Myasthenic syndromes in Turkish kinships due to mutations in the acetylcholine receptor

K Ohno, B Anlar, E Özdirim… - Annals of Neurology …, 1998 - Wiley Online Library
K Ohno, B Anlar, E Özdirim, JM Brengman, JL DeBleecker, AG Engel
Annals of Neurology: Official Journal of the American Neurological …, 1998Wiley Online Library
We report and functionally characterize five new mutations of the acetylcholine receptor
(AChR) in 11 Turkish patients with recessive congenital myasthenic syndromes (CMS) s
belonging to six families. All mutations are in the ε‐subunit gene. Parental consanguinity is
present in three families. The disease cosegregates with homozygous mutations in five
families and with two different heteroallelic mutations in one family. Four mutations are
frameshifting, predicting truncation of the ε subunit, and one occurs at a splice donor site …
Abstract
We report and functionally characterize five new mutations of the acetylcholine receptor (AChR) in 11 Turkish patients with recessive congenital myasthenic syndromes (CMS)s belonging to six families. All mutations are in the ε‐subunit gene. Parental consanguinity is present in three families. The disease cosegregates with homozygous mutations in five families and with two different heteroallelic mutations in one family. Four mutations are frameshifting, predicting truncation of the ε subunit, and one occurs at a splice donor site. Expression of each frameshifting mutation and the likely transcripts of the splice‐site mutation in human embryonic kidney 293 cells shows that each mutation is a null mutation. The findings support the notion that loss‐of7hyphen;function mutations of the acetylcholine receptor causing CMS are concentrated in the ε subunit, and that such mutations are a frequent cause of CMS.
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