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Calpain-3 mutations in Turkey

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Abstract

Autosomal recessive limb-girdle muscular dystrophies (LGMD2s) are a clinically and genetically heterogeneous group of disorders, characterized by progressive involvement of the proximal limb girdle muscles; the group includes at least 10 different genetic entities. The calpainopathies (LGMD2A), a subgroup of LGMD2s, are estimated to be the most common forms of LGMD2 in all populations so far investigated. LGMD2A is usually characterized by symmetrical and selective atrophy of pelvic, scapular and trunk muscles and a moderate to gross elevation of serum CK. However, the course is highly variable. It is caused by mutations in the CAPN3 gene, which encodes for the calpain-3 protein. Until now, 161 pathogenic mutations have been found in the CAPN3 gene. In the present study, through screening of 93 unrelated LGMD2 families, we identified 29 families with LGMD2A, 21 (22.6%) of which were identified as having CAPN3 gene mutations. We detected six novel (p.K211N, p.D230G, p.Y322H, p.R698S, p.Q738X, c.2257delGinsAA) and nine previously reported mutations (c.550delA, c.19_23del, c.1746-20C>G, p.R49H, p.R490Q, p.Y336N, p.A702V, p.Y537X, p.R541Q) in the CAPN3 gene. There may be a wide variety of mutations, but clustering of specific mutations (c.550delA: 40%, p.R490Q: 10%) could be used in the diagnostic scheme in Turkey.

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Abbreviations

LGMD2s:

Autosomal recessive limb-girdle muscular dystrophies

CAPN3:

Calpain-3

DMD:

Duchenne muscular dystrophy

IF:

Immunofluorescence

WB:

Western blot

References

  1. Anderson LV, Davison K, Moss JA, Richard I, Fardeau M, Tome FM, Hubner C, Lasa A, Colomer J, Beckmann JS (1998) Characterization of monoclonal antibodies to calpain 3 and protein expression in muscle from patients with limb-girdle muscular dystrophy type 2A. Am J Pathol 153:1169–1179

    PubMed  CAS  Google Scholar 

  2. Bashir R, Britton S, Strachan T, Keers S, Vafiadaki E, Lako M, Richard I, Marchand S, Bourg N, Argov Z, Sadeh M, Mahjneh I, Marconi G, Passos-Bueno MR, Moreira Ede S, Zatz M, Beckmann JS, Bushby K (1998) A novel mammalian gene related to the C. elegans spermatogenesis factor fer-1 is mutated in patients with limb-girdle muscular dystrophy type 2B (LGMD2B). Nat Genet 20:37–42

    Article  PubMed  CAS  Google Scholar 

  3. Beckmann JS, Richard I, Hillaire D, Broux O, Antignac C, Bois E, Cann H, Cottingham RW Jr, Feingold N, Feingold J (1991) A gene for limb-girdle muscular dystrophy maps to chromosome 15 by linkage. C R Acad Sci III 312:141–148

    PubMed  CAS  Google Scholar 

  4. Bonnemann CG, Modi R, Noguchi S, Mizuno Y, Yoshida M, Gussoni E, McNally EM, Duggan DJ, Angelini C, Hoffman EP (1995) β-Sarcoglycan (A3b) mutations cause autosomal recessive muscular dystrophy with loss of the sarcoglycan complex. Nat Genet 11:266–273

    Article  PubMed  CAS  Google Scholar 

  5. Brockington M, Yuva Y, Prandini P, Brown SC, Torelli S, Benson MA, Herrmann R, Anderson LV, Bashir R, Burgunder JM, Fallet S, Romero N, Fardeau M, Straub V, Storey G, Pollitt C, Richard I, Sewry CA, Bushby K, Voit T, Blake DJ, Muntoni F (2001) Mutations in the fukutin-related protein gene (FKRP) identify limb girdle muscular dystrophy 2I as a milder allelic variant of congenital muscular dystrophy MDC1C. Hum Mol Genet 10:2851–2859

    Article  PubMed  CAS  Google Scholar 

  6. Bushby KMD, Beckmann JS (1995) Report of the 30th and 31st ENMC international workshop - the limb girdle muscular dystrophies and proposal for a new nomenclature. Neuromusc Disord 5:337–344

    Article  PubMed  CAS  Google Scholar 

  7. Bushby KMD (1999) The limb-girdle muscular dystrophies: multiple genes, multiple mechanisms. Hum Mol Genet 8:1875–1882

    Article  PubMed  CAS  Google Scholar 

  8. Bushby KMD, Beckmann JS (2003) The 105th ENMC sponsored workshop: pathogenesis in the non-sarcoglycan limb-girdle muscular dystrophies, Naarden, April 12–14, 2002. Neuromusc Disord 13:80–90

    Article  PubMed  CAS  Google Scholar 

  9. Canki-Klain N, Milic A, Kovac B, Trlaja A, Grgicevic D, Zurak N, Fardeau M, Leturcq F, Kaplan JC, Urtizberea JA, Politano L, Piluso G, Feingold J (2004) Prevalence of the 550delA mutation in calpainopathy (LGMD 2A) in Croatia. Am J Med Genet 1:152–156

