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(American Journal of Pathology. 2002;160:2135-2143.)
© 2002 American Society for Investigative Pathology


Regular Articles

Integrin {alpha}7ß1 in Muscular Dystrophy/Myopathy of Unknown Etiology

Elena Pegoraro*, Fulvio Cepollaro*, Paola Prandini*, Alessandra Marin*, Marina Fanin*, Carlo P. Trevisan*, Abdul Hassib El-Messlemani{dagger}, Guido Tarone{ddagger}, Eva Engvall§, Eric P. Hoffman and Corrado Angelini*

From the Neuromuscular Center,*Department of Neurological and Psychiatric Sciences, University of Padova, Padova, Italy; Department of Biomedical Sciences,{dagger}University of Padova, Padova, Italy; the Department of Genetics, Biology, and Biochemistry,{ddagger}University of Torino, Torino, Italy; The Burnham Institute,§La Jolla, California; and the Center for Genetic Medicine,Children’s Research Hospital, Washington, District of Columbia

To investigate the role of integrin {alpha}7 in muscle pathology, we used a "candidate gene" approach in a large cohort of muscular dystrophy/myopathy patients. Antibodies against the intracellular domain of the integrin {alpha}7A and {alpha}7B were used to stain muscle biopsies from 210 patients with muscular dystrophy/myopathy of unknown etiology. Levels of {alpha}7A and {alpha}7B integrin were found to be decreased in 35 of 210 patients (~17%). In six of these patients no integrin {alpha}7B was detected. Screening for {alpha}7B mutation in 30 of 35 patients detected only one integrin {alpha}7 missense mutation (the mutation on the second allele was not found) in a patient presenting with a congenital muscular dystrophy-like phenotype. No integrin {alpha}7 gene mutations were identified in all of the other patients showing integrin {alpha}7 deficiency. In the process of mutation analysis, we identified a novel integrin {alpha}7 isoform presenting 72-bp deletion. This isoform results from a partial deletion of exon 21 due to the use of a cryptic splice site generated by a G to A missense mutation at nucleotide position 2644 in integrin {alpha}7 cDNA. This spliced isoform is present in about 12% of the chromosomes studied. We conclude that secondary integrin {alpha}7 deficiency is rather common in muscular dystrophy/myopathy of unknown etiology, emphasizing the multiple mechanisms that may modulate integrin function and stability.





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