IBM-type inclusions in a patient with slow-channel syndrome caused by a mutation in the AChR epsilon subunit

Autor: Barbara Ryniewicz, Xing Ming Shen, Andrew G. Engel, Anna Fidziańska
Rok vydání: 2005
Předmět:
Zdroj: Neuromuscular Disorders. 15:753-759
ISSN: 0960-8966
DOI: 10.1016/j.nmd.2005.07.009
Popis: We report a patient with a slow-channel congenital myasthenic syndrome who carries a novel slow-channel mutation in the epsilon subunit of the acetylcholine receptor and has tubulofilamentous inclusion bodies, in skeletal muscle of the type observed in hereditary and sporadic inclusion body myositis. Ultrastructural analysis of a muscle specimen obtained at the age of 9 years showed an endplate myopathy typical of the slow-channel syndrome. Twenty years later, a second muscle specimen again showed the endplate myopathy as well numerous nuclear and cytoplasmic tubulofilamentous inclusion bodies. Molecular genetic studies revealed a novel valine to phenylalanine mutation (epsilonV259F) in the M2 domain of the acetylcholine receptor. Coexistence of the slow-channel syndrome with a feature of IBM has not been observed before.
Databáze: OpenAIRE