Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2010-4-1
pubmed:abstractText
MYH9-related disease ( MYH9-RD) is an autosomal dominant thrombocytopenia with giant platelets variably associated with young-adult onset of progressive sensorineural hearing loss, presenile cataract, and renal damage. MYH9-RD is caused by mutations of MYH9 , the gene encoding for non-muscle heavy-chain myosin-9. Wild-type and mutant myosin-9 aggregate as cytoplasmic inclusions in patients' leukocytes, the identification of which by immunofluorescence has been proposed as a suitable tool for the diagnosis of MYH9-RD. Since the predictive value of this assay, in terms of sensitivity and specificity, is unknown, we investigated 118 consecutive unrelated patients with a clinical presentation strongly consistent with MYH9-RD. All patients prospectively underwent both the immunofluorescence assay for myosin-9 aggregate detection and molecular genetic analysis of the MYH9 gene. Myosin-9 aggregates were identified in 82 patients, 80 of which (98%) had also a MYH9 mutation. In the remaining 36 patients neither myosin-9 aggregates nor MYH9 mutations were found. Sensitivity and specificity of the immunofluorescence assay was evaluated to be 100% and 95%, respectively. Except for the presence of aggregates, we did not find any other significant difference between patients with or without aggregates, demonstrating that the myosin-9 inclusions in neutrophils are a pathognomonic sign of the disease. However, the identification of the specific MYH9 mutation is still of importance for prognostic aspects of MYH9-RD.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0340-6245
pubmed:author
pubmed:issnType
Print
pubmed:volume
103
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
826-32
pubmed:dateRevised
2010-10-7
pubmed:meshHeading
pubmed-meshheading:20174760-Adolescent, pubmed-meshheading:20174760-Adult, pubmed-meshheading:20174760-Aged, pubmed-meshheading:20174760-Aged, 80 and over, pubmed-meshheading:20174760-Case-Control Studies, pubmed-meshheading:20174760-Child, pubmed-meshheading:20174760-Child, Preschool, pubmed-meshheading:20174760-DNA Mutational Analysis, pubmed-meshheading:20174760-Female, pubmed-meshheading:20174760-Fluorescent Antibody Technique, pubmed-meshheading:20174760-Humans, pubmed-meshheading:20174760-Inclusion Bodies, pubmed-meshheading:20174760-Italy, pubmed-meshheading:20174760-Male, pubmed-meshheading:20174760-Microscopy, Fluorescence, pubmed-meshheading:20174760-Middle Aged, pubmed-meshheading:20174760-Molecular Motor Proteins, pubmed-meshheading:20174760-Mutation, pubmed-meshheading:20174760-Myosin Heavy Chains, pubmed-meshheading:20174760-Neutrophils, pubmed-meshheading:20174760-Predictive Value of Tests, pubmed-meshheading:20174760-Prospective Studies, pubmed-meshheading:20174760-Registries, pubmed-meshheading:20174760-Sensitivity and Specificity, pubmed-meshheading:20174760-Thrombocytopenia, pubmed-meshheading:20174760-Young Adult
pubmed:year
2010
pubmed:articleTitle
Heavy chain myosin 9-related disease (MYH9 -RD): neutrophil inclusions of myosin-9 as a pathognomonic sign of the disorder.
pubmed:affiliation
Medical Genetics, Department of Reproductive and Developmental Sciences, IRCCS Burlo Garofolo, University of Trieste, Trieste, Italy. savoia@burlo.trieste.it
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't