PMID- 29305133 OWN - NLM STAT- MEDLINE DCOM- 20191114 LR - 20220408 IS - 1873-2364 (Electronic) IS - 0960-8966 (Print) IS - 0960-8966 (Linking) VI - 28 IP - 2 DP - 2018 Feb TI - Phenotypic stratification and genotype-phenotype correlation in a heterogeneous, international cohort of GNE myopathy patients: First report from the GNE myopathy Disease Monitoring Program, registry portion. PG - 158-168 LID - S0960-8966(17)30570-9 [pii] LID - 10.1016/j.nmd.2017.11.001 [doi] AB - GNE myopathy is a rare distal myopathy, caused by mutations in the GNE gene, affecting sialic acid synthesis. Clinical presentation varies from asymptomatic early stage patients to severely debilitating forms. This first report describes clinical presentations and severity of the disease, using data of 150 patients collected via the on-line, patient-reported registry component of the GNE Myopathy Disease Monitoring Program (GNEM-DMP). Disease progression was prospectively analysed, over a 2-year period, using the GNE myopathy functional activity scale (GNEM-FAS). The average annual rates of decline in function were estimated at -9.6% and -3.2% in ambulant and non-ambulant patients respectively. 4.3% of participants became non-ambulant within one year. The mean time from onset to required use of a wheelchair was 11.9 years. Mean delay of genetic diagnosis from symptom onset was 5.2 years. Mutation specific analysis demonstrated genotype-phenotype relationships; i.e. p.Ala662Val may be associated with a more severe phenotype, compared to p.Val727Met. Patients with compound heterozygous mutation in epimerase and kinase domain appeared to have a more severe phenotype compared to patients with both mutations located within one domain. Acknowledging the limitations of the study, these findings suggest that the severity of the GNE mutations affects disease severity. The GNEM-DMP is a useful data collection tool, prospectively measuring the progression of GNE myopathy, which could play an important role in translational and clinical research and further understanding of genotype-phenotype correlations. CI - Copyright (c) 2017 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Pogoryelova, Oksana AU - Pogoryelova O AD - The John Walton Muscular Dystrophy Research Centre, Newcastle University, UK. Electronic address: Oksana.pogoryelova@ncl.ac.uk. FAU - Cammish, Phillip AU - Cammish P AD - The John Walton Muscular Dystrophy Research Centre, Newcastle University, UK. FAU - Mansbach, Hank AU - Mansbach H AD - Ultragenyx Pharmaceutical Inc. Novato, CA, USA. FAU - Argov, Zohar AU - Argov Z AD - Department of Neurology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Nishino, Ichizo AU - Nishino I AD - Department of Neuromuscular Research, National Institute of Neuroscience, National Center of Neurology and Psychiatry, Tokyo, Japan. FAU - Skrinar, Alison AU - Skrinar A AD - Ultragenyx Pharmaceutical Inc. Novato, CA, USA. FAU - Chan, Yiumo AU - Chan Y AD - Ultragenyx Pharmaceutical Inc. Novato, CA, USA. FAU - Nafissi, Shahriar AU - Nafissi S AD - Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran. FAU - Shamshiri, Hosein AU - Shamshiri H AD - Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran. FAU - Kakkis, Emil AU - Kakkis E AD - Ultragenyx Pharmaceutical Inc. Novato, CA, USA. FAU - Lochmuller, Hanns AU - Lochmuller H AD - The John Walton Muscular Dystrophy Research Centre, Newcastle University, UK. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20171114 PL - England TA - Neuromuscul Disord JT - Neuromuscular disorders : NMD JID - 9111470 RN - 0 (Multienzyme Complexes) RN - 0 (UDP-N-acetylglucosamine 2-epimerase - N-acetylmannosamine kinase) RN - Distal myopathy, Nonaka type SB - IM MH - Adult MH - Aged MH - Cohort Studies MH - Disease Progression MH - Distal Myopathies/*epidemiology/*genetics MH - Female MH - Genetic Association Studies MH - Humans MH - Internationality MH - Male MH - Middle Aged MH - Multienzyme Complexes/genetics MH - Phenotype MH - Registries MH - Severity of Illness Index MH - Young Adult PMC - PMC5857291 OTO - NOTNLM OT - Distal myopathy OT - Epidemiology OT - GNE myopathy OT - Genotype-phenotype correlation OT - Hereditary inclusion body myopathy OT - Rare neuromuscular disorders EDAT- 2018/01/07 06:00 MHDA- 2019/11/15 06:00 PMCR- 2018/02/01 CRDT- 2018/01/07 06:00 PHST- 2017/06/20 00:00 [received] PHST- 2017/10/16 00:00 [revised] PHST- 2017/11/06 00:00 [accepted] PHST- 2018/01/07 06:00 [pubmed] PHST- 2019/11/15 06:00 [medline] PHST- 2018/01/07 06:00 [entrez] PHST- 2018/02/01 00:00 [pmc-release] AID - S0960-8966(17)30570-9 [pii] AID - 10.1016/j.nmd.2017.11.001 [doi] PST - ppublish SO - Neuromuscul Disord. 2018 Feb;28(2):158-168. doi: 10.1016/j.nmd.2017.11.001. Epub 2017 Nov 14.