Desminopathy
General Information (adopted from Orphanet):
Synonyms, Signs: |
DRM Desmin-related myofibrillar myopathy desmin-related myopathy myopathy, myofibrillar, desmin-related CMD1F and LGMD1D, formerly myofibrillar myopathy with arrhythmogenic right ventricular cardiomyopathy ARVD7, formerly cardiomyopathy, dilated, 1F and limb-girdle muscular dystrophy type 1D, formerly ARVC7, formerly ibm1, formerly cdcd3, formerly mfm1 desmin-related myopathy with arrhythmogenic right ventricular cardiomyopathy arrhythmogenic right ventricular cardiomyopathy 7, formerly desminopathy, primary arrhythmogenic right ventricular dysplasia, familial, 7, formerly inclusion body myopathy 1, autosomal dominant, formerly cardiomyopathy, dilated, with conduction defect and muscular dystrophy |
Number of Symptoms | 38 |
OrphanetNr: | 98909 |
OMIM Id: |
601419
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ICD-10: |
G71.8 |
UMLs: |
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MeSH: |
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MedDRA: |
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Snomed: |
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Prevalence, inheritance and age of onset:
Prevalence: | No data available. |
Inheritance: |
Autosomal dominant Monogenic Autosomal recessive Sporadic 20718792 [IBIS] |
Age of onset: |
All ages 20718792 [IBIS] |
Disease classification (adopted from Orphanet):
Parent Diseases: |
Autosomal dominant distal myopathy
-Rare genetic disease -Rare neurologic disease Familial restrictive cardiomyopathy -Rare cardiac disease -Rare genetic disease Inclusion myopathy -Rare genetic disease -Rare neurologic disease Myofibrillar myopathy -Rare genetic disease -Rare neurologic disease Neuromuscular disease with dilated cardiomyopathy -Rare cardiac disease -Rare genetic disease Qualitative or quantitative defects of desmin -Rare genetic disease |
Comment:
Desmin-related myofibrillar myopathy (desminopathy) is caused by different mutations in DES (PMID:20718792). |
Symptom Information:
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(HPO:0010628) | Facial palsy | 9697706 | IBIS | 146 / 7739 | ||
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(HPO:0000467) | Neck muscle weakness | 8122252 | IBIS | 29 / 7739 | ||
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(HPO:0002600) | Hyporeflexia of lower limbs | 8114783 | IBIS | 13 / 7739 | ||
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(HPO:0002019) | Constipation | 17221859 | IBIS | 194 / 7739 | ||
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(HPO:0002014) | Diarrhea | 17221859 | IBIS | 225 / 7739 | ||
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(HPO:0011713) | Left bundle branch block | 20718792 | IBIS | 30 / 7739 | ||
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(HPO:0001638) | Cardiomyopathy | Frequent [IBIS] | 47% (n=138) | 20718792 | IBIS | 192 / 7739 |
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(HPO:0001678) | Atrioventricular block | 10970245 | IBIS | 59 / 7739 | ||
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(HPO:0001645) | Sudden cardiac death | Occasional [IBIS] | 26% (n=27) | 20718792 | IBIS | 84 / 7739 |
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(HPO:0004756) | Ventricular tachycardia | 20718792 | IBIS | 55 / 7739 | ||
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(HPO:0005110) | Atrial fibrillation | 20718792 | IBIS | 71 / 7739 | ||
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(HPO:0011711) | Left anterior fascicular block | 20718792 | IBIS | 7 / 7739 | ||
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(HPO:0005130) | Restrictive heart failure | Occasional [IBIS] | 12% (n=138) | 20718792 | IBIS | 2 / 7739 |
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(HPO:0001639) | Hypertrophic cardiomyopathy | Rare [IBIS] | 6% (n=138) | 22275259 | IBIS | 137 / 7739 |
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(HPO:0011663) | Right ventricular cardiomyopathy | 10970245 | IBIS | 17 / 7739 | ||
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(HPO:0001644) | Dilated cardiomyopathy | Occasional [IBIS] | 17% (n=138) | 20718792 | IBIS | 141 / 7739 |
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(HPO:0011675) | Arrhythmia | Frequent [IBIS] | 60% (n=159) | 20718792 | IBIS | 226 / 7739 |
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(HPO:0011712) | Right bundle branch block | 20718792 | IBIS | 34 / 7739 | ||
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(HPO:0011715) | Trifascicular block | 20718792 | IBIS | 1 / 7739 | ||
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(HPO:0002747) | Respiratory insufficiency due to muscle weakness | Occasional [IBIS] | 26% (n=110) | 20718792 | IBIS | 48 / 7739 |
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(HPO:0002460) | Distal muscle weakness | Occasional [IBIS] | 27% (n=106) | 20718792 | IBIS | 122 / 7739 |
