A Deep intronic variant activates a pseudoexon in the mtm1 gene in a family with x-linked myotubular myopathy

Jamie Fitzgerald, Cori Feist, Paula Dietz, Stephen Moore, Donald Basel

Research output: Contribution to journalArticlepeer-review

Abstract

We report a novel intronic variant in the MTM1 gene in 4 males in a family with severe X-linked myotubular myopathy. The AG variant in deep intronic space activates a cryptic 5′ donor splice site resulting in the inclusion of a 48-bp pseudoexon into the mature MTM1 mRNA. The variant is present in all affected males, absent in unaffected males, and heterozygous in the mother of the affected males. The included intronic sequence contains a premature stop codon, and experiments using a translational inhibitor indicate that the mutant mRNAs undergo nonsense-mediated decay. We conclude that affected males produce no, or low, levels of MTM1 mRNA likely leading to a significant reduction of myotubularin-1 protein resulting in the severe neonatal myopathy present in this family. The study highlights the need to consider noncoding variants in genomic screening in families with X-linked myotubular myopathy.

Original languageEnglish (US)
Pages (from-to)264-270
Number of pages7
JournalMolecular Syndromology
Volume11
Issue number5-6
DOIs
StatePublished - Dec 2020

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)

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