Abstract
Paramyotonia congenita (PC), an autosomal dominant muscle disease, shares some clinical and electrophysiological similarities with another myotonic muscle disorder, hyperkalemic periodic paralysis (HYPP). However, clinical and electrophysiologic differences allow differentiation of the two disorders. The HYPP locus was recently shown to be linked to a skeletal muscle sodium-channel gene probe. We now report that PC maps to the same locus (LOD score 4.4, theta = 0 at assumed penetrance of .95). These linkage results, coupled with physiological data demonstrating abnormal sodium-channel function in patients with PC, implicate a sodium-channel gene as an important candidate for the site of mutation responsible for PC. Furthermore, this is strong evidence for the hypothesis that PC and HYPP are allelic disorders.
MeSH Terms
DNA Probes/genetics
Female
Genes, Dominant/genetics
Genetic Linkage/genetics
Humans
Hyperkalemia/genetics,physiopathology
Lod Score
Male
Muscles/metabolism
Mutation/genetics
Myotonia Congenita/genetics,physiopathology
Paralyses, Familial Periodic/genetics,physiopathology
Pedigree
Sodium Channels/genetics
Chemicals
DNA Probes
Sodium Channels
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Ptacek L J
Department of Neurology, University of Utah School of Medicine, Salt Lake City 84132.
Trimmer J S
Agnew W S
Roberts J W
Petajan J H
Leppert M
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