Late-onset polyglucosan body myopathy in five patients with a homozygous mutation in GYG1

Neuromuscul Disord. 2016 Jan;26(1):16-20. doi: 10.1016/j.nmd.2015.10.012. Epub 2015 Nov 10.

Abstract

Five Sardinian patients presented in their 5th or 6th decade with progressive limb girdle muscle weakness but their muscle biopsies showed vacuolar myopathy. The more or less abundant subsarcolemmal and intermyofibrillar vacuoles showed intense, partially α-amylase resistant, PAS-positive deposits consistent with polyglucosan. The recent description of late-onset polyglucosan myopathy has prompted us to find new genetic defects in the gene (GYG1) encoding glycogenin-1, the crucial primer enzyme of glycogen synthesis in muscle. We found a single homozygous intronic mutation harbored by five patients, who, except for two siblings, appear to be unrelated but all five live in central or south Sardinian villages.

Keywords: GYG1; Glycogenin deficiency; Glycogenosis; Polyglucosan myopathy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • DNA Mutational Analysis
  • Female
  • Glucans / genetics*
  • Glucosyltransferases / genetics*
  • Glycogen Storage Disease / genetics*
  • Glycoproteins / genetics*
  • Homozygote
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Muscle, Skeletal / pathology
  • Muscle, Skeletal / ultrastructure
  • Mutation / genetics*
  • Nervous System Diseases / genetics*

Substances

  • Glucans
  • Glycoproteins
  • glycogenin
  • polyglucosan
  • Glucosyltransferases

Supplementary concepts

  • Polyglucosan Body Disease, Adult Form