PMID- 33569515 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240330 IS - 2352-3042 (Electronic) IS - 2352-4820 (Print) IS - 2352-3042 (Linking) VI - 8 IP - 1 DP - 2021 Jan TI - A novel PNPLA2 mutation causing total loss of RNA and protein expression in two NLSDM siblings with early onset but slowly progressive severe myopathy. PG - 73-78 LID - 10.1016/j.gendis.2019.07.006 [doi] AB - Neutral lipid storage disease with myopathy (NLSDM) is a rare autosomal recessive disorder, due to an enzymatic error of lipid metabolism. Patients present always with skeletal muscle myopathy and variable cardiac and hepatic involvement. NLSDM is caused by mutations in the PNPLA2 gene, which encodes the adipose triglyceride lipase (ATGL). Here we report the molecular characterization and clinical findings of two NLSDM siblings carrying the novel c.187+1G > C homozygous PNPLA2 mutation, localized in the splice site of intron 2. Molecular analyses revealed that neither aberrant PNPLA2 mRNA isoforms, nor ATGL mutated protein were detectable in patient's cells. Clinically, both patients presented early onset muscle weakness, in particular of proximal upper limb muscles. In almost 15 years, muscle damage affected also distal upper limbs. This is a NLSDM family, displaying a severe PNPLA2 mutation in two siblings with clinical presentation characterized by an early onset, but a slowly evolution of severe myopathy. CI - (c) 2019 Chongqing Medical University. Production and hosting by Elsevier B.V. FAU - Tavian, Daniela AU - Tavian D AD - Laboratory of Cellular Biochemistry and Molecular Biology, CRIBENS, Universita Cattolica del Sacro Cuore, pz Buonarroti 30, Milan, 20145, Italy. AD - Department of Psychology, Universita Cattolica del Sacro Cuore, Largo Gemelli 1, Milan, 20123, Italy. FAU - Maggi, Lorenzo AU - Maggi L AD - Neuromuscular Diseases and Neuroimmunology Unit, Fondazione IRCCS Istituto Neurologico "Carlo Besta", Milan, Italy. FAU - Mora, Marina AU - Mora M AD - Neuromuscular Diseases and Neuroimmunology Unit, Fondazione IRCCS Istituto Neurologico "Carlo Besta", Milan, Italy. FAU - Morandi, Lucia AU - Morandi L AD - Neuromuscular Diseases and Neuroimmunology Unit, Fondazione IRCCS Istituto Neurologico "Carlo Besta", Milan, Italy. FAU - Bragato, Cinzia AU - Bragato C AD - Neuromuscular Diseases and Neuroimmunology Unit, Fondazione IRCCS Istituto Neurologico "Carlo Besta", Milan, Italy. AD - PhD program in Neuroscience, University of Milano-Bicocca, Via Cadore 48, Monza, 20900, Italy. FAU - Missaglia, Sara AU - Missaglia S AD - Laboratory of Cellular Biochemistry and Molecular Biology, CRIBENS, Universita Cattolica del Sacro Cuore, pz Buonarroti 30, Milan, 20145, Italy. AD - Department of Psychology, Universita Cattolica del Sacro Cuore, Largo Gemelli 1, Milan, 20123, Italy. LA - eng PT - Journal Article DEP - 20190729 PL - Netherlands TA - Genes Dis JT - Genes & diseases JID - 101635967 PMC - PMC7859421 OTO - NOTNLM OT - Cardiomyopathy OT - Lipid metabolism OT - Neutral lipid storage disease with myopathy OT - PNPLA2 OT - Splicing mutation OT - Triglyceride lipase EDAT- 2019/07/29 00:00 MHDA- 2019/07/29 00:01 PMCR- 2019/07/29 CRDT- 2021/02/11 05:55 PHST- 2019/06/20 00:00 [received] PHST- 2019/07/12 00:00 [revised] PHST- 2019/07/22 00:00 [accepted] PHST- 2021/02/11 05:55 [entrez] PHST- 2019/07/29 00:00 [pubmed] PHST- 2019/07/29 00:01 [medline] PHST- 2019/07/29 00:00 [pmc-release] AID - S2352-3042(19)30050-9 [pii] AID - 10.1016/j.gendis.2019.07.006 [doi] PST - epublish SO - Genes Dis. 2019 Jul 29;8(1):73-78. doi: 10.1016/j.gendis.2019.07.006. eCollection 2021 Jan.