Duchenne muscular dystrophy caused by a deletion (c.5021del) in exon 35 of the DMD gene: A case report and review of the literature

Duchenne muscular dystrophy (DMD MIM#310200) is a degenerative muscle disease caused by mutations in the dystrophin gene located on Xp21.2. The clinical features encompass muscle weakness and markedly elevated serum creatine kinase levels. An 8-year-old Chinese boy was diagnosed with Duchenne muscul...

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Main Authors: Yue Liu, Yanhui Tang, Hui Zhang, Hongying Chen, Qing Luo, Jinbo Liu
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402404708X
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author Yue Liu
Yanhui Tang
Hui Zhang
Hongying Chen
Qing Luo
Jinbo Liu
author_facet Yue Liu
Yanhui Tang
Hui Zhang
Hongying Chen
Qing Luo
Jinbo Liu
author_sort Yue Liu
collection DOAJ
description Duchenne muscular dystrophy (DMD MIM#310200) is a degenerative muscle disease caused by mutations in the dystrophin gene located on Xp21.2. The clinical features encompass muscle weakness and markedly elevated serum creatine kinase levels. An 8-year-old Chinese boy was diagnosed with Duchenne muscular dystrophy (DMD). Whole exome gene sequencing was conducted and the Sanger method was used to validate sequencing. A deletion (c.5021del) in exon 35 of the dystrophin gene was identified, which was predicted to generate a frameshift mutation and create an early termination codon (p.Leu1674CysfsTer47). It has a pathogenic effect against dystrophin in the muscle cell membrane of the patient. As such, prednisone treatment at a dose of 0.75 mg/kg.d was administered. After one month, a notable reduction in fall frequency was observed. Our new finding will expand the pathogenic mutation spectrum causing DMD.
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spelling doaj.art-3ba4af0b9fbf4c25a9a5f8262c1a3cef2024-03-31T04:37:38ZengElsevierHeliyon2405-84402024-04-01107e28677Duchenne muscular dystrophy caused by a deletion (c.5021del) in exon 35 of the DMD gene: A case report and review of the literatureYue Liu0Yanhui Tang1Hui Zhang2Hongying Chen3Qing Luo4Jinbo Liu5Department of Laboratory Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China; Sichuan Province Engineering Technology Research Center of Molecular Diagnosis of Clinical Diseases, Luzhou, China; Molecular Diagnosis of Clinical Diseases Key Laboratory of Luzhou, Luzhou, ChinaDepartment of Pediatric, The Affiliated Hospital of Southwest Medical University, Luzhou, ChinaDepartment of Laboratory Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China; Sichuan Province Engineering Technology Research Center of Molecular Diagnosis of Clinical Diseases, Luzhou, China; Molecular Diagnosis of Clinical Diseases Key Laboratory of Luzhou, Luzhou, ChinaDepartment of Pediatric, The Affiliated Hospital of Southwest Medical University, Luzhou, ChinaDepartment of Laboratory Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China; Sichuan Province Engineering Technology Research Center of Molecular Diagnosis of Clinical Diseases, Luzhou, China; Molecular Diagnosis of Clinical Diseases Key Laboratory of Luzhou, Luzhou, ChinaDepartment of Laboratory Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China; Sichuan Province Engineering Technology Research Center of Molecular Diagnosis of Clinical Diseases, Luzhou, China; Molecular Diagnosis of Clinical Diseases Key Laboratory of Luzhou, Luzhou, China; Corresponding author. Department of Laboratory Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China.Duchenne muscular dystrophy (DMD MIM#310200) is a degenerative muscle disease caused by mutations in the dystrophin gene located on Xp21.2. The clinical features encompass muscle weakness and markedly elevated serum creatine kinase levels. An 8-year-old Chinese boy was diagnosed with Duchenne muscular dystrophy (DMD). Whole exome gene sequencing was conducted and the Sanger method was used to validate sequencing. A deletion (c.5021del) in exon 35 of the dystrophin gene was identified, which was predicted to generate a frameshift mutation and create an early termination codon (p.Leu1674CysfsTer47). It has a pathogenic effect against dystrophin in the muscle cell membrane of the patient. As such, prednisone treatment at a dose of 0.75 mg/kg.d was administered. After one month, a notable reduction in fall frequency was observed. Our new finding will expand the pathogenic mutation spectrum causing DMD.http://www.sciencedirect.com/science/article/pii/S240584402404708XDuchenne muscular dystrophyGene mutationFrameshiftDystrophinCase report
spellingShingle Yue Liu
Yanhui Tang
Hui Zhang
Hongying Chen
Qing Luo
Jinbo Liu
Duchenne muscular dystrophy caused by a deletion (c.5021del) in exon 35 of the DMD gene: A case report and review of the literature
Heliyon
Duchenne muscular dystrophy
Gene mutation
Frameshift
Dystrophin
Case report
title Duchenne muscular dystrophy caused by a deletion (c.5021del) in exon 35 of the DMD gene: A case report and review of the literature
title_full Duchenne muscular dystrophy caused by a deletion (c.5021del) in exon 35 of the DMD gene: A case report and review of the literature
title_fullStr Duchenne muscular dystrophy caused by a deletion (c.5021del) in exon 35 of the DMD gene: A case report and review of the literature
title_full_unstemmed Duchenne muscular dystrophy caused by a deletion (c.5021del) in exon 35 of the DMD gene: A case report and review of the literature
title_short Duchenne muscular dystrophy caused by a deletion (c.5021del) in exon 35 of the DMD gene: A case report and review of the literature
title_sort duchenne muscular dystrophy caused by a deletion c 5021del in exon 35 of the dmd gene a case report and review of the literature
topic Duchenne muscular dystrophy
Gene mutation
Frameshift
Dystrophin
Case report
url http://www.sciencedirect.com/science/article/pii/S240584402404708X
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