Abstract

Nonsense and frameshift mutations of the dystrophin (DMD) gene usually cause severe Duchenne muscular dystrophy (DMD). Interestingly, however, premature stop codons in exons 1 and 2 result in relatively mild Becker muscular dystrophy (BMD). Herein, we report the clinical course of a patient with a very mild phenotype of BMD caused by a frameshift mutation, NM_004006.2: c.40_41del GA/p.(Glu14ArgfsX17), in exon 2 of the DMD gene.

Highlights

  • 1234567890():,; 1234567890():,; 1234567890():,; 1234567890():,; The dystrophin (DMD) gene, located at Xp21.2-p21.1, is one of the largest human genes and consists of 79 exons

  • We report the clinical course of a patient with a two-base deletion mutation of the Duchenne muscular dystrophy (DMD) gene, which causes a frameshift and results in a premature stop codon in exon 2

  • At the age of 28 years, he was admitted to a university hospital and diagnosed with sporadic Becker muscular dystrophy (BMD) based on his clinical symptoms, serum creatine kinase elevation, and dystrophic changes in his muscle biopsy specimens

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Summary

Introduction

1234567890():,; 1234567890():,; 1234567890():,; 1234567890():,; The dystrophin (DMD) gene, located at Xp21.2-p21.1, is one of the largest human genes and consists of 79 exons. We report the clinical course of a patient with a two-base deletion mutation of the DMD gene, which causes a frameshift and results in a premature stop codon in exon 2. This truncating mutation is expected to terminate the translation of the gene in the N-terminal actin-binding domain and cause the complete absence of muscular dystrophin.

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