‘Dusty core disease’ (DuCD): expanding morphological spectrum of RYR1 recessive myopathies

Abstract Several morphological phenotypes have been associated to RYR1-recessive myopathies. We recharacterized the RYR1-recessive morphological spectrum by a large monocentric study performed on 54 muscle biopsies from a large cohort of 48 genetically confirmed patients, using histoenzymology, immu...

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Main Authors: Matteo Garibaldi, John Rendu, Julie Brocard, Emmanuelle Lacene, Julien Fauré, Guy Brochier, Maud Beuvin, Clemence Labasse, Angeline Madelaine, Edoardo Malfatti, Jorge Alfredo Bevilacqua, Fabiana Lubieniecki, Soledad Monges, Ana Lia Taratuto, Jocelyn Laporte, Isabelle Marty, Giovanni Antonini, Norma Beatriz Romero
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Acta Neuropathologica Communications
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40478-018-0655-5
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author Matteo Garibaldi
John Rendu
Julie Brocard
Emmanuelle Lacene
Julien Fauré
Guy Brochier
Maud Beuvin
Clemence Labasse
Angeline Madelaine
Edoardo Malfatti
Jorge Alfredo Bevilacqua
Fabiana Lubieniecki
Soledad Monges
Ana Lia Taratuto
Jocelyn Laporte
Isabelle Marty
Giovanni Antonini
Norma Beatriz Romero
author_facet Matteo Garibaldi
John Rendu
Julie Brocard
Emmanuelle Lacene
Julien Fauré
Guy Brochier
Maud Beuvin
Clemence Labasse
Angeline Madelaine
Edoardo Malfatti
Jorge Alfredo Bevilacqua
Fabiana Lubieniecki
Soledad Monges
Ana Lia Taratuto
Jocelyn Laporte
Isabelle Marty
Giovanni Antonini
Norma Beatriz Romero
author_sort Matteo Garibaldi
collection DOAJ
description Abstract Several morphological phenotypes have been associated to RYR1-recessive myopathies. We recharacterized the RYR1-recessive morphological spectrum by a large monocentric study performed on 54 muscle biopsies from a large cohort of 48 genetically confirmed patients, using histoenzymology, immunohistochemistry, and ultrastructural studies. We also analysed the level of RyR1 expression in patients’ muscle biopsies. We defined “dusty cores” the irregular areas of myofibrillar disorganisation characterised by a reddish-purple granular material deposition with uneven oxidative stain and devoid of ATPase activity, which represent the characteristic lesion in muscle biopsy in 54% of patients. We named Dusty Core Disease (DuCD) the corresponding entity of congenital myopathy. Dusty cores had peculiar histological and ultrastructural characteristics compared to the other core diseases. DuCD muscle biopsies also showed nuclear centralization and type1 fibre predominance. Dusty cores were not observed in other core myopathies and centronuclear myopathies. The other morphological groups in our cohort of patients were: Central Core (CCD: 21%), Core-Rod (C&R:15%) and Type1 predominance “plus” (T1P+:10%). DuCD group was associated to an earlier disease onset, a more severe clinical phenotype and a lowest level of RyR1 expression in muscle, compared to the other groups. Variants located in the bridge solenoid and the pore domains were more frequent in DuCD patients. In conclusion, DuCD is the most frequent histopathological presentation of RYR1-recessive myopathies. Dusty cores represent the unifying morphological lesion among the DuCD pathology spectrum and are the morphological hallmark for the recessive form of disease.
