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7ß1 in Muscular Dystrophy/Myopathy of Unknown Etiology



From the Neuromuscular Center,*Department of Neurological and Psychiatric Sciences, University of Padova, Padova, Italy; Department of Biomedical Sciences,
University of Padova, Padova, Italy; the Department of Genetics, Biology, and Biochemistry,
University of Torino, Torino, Italy; The Burnham Institute,
La Jolla, California; and the Center for Genetic Medicine,¶Childrens Research Hospital, Washington, District of Columbia
To investigate the role of integrin
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
7A and
7B were used to stain muscle biopsies from 210 patients with muscular dystrophy/myopathy of unknown etiology. Levels of
7A and
7B integrin were found to be decreased in 35 of 210 patients (
17%). In six of these patients no integrin
7B was detected. Screening for
7B mutation in 30 of 35 patients detected only one integrin
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
7 gene mutations were identified in all of the other patients showing integrin
7 deficiency. In the process of mutation analysis, we identified a novel integrin
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
7 cDNA. This spliced isoform is present in about 12% of the chromosomes studied. We conclude that secondary integrin
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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