Cited by 92Muscle Physiology and DisordersAmyotrophic Lateral Sclerosis ResearchHereditary Neurological Disorders

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SQSTM1 splice site mutation in distal myopathy with rimmed vacuoles

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Abstract

OBJECTIVE: To identify the genetic etiology and characterize the clinicopathologic features of a novel distal myopathy. METHODS: We performed whole-exome sequencing on a family with an autosomal dominant distal myopathy and targeted exome sequencing in 1 patient with sporadic distal myopathy, both with rimmed vacuolar pathology. We also evaluated the pathogenicity of identified mutations using immunohistochemistry, Western blot analysis, and expression studies. RESULTS: Sequencing identified a likely pathogenic c.1165+1 G>A splice donor variant in SQSTM1 in the affected members of 1 family and in an unrelated patient with sporadic distal myopathy. Affected patients had late-onset distal lower extremity weakness, myopathic features on EMG, and muscle pathology demonstrating rimmed vacuoles with both TAR DNA-binding protein 43 and SQSTM1 inclusions. The c.1165+1 G>A SQSTM1 variant results in the expression of 2 alternatively spliced SQSTM1 proteins: 1 lacking the C-terminal PEST2 domain and another lacking the C-terminal ubiquitin-associated (UBA) domain, both of which have distinct patterns of cellular and skeletal muscle localization. CONCLUSIONS: SQSTM1 is an autophagic adaptor that shuttles aggregated and ubiquitinated proteins to the autophagosome for degradation via its C-terminal UBA domain. Similar to mutations in VCP, dominantly inherited mutations in SQSTM1 are now associated with rimmed vacuolar myopathy, Paget disease of bone, amyotrophic lateral sclerosis, and frontotemporal dementia. Our data further suggest a pathogenic connection between the disparate phenotypes.

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Metadata

Authors
Bucelli, R. C., Arhzaouy, K., Pestronk, A., Pittman, S. K., Rojas, L., Sue, C. M., Evilä, A., Hackman, P., Udd, B., Harms, M. B., & Weihl, C. C.
Affiliations
The University of Sydney (AU)
Venue
Neurology
Published
2015-08-25
Volume
85
Issue
8
Pages
665-674
ISSN
  • 0028-3878 (ISSN-L)
  • 1526-632X
OpenAlex
W1907485558
Cited by
92
References
28
Citations by year
2026: 2 · 2025: 6 · 2024: 8 · 2023: 8 · 2022: 6 · 2021: 9 · 2020: 17 · 2019: 8 · 2018: 7 · 2017: 7 · 2016: 11 · 2015: 3
FWCI
4.05
Type
journal article
Language
en
Open access
Locations
  • Neurology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute on Aging (AG042095, AG031867, K02AG042095, R01AG031867)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
  • Health Sciences › Medicine › Clinical Neurology › Amyotrophic Lateral Sclerosis Research
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Hereditary Neurological Disorders
Keywords
p62, distal myopathy with rimmed vacuoles, splice site mutation, rimmed vacuoles, alternative splicing, UBA domain, autophagy, autosomal dominant myopathy, lower limb weakness, genetic etiology
MeSH terms
Sequestosome-1 Protein, Humans, Male, Middle Aged, Mutation, Pedigree, Vacuoles, Adaptor Proteins, Signal Transducing, Distal Myopathies, Exome

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