A new case of adult myopathy associated with the ACTA1 gene

French, Romanian and Russian researchers, including experts from the Institute of Myology, report the clinical, histological and genetic findings of an adult diagnosed with muscular actinopathy:

  • the 65-year-old patient lives in Russia and presented with a slowly progressive, fairly non-specific muscle weakness, although with a scapuloperoneal distribution;
  • she had no associated cardiac or respiratory involvement;
  • her first symptoms appeared around the age of 30;
  • muscle imaging confirmed the fairly diffuse nature of the weakness, including in the axial musculature,
  • muscle biopsy revealed core- and rod-like lesions,
  • whilst genetic analysis revealed a heterozygous variant in the ACTA1 gene, the pathogenicity of which was subsequently confirmed by functional studies.

This observation joins a very small number of others already published worldwide.

 

ACTA1-Related Adult-Onset Scapuloperoneal Myopathy With Cores and Rods. Caramizaru A, Onnée M, Nikitin S et al. Neuropathol Appl Neurobiol. 2026 Apr;52(2):e70067.