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Homozygous mutations in VAMP1 cause a presynaptic congenital myasthenic syndrome

  • SYNAPS Study Group
  • Department of Pediatric Neurology
  • University College London
  • University of Texas Southwestern Medical Center
  • University of Cologne
  • St George's University Hospitals NHS Foundation Trust
  • Institut Pasteur Paris
  • Yale University
  • Great Ormond Street Hospital for Children NHS Foundation Trust
  • Schneider Childrens Medical Center Israel
  • Rabin Medical Center Israel
  • Tel Aviv University

Research output: Contribution to journalArticlepeer-review

66 Scopus citations

Abstract

We report 2 families with undiagnosed recessive presynaptic congenital myasthenic syndrome (CMS). Whole exome or genome sequencing identified segregating homozygous variants in VAMP1: c.51_64delAGGTGGGGGTCCCC in a Kuwaiti family and c.146G>C in an Israeli family. VAMP1 is crucial for vesicle fusion at presynaptic neuromuscular junction (NMJ). Electrodiagnostic examination showed severely low compound muscle action potentials and presynaptic impairment. We assessed the effect of the nonsense mutation on mRNA levels and evaluated the NMJ transmission in VAMP1lew/lew mice, observing neurophysiological features of presynaptic impairment, similar to the patients. Taken together, our findings highlight VAMP1 homozygous mutations as a cause of presynaptic CMS. Ann Neurol 2017;81:597–603.

Original languageEnglish
Pages (from-to)597-603
Number of pages7
JournalAnnals of Neurology
Volume81
Issue number4
DOIs
StatePublished - Apr 2017

Funding

FundersFunder number
UCLH Biomedical Research Centre
National Institutes of Health
European Commission
Seventh Framework Programme2012-305121, 305121
Wellcome TrustWT104033AIA, WT093205MA, 093205
Medical Research CouncilG1001253, G108/638, G0802760, MR/J004758/1
National Institute of Neurological Disorders and StrokeR01NS055028

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