Splicing mutation in dysferlin produces limb-girdle muscular dystrophy with inflammation

Elizabeth M. McNally*, Chantal Ly, Hanna Rosenmann, Stella Mitrani Rosenbaum, Wei Jiang, Louise V B Anderson, Dov Soffer, Zohar Argov

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

90 Scopus citations


Mutations in dysferlin were recently described in patients with Miyoshi myopathy, a disorder that preferentially affects the distal musculature, and in patients with Limb-Girdle Muscular Dystrophy 2B, a disorder that affects the proximal musculature. Despite the phenotypic differences, the types of mutations associated with Miyoshi myopathy and Limb-Girdle Muscular Dystrophy 2B do not differ significantly. Thus, the etiology of the phenotypic variability associated with dysferlin mutations remains unknown. Using genetic linkage and mutation analysis, we identified a large inbred pedigree of Yemenite Jewish descent with limb-girdle muscular dystrophy. The phenotype in these patients included slowly progressive, proximal, and distal muscular weakness in the lower limbs with markedly elevated serum creatine kinase (CK) levels. These patients had normal development and muscle strength and function in early life. Muscle biopsies from 4 affected patients showed a typical dystrophic pattern but interestingly, in 2, an inflammatory process was seen. The inflammatory infiltrates included primarily CD3 positive lymphocytes. Associated with this phenotype, we identified a previously undescribed frameshift mutation at nucleotide 5711 of dysferlin. This mutation produced an absence of normal dysferlin mRNA synthesis by affecting an acceptor site and cryptic splicing. Thus, splice site mutations that disrupt dysferlin may produce a phenotype associated with inflammation. 2000 (C) 2000 Wiley-Liss, Inc.

Original languageEnglish (US)
Pages (from-to)305-312
Number of pages8
JournalAmerican Journal of Medical Genetics
Issue number4
StatePublished - Apr 24 2000


  • Dysferlin
  • Inflammatory myopathy
  • Limb-girdle muscular dystrophy

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)


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