Skip to main content
Journal of Medical Genetics logoLink to Journal of Medical Genetics
. 1994 May;31(5):397–400. doi: 10.1136/jmg.31.5.397

A case of paternally inherited congenital myotonic dystrophy.

M Nakagawa 1, H Yamada 1, I Higuchi 1, Y Kaminishi 1, T Miki 1, K Johnson 1, M Osame 1
PMCID: PMC1049873  PMID: 8064819

Abstract

We report two sisters with congenital myotonic dystrophy (CDM) born to a normal mother and an affected father. The congenitally affected daughters had symptoms from birth. The age of onset of DM in the father was 39 years. Analysis of the CTG trinucleotide expansion in this family showed increase in the repeat length with increasing severity, with the smallest expansion in the grandfather and the largest expansion in the younger of the two CDM sisters. This family shows that exceptionally it is possible for CDM to be inherited paternally and refutes the hypothesis that CDM is exclusively of maternal origin. This contradicts several of the previous hypotheses concerning the mechanisms by which the CDM phenotype arises.

Full text

PDF
397

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abeliovich D., Lerer I., Pashut-Lavon I., Shmueli E., Raas-Rothschild A., Frydman M. Negative expansion of the myotonic dystrophy unstable sequence. Am J Hum Genet. 1993 Jun;52(6):1175–1181. [PMC free article] [PubMed] [Google Scholar]
  2. Aslanidis C., Jansen G., Amemiya C., Shutler G., Mahadevan M., Tsilfidis C., Chen C., Alleman J., Wormskamp N. G., Vooijs M. Cloning of the essential myotonic dystrophy region and mapping of the putative defect. Nature. 1992 Feb 6;355(6360):548–551. doi: 10.1038/355548a0. [DOI] [PubMed] [Google Scholar]
  3. Brook J. D., McCurrach M. E., Harley H. G., Buckler A. J., Church D., Aburatani H., Hunter K., Stanton V. P., Thirion J. P., Hudson T. Molecular basis of myotonic dystrophy: expansion of a trinucleotide (CTG) repeat at the 3' end of a transcript encoding a protein kinase family member. Cell. 1992 Feb 21;68(4):799–808. doi: 10.1016/0092-8674(92)90154-5. [DOI] [PubMed] [Google Scholar]
  4. Buxton J., Shelbourne P., Davies J., Jones C., Van Tongeren T., Aslanidis C., de Jong P., Jansen G., Anvret M., Riley B. Detection of an unstable fragment of DNA specific to individuals with myotonic dystrophy. Nature. 1992 Feb 6;355(6360):547–548. doi: 10.1038/355547a0. [DOI] [PubMed] [Google Scholar]
  5. Cobo A. M., Baiget M., López de Munain A., Poza J. J., Emparanza J. I., Johnson K. Sex-related difference in intergenerational expansion of myotonic dystrophy gene. Lancet. 1993 May 1;341(8853):1159–1160. doi: 10.1016/0140-6736(93)93186-5. [DOI] [PubMed] [Google Scholar]
  6. Davies J., Yamagata H., Shelbourne P., Buxton J., Ogihara T., Nokelainen P., Nakagawa M., Williamson R., Johnson K., Miki T. Comparison of the myotonic dystrophy associated CTG repeat in European and Japanese populations. J Med Genet. 1992 Nov;29(11):766–769. doi: 10.1136/jmg.29.11.766. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Fu Y. H., Pizzuti A., Fenwick R. G., Jr, King J., Rajnarayan S., Dunne P. W., Dubel J., Nasser G. A., Ashizawa T., de Jong P. An unstable triplet repeat in a gene related to myotonic muscular dystrophy. Science. 1992 Mar 6;255(5049):1256–1258. doi: 10.1126/science.1546326. [DOI] [PubMed] [Google Scholar]
  8. Hall J. G. Genomic imprinting: review and relevance to human diseases. Am J Hum Genet. 1990 May;46(5):857–873. [PMC free article] [PubMed] [Google Scholar]
  9. Harley H. G., Brook J. D., Rundle S. A., Crow S., Reardon W., Buckler A. J., Harper P. S., Housman D. E., Shaw D. J. Expansion of an unstable DNA region and phenotypic variation in myotonic dystrophy. Nature. 1992 Feb 6;355(6360):545–546. doi: 10.1038/355545a0. [DOI] [PubMed] [Google Scholar]
  10. Harper P. S. Congenital myotonic dystrophy in Britain. II. Genetic basis. Arch Dis Child. 1975 Jul;50(7):514–521. doi: 10.1136/adc.50.7.514. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Harper P. S., Dyken P. R. Early-onset dystrophia myotonica. Evidence supporting a maternal environmental factor. Lancet. 1972 Jul 8;2(7767):53–55. doi: 10.1016/s0140-6736(72)91548-6. [DOI] [PubMed] [Google Scholar]
  12. Höweler C. J., Busch H. F., Geraedts J. P., Niermeijer M. F., Staal A. Anticipation in myotonic dystrophy: fact or fiction? Brain. 1989 Jun;112(Pt 3):779–797. doi: 10.1093/brain/112.3.779. [DOI] [PubMed] [Google Scholar]
  13. Jansen G., Bartolomei M., Kalscheuer V., Merkx G., Wormskamp N., Mariman E., Smeets D., Ropers H. H., Wieringa B. No imprinting involved in the expression of DM-kinase mRNAs in mouse and human tissues. Hum Mol Genet. 1993 Aug;2(8):1221–1227. doi: 10.1093/hmg/2.8.1221. [DOI] [PubMed] [Google Scholar]
  14. Mahadevan M., Tsilfidis C., Sabourin L., Shutler G., Amemiya C., Jansen G., Neville C., Narang M., Barceló J., O'Hoy K. Myotonic dystrophy mutation: an unstable CTG repeat in the 3' untranslated region of the gene. Science. 1992 Mar 6;255(5049):1253–1255. doi: 10.1126/science.1546325. [DOI] [PubMed] [Google Scholar]
  15. Mulley J. C., Staples A., Donnelly A., Gedeon A. K., Hecht B. K., Nicholson G. A., Haan E. A., Sutherland G. R. Explanation for exclusive maternal origin for congenital form of myotonic dystrophy. Lancet. 1993 Jan 23;341(8839):236–237. doi: 10.1016/0140-6736(93)90096-y. [DOI] [PubMed] [Google Scholar]
  16. Shelbourne P., Winqvist R., Kunert E., Davies J., Leisti J., Thiele H., Bachmann H., Buxton J., Williamson B., Johnson K. Unstable DNA may be responsible for the incomplete penetrance of the myotonic dystrophy phenotype. Hum Mol Genet. 1992 Oct;1(7):467–473. doi: 10.1093/hmg/1.7.467. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Medical Genetics are provided here courtesy of BMJ Publishing Group

RESOURCES