{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T15:20:06Z","timestamp":1783005606542,"version":"3.54.5"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,3,11]],"date-time":"2013-03-11T00:00:00Z","timestamp":1362960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Genetics"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:p>The term \u2018limb\u2010girdle myasthenia\u2019 (<jats:styled-content style=\"fixed-case\">LGM<\/jats:styled-content>) was first used to describe three siblings with proximal limb weakness without oculobulbar involvement, but with <jats:styled-content style=\"fixed-case\">EMG<\/jats:styled-content> decrement and responsiveness to anticholinesterase medication. We report here that exome sequencing in the proband of this family revealed several sequence variations in genes linked to proximal limb weakness. However, the only mutations that cosegregated with disease were an intronic <jats:styled-content style=\"fixed-case\">IVS7\u20108A<\/jats:styled-content>&gt;G mutation and the previously reported 3\u2032\u2010<jats:styled-content style=\"fixed-case\">UTR<\/jats:styled-content> c.*<jats:styled-content style=\"fixed-case\">22C<\/jats:styled-content>&gt;A mutation in\n<jats:italic><jats:styled-content style=\"fixed-case\">GFPT1,<\/jats:styled-content><\/jats:italic> a gene linked to <jats:styled-content style=\"fixed-case\">LGM<\/jats:styled-content>. A minigene assay showed that <jats:styled-content style=\"fixed-case\">IVS7\u20108A<\/jats:styled-content>&gt;G activates an alternative splice acceptor that results in retention of the last seven nucleotides of intron 7 and a frameshift leading to a termination codon 13 nucleotides downstream from the new splice site. An anconeus muscle biopsy revealed mild reduction of the axon terminal size and postsynaptic fold simplification. The amplitudes of miniature endplate potentials and quantal release were also diminished. The <jats:styled-content style=\"fixed-case\">DNA<\/jats:styled-content> of the mildly affected father of the proband showed only the intronic mutation along with sequence variations in other genes potentially relevant to <jats:styled-content style=\"fixed-case\">LGM<\/jats:styled-content>. Thus, this study performed in the family originally described with <jats:styled-content style=\"fixed-case\">LGM<\/jats:styled-content> showed two <jats:italic><jats:styled-content style=\"fixed-case\">GFPT1<\/jats:styled-content><\/jats:italic> untranslated mutations, which may cause disease by reducing <jats:styled-content style=\"fixed-case\">GFPT1<\/jats:styled-content> expression and ultimately impairing protein glycosylation.<\/jats:p>","DOI":"10.1111\/cge.12118","type":"journal-article","created":{"date-parts":[[2013,3,13]],"date-time":"2013-03-13T23:07:01Z","timestamp":1363216021000},"page":"166-171","source":"Crossref","is-referenced-by-count":22,"title":["Exome sequencing detection of two untranslated <i><scp>GFPT1<\/scp><\/i> mutations in a family with limb\u2010girdle myasthenia"],"prefix":"10.1111","volume":"85","author":[{"given":"R.A.","family":"Maselli","sequence":"first","affiliation":[{"name":"Department of Neurology University of California Davis  Davis CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Arredondo","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California Davis  Davis CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California Davis  Davis CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Lara","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California Davis  Davis CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California Davis  Davis CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Ngo","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California Davis  Davis CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.M.","family":"Pham","sequence":"additional","affiliation":[{"name":"Department of Neurology University of California Davis  Davis CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Q.","family":"Yi","sequence":"additional","affiliation":[{"name":"Department of Genome Sciences University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.M.","family":"Stajich","sequence":"additional","affiliation":[{"name":"Center for Human Genetics Duke University  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"McDonald","sequence":"additional","affiliation":[{"name":"Departments of Medicine and Ophthalmology Duke University Medical Center  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.A.","family":"Hauser","sequence":"additional","affiliation":[{"name":"Departments of Medicine and Ophthalmology Duke University Medical Center  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.L.","family":"Wollmann","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Chicago  Chicago IL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,3,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/89.1.121"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.28.11.1135"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.42.6.1153"},{"key":"e_1_2_6_5_1","first-page":"377","article-title":"Isolated proximal muscular weakness disclosing myasthenic syndrome","volume":"150","author":"Azulay JP","year":"1994","journal-title":"Rev 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