Mutations in SEPN1 cause selenoprotein N (SEPN)-related myopathy (SEPN-RM) characterized by early-onset axial and neck weakness, spinal rigidity, respiratory failure and histopathological features, ranging from mild dystrophic signs to a congenital myopathy pattern with myofibrillar disorganization. We report on clinical and instrumental features in three patients affected with a congenital myopathy characterized by prevalent neck weakness starting at different ages and mild myopathy, in whom we performed diagnosis of SEPN-RM. The patients presented myopathic signs since their first years of life, but the disease remained unrecognized because of a relatively benign myopathic course. In two cases, myopathic features were stable after 2 years of follow-up, but respiratory involvement worsened. The muscle MRI and muscle biopsy showed a typical pattern of SEPN-RM. Molecular diagnosis revealed two novel homozygous mutations in SEPN1, c.1176delA and c.726_727InsTCC. Conclusion: This report underlines the clinical diagnostic clues of early neck and axial weakness to suspect a SEPN-RM and the usefulness of muscle MRI in conjunction with clinical features to achieve the diagnosis. Our data confirm the slow progression of respiratory involvement in spite of the relatively stable course of myopathy. We report two previously undescribed mutations in SEPN1.What is known:• Mutations in SEPN1 cause myopathy characterized by early-onset axial and neck weakness spinal rigidity and respiratory failure.• SEPN-related myopathies have been initially associated with four distinct histopathological entities that however appear more mixed in recently described cases.What is New:• SEPN-related myopathies can remain unrecognized because of the normal early motor development and relatively benign myopathic course of the disease.• Our study adds two novel homozygous mutations to the number of reported pathogenic SEPN1 variants.

Ardissone, A., Bragato, C., Blasevich, F., Maccagnano, E., Salerno, F., Gandioli, C., et al. (2016). SEPN1-related myopathy in three patients: novel mutations and diagnostic clues. EUROPEAN JOURNAL OF PEDIATRICS, 175(8), 1113-1118 [10.1007/s00431-015-2685-3].

SEPN1-related myopathy in three patients: novel mutations and diagnostic clues

ARDISSONE, ANNA
;
Bragato, C;
2016

Abstract

Mutations in SEPN1 cause selenoprotein N (SEPN)-related myopathy (SEPN-RM) characterized by early-onset axial and neck weakness, spinal rigidity, respiratory failure and histopathological features, ranging from mild dystrophic signs to a congenital myopathy pattern with myofibrillar disorganization. We report on clinical and instrumental features in three patients affected with a congenital myopathy characterized by prevalent neck weakness starting at different ages and mild myopathy, in whom we performed diagnosis of SEPN-RM. The patients presented myopathic signs since their first years of life, but the disease remained unrecognized because of a relatively benign myopathic course. In two cases, myopathic features were stable after 2 years of follow-up, but respiratory involvement worsened. The muscle MRI and muscle biopsy showed a typical pattern of SEPN-RM. Molecular diagnosis revealed two novel homozygous mutations in SEPN1, c.1176delA and c.726_727InsTCC. Conclusion: This report underlines the clinical diagnostic clues of early neck and axial weakness to suspect a SEPN-RM and the usefulness of muscle MRI in conjunction with clinical features to achieve the diagnosis. Our data confirm the slow progression of respiratory involvement in spite of the relatively stable course of myopathy. We report two previously undescribed mutations in SEPN1.What is known:• Mutations in SEPN1 cause myopathy characterized by early-onset axial and neck weakness spinal rigidity and respiratory failure.• SEPN-related myopathies have been initially associated with four distinct histopathological entities that however appear more mixed in recently described cases.What is New:• SEPN-related myopathies can remain unrecognized because of the normal early motor development and relatively benign myopathic course of the disease.• Our study adds two novel homozygous mutations to the number of reported pathogenic SEPN1 variants.
Articolo in rivista - Articolo scientifico
Congenital myopathy; Dropped head syndrome; Muscle MRI; SEPN-RM; SEPN1;
Congenital myopathy; Dropped head syndrome; Muscle MRI; SEPN-RM; SEPN1; Adolescent; Brain; Child; Child, Preschool; Electrocardiography; Female; Humans; Magnetic Resonance Imaging; Male; Muscle Proteins; Myopathies, Structural, Congenital; Neck Muscles; Respiratory Insufficiency; Selenoproteins; Mutation; Pediatrics, Perinatology and Child Health
English
1113
1118
6
Ardissone, A., Bragato, C., Blasevich, F., Maccagnano, E., Salerno, F., Gandioli, C., et al. (2016). SEPN1-related myopathy in three patients: novel mutations and diagnostic clues. EUROPEAN JOURNAL OF PEDIATRICS, 175(8), 1113-1118 [10.1007/s00431-015-2685-3].
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/204758
Citazioni
  • Scopus 14
  • ???jsp.display-item.citation.isi??? 11
Social impact