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A recurrent mutation of the RYR1 gene is responsible for a congenital form of myopathy with benign progression
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Although the usual mode of presentation of RYR1-related myopathies is that of congenital myopathy, the range of phenotypes related to pathogenic variants of this gene is constantly widening.
A group of French clinicians and biologists have identified a group of 13 patients who are carriers of a recurrent mutationModification soudaine et transmissible du matériel génétique. Elle peut être spontanée ou induite par des agents dits » mutagènes » (radiations, produits toxiques,…). in the RYR1 gene. An analysis of their clinical and laboratory data has shown that:
- this variant was wrongly considered to be a VUS (variant of unknown significance) in the past;
- the initial neonatal hypotonia is generally severe but does not predetermine later progression, which tends to be benign;
- the lesions observed in muscle histology are not very specific.