title: [Muscular dystrophy due to a mutation in the gene of alpha-sarcoglycan subunit of dystrophin associated protein complex].
abstract: Linkage studies have confirmed the existence of clinical an genetic heterogeneity among the muscular dystrophies due to adhalin deficiency. We present the clinical, histological and genetic characteristics in a case of primary adhalinopathy (deficiency of the 50 kD subunit or alpha-sarcoglycan). It was a 19 years-old woman, born of non consanguineous parents, who shows a long evolution myopathy with onset before age 7, a severe evolution and becoming wheelchair bound at 10 years. She showed evident calf pseudohypertrophy and serum creatinkinase (CK) levels were elevated (40-180 times the standard level). The histological pattern showed a destructed fascicular architecture in agreement with severe muscular dystrophy, normal staining with anti-dystrophin monoclonal antibodies and abnormal staining pattern with anti-adhalin antibodies. The molecular study evidenced an homozygous point mutation (Arg-->Cys) at position 77 of exon 3 of the gene coding for the 50 kD subunit of the alpha-sarcoglycan complex localised in chromosome 17. In the light of this case, we suggest a revision of the diagnostic orientation in the muscular dystrophies and we review the new taxonomy of the limb-girdle muscular dystrophies, remarking the clinical signs which could indicate a given genetic locus.
authors.affiliation: Servicio de Neurología, Hospital Nuestra Señora de Aránzazu, San Sebastián.
authors.forename: M
authors.initials: M
authors.lastname: Urtasun
authors.forename: J J
authors.initials: JJ
authors.lastname: Poza
authors.forename: P
authors.initials: P
authors.lastname: Gallano
authors.forename: A
authors.initials: A
authors.lastname: Lasa
authors.forename: A
authors.initials: A
authors.lastname: Sáenz
authors.forename: A M
authors.initials: AM
authors.lastname: Cobo
authors.forename: F
authors.initials: F
authors.lastname: Leturcq
authors.forename: A
authors.initials: A
authors.lastname: López de Munain
authors.forename: F
authors.initials: F
authors.lastname: García-Bragado
mesh_terms: D000328:Adult; D017668:Age of Onset; D002886:Chromosomes, Human, Pair 17; D003598:Cytoskeletal Proteins / Q000235:genetics*; D016189:Dystrophin / Q000378:metabolism; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008562:Membrane Glycoproteins / Q000235:genetics*; D009136:Muscular Dystrophies / Q000235:genetics* / Q000378:metabolism / Q000473:pathology; D017354:Point Mutation; D018807:Polymorphism, Single-Stranded Conformational; D049031:Sarcoglycans
chemical_list: D003598:Cytoskeletal Proteins; D016189:Dystrophin; D008562:Membrane Glycoproteins; D049031:Sarcoglycans
vernacular_title: Distrofia muscular por déficit de la subunidad alfa-sarcoglucano del complejo de proteínas relacionadas con la distrofina.