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spelling doaj.art-c73f5437deee409b931e8b9a6c5226cb2022-12-22T01:29:43ZengBMCActa Neuropathologica Communications2051-59602019-01-017111910.1186/s40478-018-0655-5‘Dusty core disease’ (DuCD): expanding morphological spectrum of RYR1 recessive myopathiesMatteo Garibaldi0John Rendu1Julie Brocard2Emmanuelle Lacene3Julien Fauré4Guy Brochier5Maud Beuvin6Clemence Labasse7Angeline Madelaine8Edoardo Malfatti9Jorge Alfredo Bevilacqua10Fabiana Lubieniecki11Soledad Monges12Ana Lia Taratuto13Jocelyn Laporte14Isabelle Marty15Giovanni Antonini16Norma Beatriz Romero17Neuromuscular Morphology Unit, Myology Institute, Groupe Hospitalier Universitaire La Pitié-SalpêtrièreCentre Hospitalier Universitaire de Grenoble Alpes, Biochimie Génétique et MoléculaireGrenoble Institut des Neurosciences- Inserm U1216 – UGANeuromuscular Morphology Unit, Myology Institute, Groupe Hospitalier Universitaire La Pitié-SalpêtrièreCentre Hospitalier Universitaire de Grenoble Alpes, Biochimie Génétique et MoléculaireNeuromuscular Morphology Unit, Myology Institute, Groupe Hospitalier Universitaire La Pitié-SalpêtrièreSorbonne Universités UPMC Univ Paris 06- Inserm UMRS974, Center of Research in Myology, Institut de Myologie, Centre de Référence Maladies Neuromusculaire Paris-Est-Ile de France, Groupe Hospitalier Pitié-SalpêtrièreNeuromuscular Morphology Unit, Myology Institute, Groupe Hospitalier Universitaire La Pitié-SalpêtrièreNeuromuscular Morphology Unit, Myology Institute, Groupe Hospitalier Universitaire La Pitié-SalpêtrièreService Neurologie Médicale, Centre de Référence Maladies Neuromusculaire Paris-Est-Ile de France, CHU Raymond-Poincaré Paris OuestNeuromuscular Unit, Department of Neurology and Neurosurgery, University of Chile Clinical HospitalServicio de Neurología y Servicio de Patologia, Hospital de Pediatría GarrahanServicio de Neurología y Servicio de Patologia, Hospital de Pediatría GarrahanNeuropathology, Foundation for Neurological Research (FLENI)Institut de Génétique et de Biologie Moléculaire et Cellulaire (IGBMC)Grenoble Institut des Neurosciences- Inserm U1216 – UGAUnit of Neuromuscular Diseases, Neuromuscular Disease Centre, Department of Neurology Mental Health and Sensory Organs (NESMOS), Faculty of Medicine and Psychology, SAPIENZA University of RomeNeuromuscular Morphology Unit, Myology Institute, Groupe Hospitalier Universitaire La Pitié-SalpêtrièreAbstract Several morphological phenotypes have been associated to RYR1-recessive myopathies. We recharacterized the RYR1-recessive morphological spectrum by a large monocentric study performed on 54 muscle biopsies from a large cohort of 48 genetically confirmed patients, using histoenzymology, immunohistochemistry, and ultrastructural studies. We also analysed the level of RyR1 expression in patients’ muscle biopsies. We defined “dusty cores” the irregular areas of myofibrillar disorganisation characterised by a reddish-purple granular material deposition with uneven oxidative stain and devoid of ATPase activity, which represent the characteristic lesion in muscle biopsy in 54% of patients. We named Dusty Core Disease (DuCD) the corresponding entity of congenital myopathy. Dusty cores had peculiar histological and ultrastructural characteristics compared to the other core diseases. DuCD muscle biopsies also showed nuclear centralization and type1 fibre predominance. Dusty cores were not observed in other core myopathies and centronuclear myopathies. The other morphological groups in our cohort of patients were: Central Core (CCD: 21%), Core-Rod (C&R:15%) and Type1 predominance “plus” (T1P+:10%). DuCD group was associated to an earlier disease onset, a more severe clinical phenotype and a lowest level of RyR1 expression in muscle, compared to the other groups. Variants located in the bridge solenoid and the pore domains were more frequent in DuCD patients. In conclusion, DuCD is the most frequent histopathological presentation of RYR1-recessive myopathies. Dusty cores represent the unifying morphological lesion among the DuCD pathology spectrum and are the morphological hallmark for the recessive form of disease.http://link.springer.com/article/10.1186/s40478-018-0655-5RYR1 recessiveDusty Core DiseaseCentral Core DiseaseCongenital MyopathyCentronuclear myopathyRyanodine receptor
spellingShingle Matteo Garibaldi
John Rendu
Julie Brocard
Emmanuelle Lacene
Julien Fauré
Guy Brochier
Maud Beuvin
Clemence Labasse
Angeline Madelaine
Edoardo Malfatti
Jorge Alfredo Bevilacqua
Fabiana Lubieniecki
Soledad Monges
Ana Lia Taratuto
Jocelyn Laporte
Isabelle Marty
Giovanni Antonini
Norma Beatriz Romero
‘Dusty core disease’ (DuCD): expanding morphological spectrum of RYR1 recessive myopathies
Acta Neuropathologica Communications
RYR1 recessive
Dusty Core Disease
Central Core Disease
Congenital Myopathy
Centronuclear myopathy
Ryanodine receptor
title ‘Dusty core disease’ (DuCD): expanding morphological spectrum of RYR1 recessive myopathies
title_full ‘Dusty core disease’ (DuCD): expanding morphological spectrum of RYR1 recessive myopathies
title_fullStr ‘Dusty core disease’ (DuCD): expanding morphological spectrum of RYR1 recessive myopathies
title_full_unstemmed ‘Dusty core disease’ (DuCD): expanding morphological spectrum of RYR1 recessive myopathies
title_short ‘Dusty core disease’ (DuCD): expanding morphological spectrum of RYR1 recessive myopathies
title_sort dusty core disease ducd expanding morphological spectrum of ryr1 recessive myopathies
topic RYR1 recessive
Dusty Core Disease
Central Core Disease
Congenital Myopathy
Centronuclear myopathy
Ryanodine receptor
url http://link.springer.com/article/10.1186/s40478-018-0655-5
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