    Article  Google Scholar 

  10. Dincer P, Leturcq F, Richard I, Piccolo F, Yalnizoglu D, de Toma C, Akcoren Z, Broux O, Deburgrave N, Brenguier L, Roudaut C, Urtizberea JA, Jung D, Tan E, Jeanpierre M, Campbell KP, Kaplan JC, Beckmann JS, Topaloglu H. (1997) A biochemical, genetic, and clinical survey of autosomal recessive limb girdle muscular dystrophies in Turkey. Ann Neurol 42:222–229

    Article  PubMed  CAS  Google Scholar 

  11. Dincer P, Akçören Z, Demir E, Richard I, Sancak Ö, Kale G, Özme S, Karaduman A, Tan E, Urtizberea JA, Beckmann JS, Topaloðlu H (2000) A cross section of autosomal recessive limb-girdle muscular dystrophies in 38 families. J Med Genet 37:361–367

    Article  PubMed  CAS  Google Scholar 

  12. Fanin M, Fulizio L, Nascimbeni AC, Spinazzi M, Piluso G, Ventriglia VM, Ruzza G, Siciliano G, Trevisan CP, Politano L, Nigro V, Angelini C (2004) Molecular diagnosis in LGMD2A: mutation analysis or protein testing? Hum Mutat 24:52–62

    Article  PubMed  CAS  Google Scholar 

  13. Frosk P, Weiler T, Nylen E, Sudha T, Greenberg CR, Morgan K, Fujiwara TM, Wrogemann K (2002) Limb-girdle muscular dystrophy type 2H associated with mutation in TRIM32, a putative E3-ubiquitin-ligase gene. Am J Hum Genet 70:663–672

    Article  PubMed  CAS  Google Scholar 

  14. Gardner-Medwin D, Walton JN (1974) The clinical examination of the voluntary muscles. In: Walton JD (ed) Disorders of voluntary muscle. London, Churchill Livingstone, pp 517–560

    Google Scholar 

  15. Lim LE, Duclos F, Broux O, Bourg N, Sunada Y, Allamand V, Meyer J, Richard I, Moomaw C, Slaughter C (1995) Beta-sarcoglycan: characterization and role in limb-girdle muscular dystrophy linked to 4q12. Nat Genet 11:257–265

    Article  PubMed  CAS  Google Scholar 

  16. Liu J, Aoki M, Illa I, Wu C, Fardeau M, Angelini C, Serrano C, Urtizberea JA, Hentati F, Hamida MB, Bohlega S, Culper EJ, Amato AA, Bossie K, Oeltjen J, Bejaoui K, McKenna-Yasek D, Hosler BA, Schurr E, Arahata K, de Jong PJ, Brown RH Jr (1998) Dysferlin, a novel skeletal muscle gene, is mutated in Miyoshi myopathy and limb girdle muscular dystrophy. Nat Genet 20:31–36

    Article  PubMed  CAS  Google Scholar 

  17. Mendell JR, Florence J (1990) Manual muscle testing. Muscle Nerve 13:16–20

    Article  PubMed  Google Scholar 

  18. Moreira ES, Wiltshire TJ, Faulkner G, Nilforoushan A, Vainzof M, Suzuki OT, Valle G, Reeves R, Zatz M, Passos-Bueno MR, Jenne DE (2000) Limb-girdle muscular dystrophy type 2G is caused by mutations in the gene encoding the sarcomeric protein telethonin. Nat Genet 24:163–166

    Article  PubMed  CAS  Google Scholar 

  19. Nigro V, de Sa Moreira E, Piluso G, Vainzof M, Belsito A, Politano L, Puca AA, Passos-Bueno MR, Zatz M (1996) Autosomal recessive limb-girdle muscular dystrophy, LGMD2F, is caused by a mutation in the delta-sarcoglycan gene. Nat Genet 14:195–198

    Article  PubMed  CAS  Google Scholar 

  20. Nigro V (2003) Molecular bases of autosomal recessive limb-girdle muscular dystrophies. Acta Myol 22:35–42

    PubMed  CAS  Google Scholar 

  21. Piluso G, Politano L, Aurino S, Fanin M, Ricci E, Ventriglia VM, Belsito A, Totaro A, Saccone V, Topaloglu H, Nascimbeni AC, Fulizio L, Broccolini A, Canki-Klain N, Comi LI, Nigro G, Angelini C, Nigro V (2005) Extensive scanning of the calpain-3 gene broadens the spectrum of LGMD2A phenotypes. J Med Genet 42:686–693

    Article  PubMed  CAS  Google Scholar 

  22. Noguchi S, McNally EM, Ben Othmane K, Hagiwara Y, Mizuno Y, Yoshida M, Yamamoto H, Bonnemann CG, Gussoni E, Denton PH (1995) Mutations in the dystrophin-associated protein gamma-sarcoglycan in chromosome 13 muscular dystrophy. Science 270:819–822

