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Hereditary myopathy with early respiratory failure is associated with misfolding of the titin fibronectin III 119 subdomain.

Abstract
Hereditary myopathy with early respiratory failure is a rare disease with muscle weakness and respiratory failure as early symptoms. Muscle pathology is characterized by the presence of multiple cytoplasmic bodies and other protein aggregates in muscle fibers. The disease is associated with mutations in the titin gene (TTN). All patients harbor mutations located in exon 343 in the TTN gene that codes for the fibronectin III domain 119 (FN3 119) in the 10th motif of the 11-element motif A-band super-repeat. We investigated how such disease-causing mutations affect the biochemical behavior of this titin domain. All five disease-causing amino acid changes analyzed by us (p.P30068R, p.C30071R, p.W30088R, p.W30088C and p.P30091L) resulted in impaired FN3 119 domain solubility. In contrast, amino acid changes associated with common SNPs (p.V30076I, p.R30107C and p.S30125F) did not have this effect. In silico analyses further support the notion that disease-causing mutations impair proper folding of the FN3 119 domain. The results suggest that hereditary myopathy with early respiratory failure is caused by defective protein folding.
AuthorsCarola Hedberg, Alejandro Gomez Toledo, Claes M Gustafsson, Göran Larson, Anders Oldfors, Bertil Macao
JournalNeuromuscular disorders : NMD (Neuromuscul Disord) Vol. 24 Issue 5 Pg. 373-9 (May 2014) ISSN: 1873-2364 [Electronic] England
PMID24636144 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2014 Elsevier B.V. All rights reserved.
Chemical References
  • Connectin
  • Fibronectins
  • Protein Aggregates
  • TTN protein, human
  • fibronectin type III like peptide, human
Topics
  • Amino Acid Sequence
  • Connectin (chemistry, genetics)
  • Databases, Genetic
  • Exons
  • Fibronectins (chemistry, genetics)
  • Genetic Diseases, Inborn (genetics, metabolism)
  • Humans
  • Models, Molecular
  • Muscular Diseases (genetics, metabolism)
  • Mutation
  • Protein Aggregates
  • Protein Folding
  • Protein Interaction Domains and Motifs
  • Respiratory Insufficiency (genetics, metabolism)
  • Solubility

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