Missense mutations have unexpected consequences: The McArdle disease paradigm


Por: Garcia-Consuegra, I, Asensio-Pena, S, Ballester-Lopez, A, Francisco-Velilla, R, Pinos, T, Pintos-Morell, G, Coll-Canti, J, Gonzalez-Quintana, A, Andreu, AL, Arenas, J, Lucia, A, Nogales-Gadea, G and Martin, MA

Publicada: 1 oct 2018
Resumen:
McArdle disease is a disorder of muscle glycogen metabolism caused by mutations in the PYGM gene, encoding for the muscle-specific isoform of glycogen phosphorylase (M-GP). The activity of this enzyme is completely lost in patients' muscle biopsies, when measured with a standard biochemical test which, does not allow to determine M-GP protein levels. We aimed to determine M-GP protein levels in the muscle of McArdle patients, by studying biopsies of 40 patients harboring a broad spectrum of PYGM mutations and 22 controls. Lack of M-GP protein was found in muscle in the vast majority (95%) of patients, irrespective of the PYGM genotype, including those carrying missense mutations, with few exceptions. M-GP protein biosynthesis is not being produced by PYGM mutations inducing premature termination codons (PTC), neither by most PYGM missense mutations. These findings explain the lack of PYGM genotype-phenotype correlation and have important implications for the design of molecular-based therapeutic approaches.

Filiaciones:
Garcia-Consuegra, I:
 Inst Invest Hosp 12 Octubre I 12, Grp Invest Enfermedades Mitocondriales & Neuromus, Madrid, Spain

 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain

Asensio-Pena, S:
 Inst Invest Hosp 12 Octubre I 12, Grp Invest Enfermedades Mitocondriales & Neuromus, Madrid, Spain

:
 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain

 Univ Autonoma Barcelona, Inst Invest Ciencies Salut Germans Trias & Pujol, Dept Neurosci, Grp Recerca Malalties Neuromusculars & Neuropedia, Cami Escoles S-N, Badalona 08916, Spain

Francisco-Velilla, R:
 CSIC UAM, Ctr Biol Mol Severo Ochoa, Madrid, Spain

Pinos, T:
 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain

 Univ Autonoma Barcelona, Inst Recerca VHIR, Hosp Univ Vall dHebron, Dept Patol Mitocondrial & Neuromuscular, Barcelona, Spain

:
 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain

 Univ Autonoma Barcelona, Inst Invest Ciencies Salut Germans Trias & Pujol, Dept Neurosci, Grp Recerca Malalties Neuromusculars & Neuropedia, Cami Escoles S-N, Badalona 08916, Spain

 Univ Hosp Vall dHebron, Div Rare Dis, Barcelona, Spain

:
 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain

 Univ Autonoma Barcelona, Inst Invest Ciencies Salut Germans Trias & Pujol, Dept Neurosci, Grp Recerca Malalties Neuromusculars & Neuropedia, Cami Escoles S-N, Badalona 08916, Spain

 Hosp Badalona Germans Trias & Pujol, Serv Neurol, Badalona, Spain

Gonzalez-Quintana, A:
 Inst Invest Hosp 12 Octubre I 12, Grp Invest Enfermedades Mitocondriales & Neuromus, Madrid, Spain

Andreu, AL:
 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain

 Univ Autonoma Barcelona, Inst Recerca VHIR, Hosp Univ Vall dHebron, Dept Patol Mitocondrial & Neuromuscular, Barcelona, Spain

Arenas, J:
 Inst Invest Hosp 12 Octubre I 12, Grp Invest Enfermedades Mitocondriales & Neuromus, Madrid, Spain

 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain

Lucia, A:
 Univ Europea, Fac Sport Sci, Madrid, Spain

 Inst Invest Hosp 12 Octubre I 12, Madrid, Spain

:
 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain

 Univ Autonoma Barcelona, Inst Invest Ciencies Salut Germans Trias & Pujol, Dept Neurosci, Grp Recerca Malalties Neuromusculars & Neuropedia, Cami Escoles S-N, Badalona 08916, Spain

Martin, MA:
 Inst Invest Hosp 12 Octubre I 12, Grp Invest Enfermedades Mitocondriales & Neuromus, Madrid, Spain

 Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras CIBERER, Madrid, Spain
ISSN: 10597794





Human Mutation
Editorial
John Wiley & Sons Inc., 111 RIVER ST, HOBOKEN 07030-5774, NJ USA, Estados Unidos America
Tipo de documento: Article
Volumen: 39 Número: 10
Páginas: 1338-1343
WOS Id: 000444948000003
ID de PubMed: 30011114
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