    Article  PubMed  CAS  Google Scholar 

  23. Ono Y, Shimada H, Sorimachi H, Richard I, Saido TC, Beckmann JS, Ishiura S, Suzuki K (1998) Functional defects of a muscle-specific calpain, p94, caused by mutations associated with limb-girdle muscular dystrophy type 2A. J Biol Chem 273:17073–17078

    Article  PubMed  CAS  Google Scholar 

  24. Pogoda TV, Krakhmaleva IN, Lipatova NA, Shakhovskaya NI, Shishkin SS, Limborska SA (2000) High incidence of 550delA mutation of CAPN3 in LGMD2 patients from Russia. Hum Mutat 15:295

    Article  PubMed  CAS  Google Scholar 

  25. Richard I, Beckmann JS (1995) How neutral are synonymous codon mutations? Nat Genet 10:259

    Article  PubMed  CAS  Google Scholar 

  26. Richard I, Broux O, Allamand V, Fougerousse F, Chiannilkulchai N, Bourg N, Brenguier L, Devaud C, Pasturaud P, Roudaut C (1995) Mutations in the proteolytic enzyme calpain 3 cause limb-girdle muscular dystrophy type 2A. Cell 81:27–40

    Article  PubMed  CAS  Google Scholar 

  27. Richard I, Brenguier L, Dincer P, Roudaut C, Bady B, Burgunder JM, Chemaly R, Garcia CA, Halaby G, Jackson CE, Kurnit DM, Lefranc G, Legum C, Loiselet J, Merlini L, Nivelon-Chevallier A, Ollagnon-Roman E, Restagno G, Topaloglu H, Beckmann JS (1997) Multiple independent molecular etiology for limb-girdle muscular dystrophy type 2A patients from various geographical origins. Am J Hum Genet 60:1128–1138

    PubMed  CAS  Google Scholar 

  28. Richard I, Roudaut C, Saenz A, Pogue R, Grimbergen JE, Anderson LV, Beley C, Cobo AM, de Diego C, Eymard B, Gallano P, Ginjaar HB, Lasa A, Pollitt C, Topaloglu H, Urtizberea JA, de Visser M, van der Kooi A, Bushby K, Bakker E, Lopez de Munain A, Fardeau M, Beckmann JS (1999) Calpainopathy-a survey of mutations and polymorphisms. Am J Hum Genet 64:1524–1540

    Article  PubMed  CAS  Google Scholar 

  29. Richard I, Bourg N, Marchand S, Alibert O, Eymard B, van der Kooi AJ, Jackson CE, Garcia C, Burgunder JM, Legum C, de Visser M, Fardeau M, Beckmann JS (1999) A diagnostic fluorescent marker kit for six limb girdle muscular dystrophies. Neuromusc Disord 9:555–563

    Article  PubMed  CAS  Google Scholar 

  30. Roberds SL, Leturcq F, Allamand V, Piccolo F, Jeanpierre M, Anderson RD, Lim LE, Lee JC, Tome FM, Romero NB (1994) Missense mutations in the adhalin gene linked to autosomal recessive muscular dystrophy. Cell 78:625–633

    Article  PubMed  CAS  Google Scholar 

  31. Topaloglu H, Dincer P, Richard I, Akcoren Z, Alehan D, Ozme S, Caglar M, Karaduman A, Urtizberea JA, Beckmann JS (1997) Calpain-3 deficiency causes a mild muscular dystrophy in childhood. Neuropediatrics 28:212–216

    Article  PubMed  CAS  Google Scholar 

  32. Zatz M, Vainzof M, Passos-Bueno MR (2000) Limb-girdle muscular dystrophy: one gene with different phenotypes, one phenotype with different genes. Curr Opin Neurol 13:511–517

    Article  PubMed  CAS  Google Scholar 

  33. Zatz M, de Paula F, Starling A, Vainzof M (2003) The 10 autosomal recessive limb-girdle muscular dystrophies. Neuromusc Disord 13:532–544

    Article  PubMed  Google Scholar 

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Acknowledgements

This study was supported by TÜBİTAK (The Scientific & Technological Research Council of Turkey) (SBAG-1774), Ankara, Turkey and the Association Francaise contre les Myopathies (AFM), Assistance Publique/Hopitaux de Paris and Généthon, Evry, France, Telethon, Italy and MIUR-PRIN. We thank our patients and their families for their full participation in our study. Mutation information is being submitted to the Leiden public database.

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Correspondence to Pervin Dincer.

Additional information

OMIM numbers: CAPN3 = OMIM: 114240, 253600 (LGMD2A), GenBank: AF209502.1

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Balci, B., Aurino, S., Haliloglu, G. et al. Calpain-3 mutations in Turkey. Eur J Pediatr 165, 293–298 (2006). https://doi.org/10.1007/s00431-005-0046-3

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