Table 1.
Patient number | Form of NM | Mutation in NEB (M) and predicted effect of it on nebulin protein (P) | Clinical features |
---|---|---|---|
Patient 1-1 | Severe | M: Homozygous del55 | Progressive respiratory insufficiency after surgery at 8 yrs. |
P: 35 aa missing, representing one repeat domain, possibly impaired tropomyosin binding | Walked without support for very short distances aged 7, but mainly uses wheelchair or stroller. Current age 15 yrs. Mechanically ventilated | ||
| |||
Patient 1–2 | Severe | M: Homozygous del55 | Arthrogryposis at birth. Did not achieve walking. |
P: See Pt 1 | Mechanically ventilated, currently aged 5 yrs. | ||
| |||
Patient 2-11 | Severe | M: Homozygous del55 | Did not achieve walking. Permanently ventilated from age 11 months, deceased at 19 yrs. |
P: See Pt 1 | |||
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Patient 2-21 | Severe | M: Homozygous del55 | Did not achieve sitting or walking. Mechanically ventilated since the age of 4 months, current age 21 yrs. |
P: See Pt 1 | |||
| |||
Patient 3-11 | Typical | M: Homozygous del55 | Markedly weak antigravity movements at birth. Requires mechanical ventilation at night since the age of 7. Ambulant at 16 years, uses wheelchair only occasionally. |
P: See Pt 1 | |||
| |||
Patient 3-21 | Not classified | M: Homozygous del55 | No data available |
P: See Pt 1 | |||
| |||
Patient 4 | Intermediate | M: Homozygous del55 | Able to sit but did not achieve walking. Tracheostomy at 2 years, night-time ventilation. Current age 10 yrs. |
P: See Pt 1 | |||
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Patient 5 | Intermediate | M: Homozygous del55 | Able to walk using walker. Uses night-time ventilation. |
P: See Pt 1 | Current age 7 yrs. | ||
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Patient 6¤ | Typical | M: Homozygous del55 | Acute respiratory distress at 3 months, found to have isolated Complex I deficiency. Ambulant. |
P: See Pt 1 | |||
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Patient 7 | Severe | M: Homozygous del55 | Died at the age of 1 month. |
P: See Pt 1 | |||
| |||
Patient 8 | Severe | M: Heterozygous del55* | Ventilator dependent and tube fed, little spontaneous movement. |
P: See Pt 1 | |||
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Patient 9 | Severe | M: Heterozygous del55* | Died at the age of 2.5 months. |
P: See Pt 1 | |||
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Patient 10 | Intermediate | M: Intron 23, g.42331G>C | An affected twin brother died at the age of 9 months from infection. Patient permanently ventilated from age 9 months, current age 7 yrs, did not achieve walking. |
P: Abnormal splicing of exon 24 |
|||
M: Del55 | |||
P: See Pt 1 | |||
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Patient 11 | M: Intron 4, g.3543G>A | No hypotonia in the neonatal period, achieved sitting but not walking, died at 3.5 yrs from respiratory infection | |
Intermediate | P: Skipping of exon 4 p.Tyr13_Glu26del, 14 aa missing in the TMOD-binding region |
||
M: Del55 | |||
P: See Pt 1 | |||
| |||
Patient 12 | M: Intron 79, g.122400G>C | Not walking at 15 months of age. Does not require assisted ventilation. | |
Typical | P: Skipping of exon 79, p.His3693_Gln3727del |
||
M: Del55 | |||
P: See Pt 1 | |||
| |||
Patients 13-1 and 13-2 | M: Intron 151 g.207199_207207delGTAAGTGAT |
No data available | |
Unclassified | P: Skipping of exon 151, p.Asn5650_Asp5686del, 37 aa encoding one repeat domain missing, ?impaired tropomyosin and desmin binding |
||
M: Del55 | |||
P: See Pt 1 | |||
| |||
Patient 14-1 | Severe | M: Heterozygous del55* | No spontaneous antigravity movements. Died at the age of 5 months. |
P: See Pt 1 |
The second mutation awaits identification,
published by Anderson et al. (2004),
Patient 6 was described by Lamont and co-workers in 2004 [6]