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Limb-Girdle Muscular Dystrophy and Distal Myopathy v1.22 HNRNPA1 Zornitza Stark edited their review of gene: HNRNPA1: Added comment: PMID 34722876: single multigenerational family reported with distal myopathy and 160bp deletion involving exon 10.; Changed publications: 23455423, 34291734, 34722876; Changed phenotypes: Amyotrophic lateral sclerosis 20 MIM#615426, Myopathy, distal, 3, MIM# 610099
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.153 DM1 Bryony Thompson STR: DM1 was added
STR: DM1 was added to Limb-Girdle Muscular Dystrophy and Distal Myopathy. Sources: Expert list
Mode of inheritance for STR: DM1 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Publications for STR: DM1 were set to 20301344; 29325606
Phenotypes for STR: DM1 were set to Myotonic dystrophy 1 MIM#160900
Review for STR: DM1 was set to GREEN
STR: DM1 was marked as clinically relevant
Added comment: HGVS nomenclature: NM_001081560.2:c.*224_*226CTG[X]
RNA toxic gain of function is mechanism of disease
Premutation: 35-49 repeats, no clinical signs
Mild: 50-~150 repeats, age of onset 20-70 yrs, clinical signs - cataracts, mild myotonia
Classic: ~100-~1,000 repeats, age of onset 10-30 yrs, clinical signs - weakness, myotonia, cataracts, balding, cardiac arrhythmia
Congenital: >1,000 repeats, age of onset birth-10 yrs , clinical signs - infantile hypotonia, respiratory deficits, intellectual disability, classic signs in adults
Sources: Expert list
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.97 MYOT Bryony Thompson Classified gene: MYOT as Green List (high evidence)
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.97 MYOT Bryony Thompson Gene: myot has been classified as Green List (High Evidence).
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.96 MYOT Bryony Thompson Publications for gene: MYOT were set to 30055862; 21336781; 15947064
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.84 DNAJB4 Bryony Thompson gene: DNAJB4 was added
gene: DNAJB4 was added to Limb-Girdle Muscular Dystrophy and Distal Myopathy. Sources: Literature
Mode of inheritance for gene: DNAJB4 was set to BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Publications for gene: DNAJB4 were set to 36512060; 36264506
Phenotypes for gene: DNAJB4 were set to distal myopathy MONDO:0018949; Myopathy, MONDO:0005336, DNAJB4-related
Review for gene: DNAJB4 was set to GREEN
Added comment: Emerging evidence of 2 different disease mechanisms: monoallelic distal myopathy may be caused by toxic gain of function and biallelic loss of function with variable onset myopathy with respiratory failure. There is more evidence for the biallelic myopathy with 3 families.
PMID: 36512060 - A single family with distal myopathy segregating a heterozygous missense variant (c.270T>A p.F90L). In vitro functional assays suggest a toxic gain of function mechanism of disease for p.F90L. Both Dnajb4F90L knock-in and Dnafjb4 knockout mice developed muscle weakness
PMID: 36264506 - 4 individuals from 3 unrelated families with myopathy with early respiratory failure with homozygous variants (c.856A > T; p.Lys286Ter, c.74G > A; p.Arg25Gln, c.785 T > C; p.Leu262Ser). DNAJB4 knockout mice had muscle weakness and fibre atrophy with prominent diaphragm involvement and kyphosis, muscle and myotubes had myofibrillar disorganization and accumulated Z-disc proteins and protein chaperones.
Sources: Literature
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.37 MYOT Zornitza Stark Marked gene: MYOT as ready
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.37 MYOT Zornitza Stark Added comment: Comment when marking as ready: Some of the reported variants have high population frequency.
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.37 MYOT Zornitza Stark Gene: myot has been classified as Amber List (Moderate Evidence).
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.37 MYOT Zornitza Stark Classified gene: MYOT as Amber List (moderate evidence)
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.37 MYOT Zornitza Stark Gene: myot has been classified as Amber List (Moderate Evidence).
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.35 MYOT Crystle Lee gene: MYOT was added
gene: MYOT was added to Limb Girdle Muscular Dystrophy. Sources: Expert Review
Mode of inheritance for gene: MYOT was set to MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Publications for gene: MYOT were set to 30055862; 21336781; 15947064
Phenotypes for gene: MYOT were set to Myopathy, myofibrillar, 3 (MIM#609200)
Review for gene: MYOT was set to AMBER
Added comment: Associated phenotype was previously known as LGMD1/LGMD1A (OMIM; PMID: 30055862). Phenotypic overlap.

PMID: 21336781: Reported a severe case of LGMD. Patient presented with late onset progressive proximal muscle weakness. CK was slightly elevated. Authors concluded that gene is a rare cause of adult onset LGMD. Variant present in gnomAD (12 hets).

PMID: 15947064: 5 variants reported in 13 patients (including 3 families). Late onset, EMG showed myopathic changes in most patients. Highest MAF (10 hets in gnomAD; Ser60Phe). 9/13 did not show elevated CK levels.
Sources: Expert Review
Limb-Girdle Muscular Dystrophy and Distal Myopathy v0.0 MTM1 Bryony Thompson gene: MTM1 was added
gene: MTM1 was added to Limb Girdle Muscular Dystrophy_RMH. Sources: Royal Melbourne Hospital,Expert Review Green
Mode of inheritance for gene: MTM1 was set to X-LINKED: hemizygous mutation in males, biallelic mutations in females
Phenotypes for gene: MTM1 were set to Myotubular myopathy, X-linked, 310400