GNE Myopathy in Turkish Sisters with a Novel Homozygous Mutation

Background. Hereditary inclusion body myopathy is caused by biallelic defects in the GNE gene located on chromosome 9p13. It generally affects adults older than 20 years of age. Methods and Results. In this study, we present two Turkish sisters with progressive myopathy and describe a novel mutation...

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Main Authors: Gulden Diniz, Yaprak Secil, Serdar Ceylaner, Figen Tokucoglu, Sabiha Türe, Mehmet Celebisoy, Tülay Kurt İncesu, Galip Akhan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/8647645
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author Gulden Diniz
Yaprak Secil
Serdar Ceylaner
Figen Tokucoglu
Sabiha Türe
Mehmet Celebisoy
Tülay Kurt İncesu
Galip Akhan
author_facet Gulden Diniz
Yaprak Secil
Serdar Ceylaner
Figen Tokucoglu
Sabiha Türe
Mehmet Celebisoy
Tülay Kurt İncesu
Galip Akhan
author_sort Gulden Diniz
collection DOAJ
description Background. Hereditary inclusion body myopathy is caused by biallelic defects in the GNE gene located on chromosome 9p13. It generally affects adults older than 20 years of age. Methods and Results. In this study, we present two Turkish sisters with progressive myopathy and describe a novel mutation in the GNE gene. Both sisters had slightly higher levels of creatine kinase (CK) and muscle weakness. The older sister presented at 38 years of age with an inability to climb steps, weakness, and a steppage gait. Her younger sister was 36 years old and had similar symptoms. The first symptoms of the disorder were seen when the sisters were 30 and 34 years old, respectively. The muscle biopsy showed primary myopathic features and presence of rimmed vacuoles. DNA analysis demonstrated the presence of previously unknown homozygous mutations [c.2152 G>A (p.A718T)] in the GNE genes. Conclusion. Based on our literature survey, we believe that ours is the first confirmed case of primary GNE myopathy with a novel missense mutation in Turkey. These patients illustrate that the muscle biopsy is still an important method for the differential diagnosis of vacuolar myopathies in that the detection of inclusions is required for the definitive diagnosis.
format Article
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institution Kabale University
issn 2090-6668
2090-6676
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Neurological Medicine
spelling doaj-art-f06f65412b59449f98efd0694914db092025-02-03T00:59:27ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/86476458647645GNE Myopathy in Turkish Sisters with a Novel Homozygous MutationGulden Diniz0Yaprak Secil1Serdar Ceylaner2Figen Tokucoglu3Sabiha Türe4Mehmet Celebisoy5Tülay Kurt İncesu6Galip Akhan7Department of Pathology, Neuromuscular Diseases’ Centre, Tepecik Research and Training Hospital, Izmir, TurkeyDepartment of Neurology, Atatürk Research and Training Hospital, Izmir, TurkeyDepartment of Medical Genetics, Intergen Laboratory, Ankara, TurkeyDepartment of Neurology, Neuromuscular Diseases’ Centre, Tepecik Research and Training Hospital, Izmir, TurkeyDepartment of Neurology, Katip Çelebi University, Izmir, TurkeyDepartment of Neurology, Atatürk Research and Training Hospital, Izmir, TurkeyDepartment of Neurology, Katip Çelebi University, Izmir, TurkeyDepartment of Neurology, Katip Çelebi University, Izmir, TurkeyBackground. Hereditary inclusion body myopathy is caused by biallelic defects in the GNE gene located on chromosome 9p13. It generally affects adults older than 20 years of age. Methods and Results. In this study, we present two Turkish sisters with progressive myopathy and describe a novel mutation in the GNE gene. Both sisters had slightly higher levels of creatine kinase (CK) and muscle weakness. The older sister presented at 38 years of age with an inability to climb steps, weakness, and a steppage gait. Her younger sister was 36 years old and had similar symptoms. The first symptoms of the disorder were seen when the sisters were 30 and 34 years old, respectively. The muscle biopsy showed primary myopathic features and presence of rimmed vacuoles. DNA analysis demonstrated the presence of previously unknown homozygous mutations [c.2152 G>A (p.A718T)] in the GNE genes. Conclusion. Based on our literature survey, we believe that ours is the first confirmed case of primary GNE myopathy with a novel missense mutation in Turkey. These patients illustrate that the muscle biopsy is still an important method for the differential diagnosis of vacuolar myopathies in that the detection of inclusions is required for the definitive diagnosis.http://dx.doi.org/10.1155/2016/8647645
spellingShingle Gulden Diniz
Yaprak Secil
Serdar Ceylaner
Figen Tokucoglu
Sabiha Türe
Mehmet Celebisoy
Tülay Kurt İncesu
Galip Akhan
GNE Myopathy in Turkish Sisters with a Novel Homozygous Mutation
Case Reports in Neurological Medicine
title GNE Myopathy in Turkish Sisters with a Novel Homozygous Mutation
title_full GNE Myopathy in Turkish Sisters with a Novel Homozygous Mutation
title_fullStr GNE Myopathy in Turkish Sisters with a Novel Homozygous Mutation
title_full_unstemmed GNE Myopathy in Turkish Sisters with a Novel Homozygous Mutation
title_short GNE Myopathy in Turkish Sisters with a Novel Homozygous Mutation
title_sort gne myopathy in turkish sisters with a novel homozygous mutation
url http://dx.doi.org/10.1155/2016/8647645
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AT serdarceylaner gnemyopathyinturkishsisterswithanovelhomozygousmutation
AT figentokucoglu gnemyopathyinturkishsisterswithanovelhomozygousmutation
AT sabihature gnemyopathyinturkishsisterswithanovelhomozygousmutation
AT mehmetcelebisoy gnemyopathyinturkishsisterswithanovelhomozygousmutation
AT tulaykurtincesu gnemyopathyinturkishsisterswithanovelhomozygousmutation
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