PMID- 27066587 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160412 LR - 20201001 IS - 2376-7839 (Print) IS - 2376-7839 (Electronic) IS - 2376-7839 (Linking) VI - 2 IP - 1 DP - 2016 Feb TI - Tubular aggregate myopathy caused by a novel mutation in the cytoplasmic domain of STIM1. PG - e50 LID - 10.1212/NXG.0000000000000050 [doi] LID - e50 AB - OBJECTIVE: To identify the gene mutation of tubular aggregate myopathy (TAM) and gain mechanistic insight into the pathogenesis of the disorder. METHODS: We described a family affected by autosomal dominant TAM and performed exome and Sanger sequencing to identify mutations. We further analyzed the functional significance of the identified mutation by expression studies and intracellular Ca(2+) measurements. RESULTS: A 42-year-old man presented with slowly progressive muscle weakness and atrophy in all 4 limbs and the trunk. Muscle biopsy and microscopic examination revealed tubular aggregates in his skeletal muscle. Genetic analysis of this family identified a novel heterozygous mutation, c.1450_1451insGA (p.Ile484ArgfsX21), in stromal interaction molecule 1 (STIM1), a Ca(2+) sensor in sarcoplasmic reticulum. We transfected cultured cells with STIM1 and demonstrated that the mutant STIM1 exhibited aggregation-like appearance in shrunk cytoplasm. Furthermore, we revealed that the intracellular Ca(2+) influx is decreased by the mutant STIM1. CONCLUSIONS: The novel mutation p.Ile484ArgfsX21 is located in the cytoplasmic C-terminal inhibitory domain (CTID) of STIM1. However, all mutations reported so far in TAM reside in the luminal N-terminal EF hand region. The aggregation-like appearance of STIM1 and the decreased intracellular Ca(2+) influx in cells transfected with CTID mutant are in sharp contrast to these previous reports. Taken together, these findings indicate that mutations of STIM1 cause TAM through the dysregulation of Ca(2+) homeostasis. FAU - Okuma, Hidehiko AU - Okuma H AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Saito, Fumiaki AU - Saito F AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Mitsui, Jun AU - Mitsui J AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Hara, Yuji AU - Hara Y AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Hatanaka, Yuki AU - Hatanaka Y AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Ikeda, Miki AU - Ikeda M AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Shimizu, Teruo AU - Shimizu T AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Matsumura, Kiichiro AU - Matsumura K AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Shimizu, Jun AU - Shimizu J AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Tsuji, Shoji AU - Tsuji S AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. FAU - Sonoo, Masahiro AU - Sonoo M AD - Department of Neurology (H.O., F.S., Y. Hatanaka, M.I., K.M., M.S.), School of Medicine, and Department of Sport and Medical Science (T.S.), Faculty of Medical Technology, Teikyo University, Tokyo, Japan; Department of Neurology (J.M., J.S., S.T.), Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; and Department of Synthetic Chemistry and Biological Chemistry (Y. Hara), Graduate School of Engineering, Kyoto University, Kyoto, Japan. LA - eng PT - Journal Article DEP - 20160201 PL - United States TA - Neurol Genet JT - Neurology. Genetics JID - 101671068 PMC - PMC4817897 EDAT- 2016/04/12 06:00 MHDA- 2016/04/12 06:01 PMCR- 2016/02/01 CRDT- 2016/04/12 06:00 PHST- 2015/03/17 00:00 [received] PHST- 2015/12/07 00:00 [accepted] PHST- 2016/04/12 06:00 [entrez] PHST- 2016/04/12 06:00 [pubmed] PHST- 2016/04/12 06:01 [medline] PHST- 2016/02/01 00:00 [pmc-release] AID - NG2015000034 [pii] AID - 10.1212/NXG.0000000000000050 [doi] PST - epublish SO - Neurol Genet. 2016 Feb 1;2(1):e50. doi: 10.1212/NXG.0000000000000050. eCollection 2016 Feb.