Primary dysferlinopathies are a rare heterogeneous group of autosomal recessive muscular dystrophies that are caused by mutations in the exon gene. Although no specific therapies exist for dysferlinopathies, these disorders entail multiple pathways to muscle cell death, each of which is potentially a target for. The clinical phenotype of the dysferlinopathies is quite variable. Affected individuals usually present with early involvement of the posterior calf muscles ( Miyoshi.

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Other Other presentations include distal myopathy with anterior tibial onset initially distal muscle weakness that progressives to the proximal muscles and scapuloperoneal syndrome distal muscle weakness with weakness in the shoulder muscles.

Weakness, wasting and atrophy are commonly observed Figure 1 [ 133738 ]. Dysferlinopathy caused by DYSF pathogenic variants includes a spectrum of muscle disease characterized mainly by dysferlni phenotypes: DYSFwhich encodes the protein dysferlin, is the only gene in which pathogenic variants are known to cause dysferlinopathy.

Dysferlinopathy was originally called LGMD2B because at the time that it was mapped to 2p13 it was the second form 2 of autosomal recessive B limb-girdle muscular dystrophy LGMD to be mapped. Back To Disease List. For individuals of Libyan Jewish ancestry or Jews of the Caucasus, targeted analysis for pathogenic variants can dysfeglin used for confirmation of the diagnosis and genetic counseling purposes.

Molecular Genetic Testing Gene.


Dysferlin is reduced when there is a deficit of dysferliin, but the opposite does not take place [ ]. Most individuals with LGMD show relative sparing of the heart and bulbar muscles, although exceptions occur, depending on the genetic subtype. The patients have normal milestones. Many pathogenic variants have been observed in individuals of various ethnic origins.

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Several different clinical presentations have been observed [ Ueyama et al ] and can occur within families having the same pathogenic variants [ Liu et alWeiler et alIllarioshkin et alNakagawa et alUeyama et al ].

In mice treated with it, the muscle histological aspects, the capability to repair the muscle membrane and the locomotive activity have been improved [ ]. The Congo red shows amyloid deposits in the perymisial connective tissue, sarcolemmally and in the dyeferlin vessel walls [ 5859 ]. As muscles deteriorate, a ventilator may be required to aid breathing.

We believe that they should not be encouraged to practice sports as in other muscular disorders.

Dysferlinopathy – GeneReviews┬« – NCBI Bookshelf

There is no cure for dysferlinopathy and few effective treatments. Takahashi et al [a] speculate that this hydrophilic region may be important for the function of the protein. DYS has 55 exons and 6, base-pair nucleotides in an open reading frame predicted to encode a protein of 2, amino pathie. Vinculin co-localizes with dysferlin at the sarcolemma and interacts with it in the focal adhesion process [ 81 ].

The onset is in the early teens or adulthood. Nonaka early-adult-onset distal myopathy. Ultrastructural changes in dysferlinopathy support defective dysferlinn repair mechanism. The outlook for a person with dysferlinopathy varies. The mean age varies from 12 to 73 years. Mini-dysferlin seems to be the most promising treatment since it is has been proven that it plays an efficient role in membrane repair in vitro []. An alternative genetic testing strategy is use of a multigene panel that includes DYSF pwthies other genes of interest see Differential Diagnosis.


The caveolinopathies are a group of muscle diseases caused by pathogenic variants in CAV3which encodes caveolin-3, a muscle-specific membrane protein and the principal component of caveolae membrane in muscle cells in vivo. LGMD2B does not affect intelligence or mental function; the primary symptom is progressive muscle weakness of the hip, shoulder, and abdomen proximal muscles. Dysferlin also appears to have a potential role in cell adhesion, metabolism, mitochondrial association and immune cell function [ 81 ].


It has been demonstrated that mutations in this gene produce infertility in both males and females [ ]. These pathogenic variants were widely spread throughout the coding sequence of the gene without any mutational ” hot spot ” [ Cagliani et alNguyen et alKrahn et al ]. Treatment of Manifestations No definitive treatments exist for the limb-girdle muscular dystrophies. In the cardiovascular magnetic resonance with late gadolinium it has been observed fibrosis of the different cardiac walls [ 45 ].

Their interaction with calcium, phospholipids and other proteins regulate membrane trafficking [ 87579 ] Figure 7. Many individuals with partial deficiency of dysferlin have been reported [ Piccolo et alMatsuda et alSaito et al ].

The immunoreactivity of affixin was reduced in sarcolemma of Miyoshi myopathy and LGMD2B muscles, although the total amount of affixin protein was normal. Molecular Genetic Testing Used in Dysferlinopathy. The dysferlin gene and the different protein domains and their interaction with dysferlin.

Sequence analysis detects variants that are benign, likely benign, of uncertain significancelikely pathogenic, or pathogenic. Detects delG pathogenic variant in Libyan Jews. dysfeflin

April 24, ; Published date: Side effects included a broad spectrum typically seen in those taking patbies. Dysferlin is generally absent in the sarcolemma of both skeletal and cardiac muscles.