1. Academic Validation
  2. Leiomodin-3 dysfunction results in thin filament disorganization and nemaline myopathy

Leiomodin-3 dysfunction results in thin filament disorganization and nemaline myopathy

  • J Clin Invest. 2014 Nov;124(11):4693-708. doi: 10.1172/JCI75199.
Michaela Yuen Sarah A Sandaradura James J Dowling Alla S Kostyukova Natalia Moroz Kate G Quinlan Vilma-Lotta Lehtokari Gianina Ravenscroft Emily J Todd Ozge Ceyhan-Birsoy David S Gokhin Jérome Maluenda Monkol Lek Flora Nolent Christopher T Pappas Stefanie M Novak Adele D'Amico Edoardo Malfatti Brett P Thomas Stacey B Gabriel Namrata Gupta Mark J Daly Biljana Ilkovski Peter J Houweling Ann E Davidson Lindsay C Swanson Catherine A Brownstein Vandana A Gupta Livija Medne Patrick Shannon Nicole Martin David P Bick Anders Flisberg Eva Holmberg Peter Van den Bergh Pablo Lapunzina Leigh B Waddell Darcée D Sloboda Enrico Bertini David Chitayat William R Telfer Annie Laquerrière Carol C Gregorio Coen A C Ottenheijm Carsten G Bönnemann Katarina Pelin Alan H Beggs Yukiko K Hayashi Norma B Romero Nigel G Laing Ichizo Nishino Carina Wallgren-Pettersson Judith Melki Velia M Fowler Daniel G MacArthur Kathryn N North Nigel F Clarke
Abstract

Nemaline myopathy (NM) is a genetic muscle disorder characterized by muscle dysfunction and electron-dense protein accumulations (nemaline bodies) in myofibers. Pathogenic mutations have been described in 9 genes to date, but the genetic basis remains unknown in many cases. Here, using an approach that combined whole-exome Sequencing (WES) and Sanger Sequencing, we identified homozygous or compound heterozygous variants in LMOD3 in 21 patients from 14 families with severe, usually lethal, NM. LMOD3 encodes leiomodin-3 (LMOD3), a 65-kDa protein expressed in skeletal and cardiac muscle. LMOD3 was expressed from early stages of muscle differentiation; localized to actin thin filaments, with enrichment near the pointed ends; and had strong actin filament-nucleating activity. Loss of LMOD3 in patient muscle resulted in shortening and disorganization of thin filaments. Knockdown of lmod3 in zebrafish replicated NM-associated functional and pathological phenotypes. Together, these findings indicate that mutations in the gene encoding LMOD3 underlie congenital myopathy and demonstrate that LMOD3 is essential for the organization of sarcomeric thin filaments in skeletal muscle.

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