Large deletions of the NEB gene in distal myopathy

An international consortium of researchers, including two French scientists, studied possible correlations between genotype and phenotype in the context of myopathies linked to the NEB gene encoding nebulin:

  • the triplicated part of the gene (exons 82 to 105) was studied in particular,
  • 35 families were genotyped using different methods (NGS whole exomes and genomes, CGHarray, PCR, and Sanger) and compared both clinically and biologically,
  • 23 presented an autosomal recessive form, mainly in the form of compound heterozygosity, more rarely in a homozygousform,
  • 8 of these were new families,
  • in these groups, no genotype-phenotype correlation could be established,
  • 12 other families had autosomal dominant transmission and 8 of them had large deletions in the triplicated region of the NEB gene and a clearly distal muscle deficit.

This work illustrates the complexity of the NEB gene and its high phenotypic variability.

 

Structural variation in nebulin and its impact on phenotype and inheritance: establishing a dominant distal phenotype caused by large deletions. Sagath L, Kiiski K, Naidu K et al. Eur J Hum Genet. 2025 Jun.