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Dominant and recessive RYR1 mutations in adults with core lesions and mild muscle symptoms

dc.contributor.authorDuarte, Sofia
dc.contributor.authorOliveira, Jorge
dc.contributor.authorSantos, Rosário
dc.contributor.authorPereira, Pedro
dc.contributor.authorBarroso, Cândida
dc.contributor.authorConceição, Isabel
dc.contributor.authorEvangelista, Teresinha
dc.date.accessioned2012-03-01T18:29:05Z
dc.date.available2012-03-01T18:29:05Z
dc.date.issued2011-07
dc.description.abstractINTRODUCTION: Ryanodine receptor gene (RYR1) mutations have been associated with central core disease (CCD), multiminicore/minicore/multicore disease (MmD), and susceptibility to malignant hyperthermia (MH). METHODS: Patients with muscle symptoms in adulthood, who had features compatible with CCD/MmD, underwent clinical, histological, and genetic (RYR1 and SEPN1 genes) evaluations. Published cases of CCD and MmD with adult onset were also reviewed. RESULTS: Eight patients fulfilled the criteria for further analysis. Five RYR1 mutations, 4 of them unreported, were detected in 3 patients. Compound heterozygosity was proven in 1 case. CONCLUSIONS: To our knowledge, this is the only report of adult onset associated with recessive RYR1 mutations and central core/multiminicores on muscle biopsy. Although adult patients with CCD, MmD, and minimally symptomatic MH with abnormal muscle biopsy findings usually have a mild clinical course, differential diagnosis and carrier screening is crucial for prevention of potentially life-threatening reactions to general anesthesia.por
dc.identifier.citationMuscle Nerve. 2011 Jul;44(1):102-8por
dc.identifier.issn0148-639X
dc.identifier.otherdoi: 10.1002/mus.22009
dc.identifier.urihttp://hdl.handle.net/10400.18/710
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherWiley-Blackwellpor
dc.relation.publisherversionhttp://onlinelibrary.wiley.com/doi/10.1002/mus.22009/abstractpor
dc.subjectRYR1por
dc.subjectMultiminicore Diseasepor
dc.subjectAdult Presentationpor
dc.subjectCentral Core Diseasepor
dc.subjectMalignant Hyperthermiapor
dc.subjectDoenças Genéticaspor
dc.titleDominant and recessive RYR1 mutations in adults with core lesions and mild muscle symptomspor
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage108por
oaire.citation.startPage102por
oaire.citation.titleMuscle and Nervepor
rcaap.rightsrestrictedAccesspor
rcaap.typearticlepor

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