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CAPN3 c.1746-20C>G variant is hypomorphic for LGMD R1 calpain 3-related

  • Magdalena Mroczek
  • , Inna Inashkina
  • , Janis Stavusis
  • , Pawel Zayakin
  • , Andrey Khrunin
  • , Ieva Micule
  • , Victorija Kenina
  • , Anna Zdanovica
  • , Jana Zídková
  • , Lenka Fajkusová
  • , Svetlana Limborska
  • , Anneke J. van der Kooi
  • , Esther Brusse
  • , Lea Leonardis
  • , Ales Maver
  • , Sander Pajusalu
  • , Katrin Õunap
  • , Sanna Puusepp
  • , Paula Dobosz
  • , Mateusz Sypniewski
  • Birute Burnyte, Baiba Lace*
*Corresponding author for this work
  • Balgrist University Hospital
  • Latvian Biomedical Research and Study Centre
  • RAS - Institute of Molecular Genetics
  • Riga Stradins University
  • Riga East University Hospital
  • Masaryk University
  • Erasmus MC
  • University of Ljubljana
  • University of Tartu
  • MNM Diagnostics Sp. z o.o.
  • Medical University of Warsaw
  • Department of Cardiology and Hypertension With Electrophysiological Lab, Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, Warsaw, Poland
  • Vilnius University
  • Children's Clinical University Hospital

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

The investigated intronic CAPN3 variant NM_000070.3:c.1746-20C>G occurs in the Central and Eastern Europe with a frequency of >1% and there are conflicting interpretations on its pathogenicity. We collected data on 14 patients carrying the CAPN3 c.1746-20C>G variant in trans position with another CAPN3 pathogenic/likely pathogenic variant. The patients compound heterozygous for the CAPN3 c.1746-20C>G variant presented a phenotype consistent with calpainopathy of mild/medium severity. This variant is most frequent in the North/West regions of Russia and may originate from that area. Molecular studies revealed that different splicing isoforms are produced in the muscle. We hypothesize that c.1746-20C>G is a hypomorphic variant with a reduction of RNA and protein expression and only individuals having a higher ratio of abnormal isoforms are affected. Reclassification of the CAPN3 variant c.1746-20C>G from variant with a conflicting interpretation of pathogenicity to hypomorphic variant explains many unidentified cases of limb girdle muscular dystrophy R1 calpain 3-related in Eastern and Central Europe.
Original languageEnglish
Pages (from-to)1347-1353
Number of pages7
JournalHuman mutation
Volume43
Issue number10
Early online date2022
DOIs
Publication statusPublished - Oct 2022

Keywords

  • CAPN3
  • LGMD
  • LGMD R1 calpain 3-related
  • calpainopathy
  • hypomorphic variant

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