Three novel FHL1 variants cause a mild phenotype of Emery-Dreifuss muscular dystrophy

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  • Josefine d. S. Borch
  • Thomas Krag
  • Sonja D. Holm-Yildiz
  • Hakan Cetin
  • Tuva A. Solheim
  • Freja Fornander
  • Volker Straub
  • Morten Duno
  • Vissing, John

Emery-Dreifuss muscular dystrophy (EDMD) is a hereditary muscle disease, characterized by the clinical triade of early-onset joint contractures, progressive muscle weakness, and cardiac involvement. Pathogenic variants in FHL1 can cause a rare X-linked recessive form of EDMD, type 6. We report three men with novel variants in FHL1 leading to EDMD6. The onset of muscle symptoms was in late adulthood and muscle weakness was not prominent in either of the patients. All patients had hypertrophic cardiomyopathy and one of them also had cardiac arrhythmias. Western blot performed on muscle biopsies from two of the patients showed no FHL1 protein expression. We predict that the variant in the third patient also leads to the absence of FHL1 protein. Complete loss of all FHL1 isoforms combined with mild muscle involvement supports the hypothesis that loss of all FHL1 isoforms is more benign than the cytotoxic effects of expressed FHL1 protein with pathogenic missense variants.

Original languageEnglish
JournalHuman Mutation
Volume43
Issue number9
Pages (from-to)1234-1238
Number of pages5
ISSN1059-7794
DOIs
Publication statusPublished - 2022

Bibliographical note

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© 2022 The Authors. Human Mutation published by Wiley Periodicals LLC.

    Research areas

  • cardiomyopathy, EDMD6, Emery-Dreifuss muscular dystrophy, FHL1, muscular dystrophy

ID: 329437896