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(HPO:0003756) | Skeletal myopathy | Frequent [IBIS] | 70% (n=159) | 20718792 | IBIS | 8 / 7739 |
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(HPO:0001283) | Bulbar palsy | 8114783 | IBIS | 31 / 7739 | ||
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(HPO:0003701) | Proximal muscle weakness | Rare [IBIS] | 6% (n=106) | 20718792 | IBIS | 105 / 7739 |
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(HPO:0003458) | EMG: myopathic abnormalities | 18061454 | IBIS | 38 / 7739 | ||
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(HPO:0003694) | Late-onset proximal muscle weakness | 8509778 | IBIS | 3 / 7739 | ||
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(OMIM) | Affected muscles show atrophy | 9697706 | IBIS | 1 / 7739 | ||
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(OMIM) | Smooth muscle may also become involved | 17221859 | IBIS | 1 / 7739 | ||
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(MedDRA:10003668) | Atrial tachycardia | 20718792 | IBIS | 3 / 7739 | ||
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(OMIM) | Diarrhea due to smooth muscle involvement | 17221859 | IBIS | 1 / 7739 | ||
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(MedDRA:10057393) | Bifascicular block | 20718792 | IBIS | 4 / 7739 | ||
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(OMIM) | Conduction abnormalities | 9382102 | IBIS | 2 / 7739 | ||
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(OMIM) | Arrhythmogenic right ventricular cardiomyopathy | Rare [IBIS] | 1% (n=138) | 20718792 | IBIS | 3 / 7739 |
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(OMIM) | Constipation due to smooth muscle involvement | 17221859 | IBIS | 1 / 7739 | ||
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(OMIM) | Biopsy shows degenerative changes consistent with myopathy | 10970245 | IBIS | 1 / 7739 | ||
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(OMIM) | Proximal muscle weakness occurs later | 17720647 | IBIS | 3 / 7739 | ||
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(HPO:0040081) | Abnormal levels of creatine kinase in blood | Frequent [IBIS] | 57% (n=159) | 20718792 | IBIS | 2 / 7739 |
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(OMIM) | Intrasarcoplasmic dense granulofilamentous aggregates that are immunoreactive with desmin | 10970245, 7672786 | IBIS | 1 / 7739 |
Associated genes:
DES; |
ClinVar (via SNiPA)
Gene symbol | Variation | Clinical significance | Reference |
---|---|---|---|
DES | rs121913000 | pathogenic | RCV000018315.24 |
DES | rs121913001 | pathogenic | RCV000018316.29 |
DES | rs121913003 | pathogenic | RCV000018320.28 |
DES | rs121913004 | pathogenic | RCV000018324.24 |
DES | rs121913005 | pathogenic | RCV000018328.29 |
DES | rs150974575 | likely pathogenic | RCV000154519.1 |
DES | rs267607482 | pathogenic | RCV000133502.2 |
DES | rs267607483 | pathogenic | RCV000154574.1 |
DES | rs267607495 | likely pathogenic | RCV000154600.1 |
DES | rs267607499 | likely pathogenic | RCV000150380.1 |
DES | rs397516698 | likely pathogenic | RCV000037249.2 |
DES | rs397516698 | likely pathogenic | RCV000150381.1 |
DES | rs57639980 | pathogenic | RCV000018319.28 |
DES | rs57955682 | pathogenic | RCV000018323.28 |
DES | rs58687088 | pathogenic | RCV000018326.24 |
DES | rs59962885 | pathogenic | RCV000018314.23 |
DES | rs60538473 | pathogenic | RCV000018317.29 |
DES | rs62635763 | pathogenic | RCV000032923.28 |
DES | rs62636495 | pathogenic | RCV000133501.5 |
DES | rs727504448 | likely pathogenic | RCV000155417.1 |
DES | rs730880289 | pathogenic | RCV000157059.2 |
DNAJB6 | rs387907150 | pathogenic | RCV000179004.1 |
Additional Information:
Description: (OMIM) |
Myofibrillar myopathy (MFM) is a noncommittal term that refers to a group of morphologically homogeneous, but genetically heterogeneous chronic neuromuscular disorders. The morphologic changes in skeletal muscle in MFM result from disintegration of the sarcomeric Z disc and ... |
Clinical Description OMIM |
Desmin-related MFM is characterized by skeletal muscle weakness associated with cardiac conduction blocks, arrhythmias, and restrictive heart failure, and by intracytoplasmic accumulation of desmin-reactive deposits in cardiac and skeletal muscle cells. Autosomal dominant and autosomal recessive forms have ... |
Genotype-Phenotype Correlations OMIM |
Van Spaendonck-Zwarts et al. (2011) performed a metaanalysis of 159 patients with 40 different DES mutations reported in the literature. The majority of DES mutations were missense mutations, mostly located in the 2B domain. Mutations in the 2B ... |
Molecular genetics OMIM |
In affected members of a family with autosomal dominant inheritance of a desmin-related cardioskeletal myopathy, Goldfarb et al. (1998) identified a heterozygous mutation in the desmin gene (125660.0001). In 3 affected members of a second family with apparent ... |