. |
ArticleNumber | 6 |
Author | Bitarafan, Fatemeh Almadani, Navid Nilipour, Yalda Garshasbi, Masoud Amjadi Sardehaei, Elham Darvishi, Fatemeh Zahra Khodaeian, Mehrnoosh |
Author_xml | – sequence: 1 givenname: Fatemeh surname: Bitarafan fullname: Bitarafan, Fatemeh organization: Department of Biology, Faculty of Biological Sciences, North Tehran Branch, Islamic Azad University – sequence: 2 givenname: Mehrnoosh surname: Khodaeian fullname: Khodaeian, Mehrnoosh organization: Department of Medical Genetics, DeNA Laboratory – sequence: 3 givenname: Elham surname: Amjadi Sardehaei fullname: Amjadi Sardehaei, Elham organization: Department of Medical Genetics, DeNA Laboratory – sequence: 4 givenname: Fatemeh Zahra surname: Darvishi fullname: Darvishi, Fatemeh Zahra organization: Department of Medical Genetics, DeNA Laboratory – sequence: 5 givenname: Navid surname: Almadani fullname: Almadani, Navid organization: Department of Genetics, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR – sequence: 6 givenname: Yalda surname: Nilipour fullname: Nilipour, Yalda organization: Pediatric Pathology Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences – sequence: 7 givenname: Masoud orcidid: 0000-0002-5508-7903 surname: Garshasbi fullname: Garshasbi, Masoud email: masoud.garshasbi@modares.ac.ir organization: Department of Medical Genetics, Faculty of Medical Sciences, Tarbiat Modares University |
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CitedBy_id | crossref_primary_10_1016_j_isci_2023_106296 crossref_primary_10_1007_s12035_023_03820_y crossref_primary_10_7759_cureus_52672 crossref_primary_10_1016_j_bbamcr_2024_119714 crossref_primary_10_3389_fneur_2022_1008937 crossref_primary_10_1016_j_ijbiomac_2023_123755 crossref_primary_10_1126_sciadv_abj4716 crossref_primary_10_1002_humu_24338 |
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Keywords | Mitochondrial calcium uptake 1 (MICU1) Ca Myopathy with extrapyramidal signs (MPXPS) Whole exome sequencing (WES) Ca2 |
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Snippet | Background
Ca
2+
as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell... Ca as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell death. Lack of... Abstract Background Ca 2+ as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation,... BackgroundCa2+ as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell... BACKGROUNDCa2+ as a universal second messenger regulates basic biological functions including cell cycle, cell proliferation, cell differentiation, and cell... |
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SubjectTerms | Apoptosis Ataxia Calcium (mitochondrial) Calcium influx Calcium signalling Case Study Cell cycle Cell death Cell differentiation Cell proliferation Creatine Creatine kinase Diabetes Disease Endocrinology Extrapyramidal system Gait Kinases L-Lactate dehydrogenase Lactic acid Medicine Medicine & Public Health Mitochondria Movement disorders Mutation Myopathy Neuromuscular diseases Oncology Pediatrics Reactive oxygen species Reflexes |
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Title | Identification of a novel MICU1 nonsense variant causes myopathy with extrapyramidal signs in an Iranian consanguineous family |
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