Evidence map›Paper›PMID 39104734›Full record

ArticleClinical case reports2024

Core myopathy in two siblings with a biallelic variant in the CACNA1S gene-A case series study.

Tara Khoeini, Ariana Kariminejad, Yalda Nilipour, Armin Ariaei, Hossein Najmabadi, Mojtaba Arabshahi, Mehrshid Faraji Zonooz, Bahram Haghi Ashtiani

Abstract readCase Reports
In one paragraph

Article in Clinical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tara KhoeiniDepartment of Neurology, Firoozgar Hospital Iran University of Medical Sciences Tehran Iran.
Ariana KariminejadKariminejad-Najmabadi Pathology & Genetics Center Tehran Iran.ORCID https://orcid.org/0000-0002-8467-4728
Yalda NilipourPediatric Pathology Research Center Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences Tehran Iran.
Armin AriaeiSchool of Medicine Iran University of Medical Sciences Tehran Iran.ORCID https://orcid.org/0000-0003-3383-9710
Hossein NajmabadiKariminejad-Najmabadi Pathology & Genetics Center Tehran Iran.ORCID https://orcid.org/0000-0002-6084-7778
Mojtaba ArabshahiRadiology Department, Shohada Tajrish Hospital Shahid Beheshti University of Medical Science Tehran Iran.
Mehrshid Faraji ZonoozKariminejad-Najmabadi Pathology & Genetics Center Tehran Iran.
Bahram Haghi AshtianiDepartment of Neurology, Firoozgar Hospital Iran University of Medical Sciences Tehran Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Homozygous variants of Calcium Voltage-Gated Channel Subunit Alpha1 S (CACNA1S) gene mutation were previously identified as causes of periodic paralysis and congenital early-onset myopathy, while it could be manifested as a late-onset congenital core myopathy. Abstract: Calcium Voltage-Gated Channel Subunit Alpha1 S (CACNA1S) gene mutation has been linked to various neuromuscular conditions in recent years. Congenital myopathy with core-like features is one of the cardinal associations reported previously, causing severe respiratory insufficiency and death in neonates. Informed consent was received from the patients. Subsequently, peripheral blood leukocytes were utilized to extract genomic DNA. Moreover, exome enrichment was implemented through the Twist Human Core Exome Kit (Twist Bioscience) and exome sequenced using Illumina NovaSeq 6000 platform (Illumina, San Diego, CA, USA). Sanger sequencing using BIG Dye Terminators confirmed the presence of the final variant. Finally, the candidate variants were classified based on the American College of Medical Genetics and Genomics (ACMG) guidelines. In this report, we describe two siblings, who presented with childhood and late-onset progressive muscle weakness, and had a homozygous variant in exon 2 of the CACNA1S gene defined as c.188C > A (p.Ala63Asp) (NM_000069.3). The SIFT, Polyphen2, CADD PHRED, and Mutation Taster analysis tools classified the variant as pathogenic/damaging. The muscle biopsy of the younger brother revealed intermyofibrillar network pattern disruption as cytoplasmic core-like lesions. The muscle magnetic resonance imaging (MRI) reported grade IIa and IIb fatty changes. Finally, the electromyography (EMG) findings suggested a myopathic change pattern. This report illustrates the clinical variability in CACNA1S-related myopathy by reviewing prior reports and adding newly found aspects, additionally expanding the gene defects associated with core myopathy.

Indexed as

CACNA1Scalcium voltage‐Gated Channel subunit Alpha1 Scongenital neuromuscular disorderscore myopathy

Identifiers

PMID39104734
PMCPMC11299071

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