The plectinopathies: a wide range of neuromuscular and non-neuromuscular phenotypes

Plectin is a large protein that stabilises the position of intermediate filaments inside the cell. An Austrian team has reviewed this protein’s involvement in the area of neuromuscular disease and beyond:

  • mutations of the PLEC gene (that codes plectin) can be responsible for a type of limb-girdle muscular dystrophy (LGMD type R17), myasthenic syndrome, and/or histological lesions suggesting myofibrillar myopathy.
  • the plectinopathies can, in isolation or in combination with muscular inivolvement, involve skin lesions (epidermolysis bullosa simplex) or skin appendage lesions (ungual dystrophy), or even pyloric atresia.
  • conversely, and due to the very common occurrence non-pathogenic variants in this gene, one requires a body of evidence to confirm the plectinopathy diagnosis.

 

Muscle-Related Plectinopathies. Zrelski MM, Kustermann M, Winter L. Cells. 2021 (Sept).