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Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.28 TNNI1 Achchuthan Shanmugasundram Tag gene-checked tag was added to gene: TNNI1.
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.25 TNNI1 Arina Puzriakova Tag Q2_25_ promote_green was removed from gene: TNNI1.
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.24 TNNI1 Arina Puzriakova commented on gene: TNNI1: The rating of this gene has been updated to green and the mode of inheritance updated to BOTH monoallelic and biallelic (but BIALLELIC mutations cause a more SEVERE disease form), autosomal or pseudoautosomal following NHS Genomic Medicine Service approval.
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.23 TNNI1 Arina Puzriakova Source NHS GMS was added to TNNI1.
Source Expert Review Green was added to TNNI1.
Rating Changed from Amber List (moderate evidence) to Green List (high evidence)
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.7 TNNI1 Arina Puzriakova Classified gene: TNNI1 as Amber List (moderate evidence)
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.7 TNNI1 Arina Puzriakova Added comment: Comment on list classification: There is sufficient evidence to promote this gene to Green at the next GMS panel update. 3 families with biallelic LOF variants and 3 families with monoallelic GOF variants, presenting with a hypo- or hypercontractile phenotype, respectively.
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.7 TNNI1 Arina Puzriakova Gene: tnni1 has been classified as Amber List (Moderate Evidence).
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.6 TNNI1 Arina Puzriakova Mode of inheritance for gene: TNNI1 was changed from BOTH monoallelic and biallelic, autosomal or pseudoautosomal to BOTH monoallelic and biallelic (but BIALLELIC mutations cause a more SEVERE disease form), autosomal or pseudoautosomal
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.5 TNNI1 Arina Puzriakova Phenotypes for gene: TNNI1 were changed from Hypocontractile (AR LOF) or Hypercontractile (AD GOF) muscle disease to Hypocontractile (AR LOF) or Hypercontractile (AD GOF) muscle disease
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.4 TNNI1 Arina Puzriakova Phenotypes for gene: TNNI1 were changed from to Hypocontractile (AR LOF) or Hypercontractile (AD GOF) muscle disease
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.4 TNNI1 Arina Puzriakova Publications for gene: TNNI1 were set to PMID: 38569017
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.3 TNNI1 Arina Puzriakova Tag Q2_25_ promote_green tag was added to gene: TNNI1.
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.3 TNNI1 Arina Puzriakova changed review comment from: - PMID: 38569017 (2024) - 9 individuals from 3 families with biallelic LOF variants in the TNNI1 gene, manifesting with early-onset myopathy with progressive muscle weakness (proximal more than distal) and rod formation on histology. 2 individuals from different families presented with severe infantile weakness with minimal attainment of motor milestones. 3 individuals from 2 families had mild/moderate contractures.

Also another 2 families with heterozygous GOF variants, resulting in hypercontractile disease with a constellation of symptoms
including muscle cramping, myalgias, stiffness, and rod formation. 4/5 patients reported normal muscle strength and there is no mention of contractures. Recognition of symptoms ranged from childhood to adulthood.

Functional studies in zebrafish demonstrate variant-specific pathomechanisms, manifesting as either a hypo- or a hypercontractile phenotype.


- PMID: 34934811 (2021) - Japanese family with 3 affected individuals with proximal arthrogryposis and elevated CK, albeit without muscle weakness. A presumed GOF heterozygous c.523A>T, p.K175* TNNI1 variant was identified (2 genotyped). Muscle biopsy demonstrated a moth-eaten appearance and mild fibre size variation in type 1 fibres, and electron microscopic analysis revealed type 1 fibre Z disk streaming. No functional studies were done.; to: - PMID: 38569017 (2024) - 9 individuals from 3 families with biallelic LOF variants in the TNNI1 gene, manifesting with early-onset myopathy with progressive muscle weakness (proximal more than distal) and rod formation on histology. 2 individuals from different families presented with severe infantile weakness with minimal attainment of motor milestones. 3 individuals from 2 families had mild/moderate contractures.

Also another 2 families with heterozygous GOF variants, resulting in hypercontractile disease with a constellation of symptoms including muscle cramping, myalgias, stiffness, and rod formation. 4/5 patients reported normal muscle strength and there is no mention of contractures. Recognition of symptoms ranged from childhood to adulthood.

Functional studies in zebrafish demonstrate variant-specific pathomechanisms, manifesting as either a hypo- or a hypercontractile phenotype.


- PMID: 34934811 (2021) - Japanese family with 3 affected individuals with proximal arthrogryposis and elevated CK, albeit without muscle weakness. A presumed GOF heterozygous c.523A>T, p.K175* TNNI1 variant was identified (2 genotyped). Muscle biopsy demonstrated a moth-eaten appearance and mild fibre size variation in type 1 fibres, and electron microscopic analysis revealed type 1 fibre Z disk streaming. No functional studies were done.
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v5.3 TNNI1 Arina Puzriakova reviewed gene: TNNI1: Rating: GREEN; Mode of pathogenicity: None; Publications: 38569017, 34934811; Phenotypes: Hypocontractile (AR LOF) or Hypercontractile (AD GOF) muscle disease; Mode of inheritance: BOTH monoallelic and biallelic (but BIALLELIC mutations cause a more SEVERE disease form), autosomal or pseudoautosomal
Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies v4.35 TNNI1 Dmitrijs Rots gene: TNNI1 was added
gene: TNNI1 was added to Limb girdle muscular dystrophies, myofibrillar myopathies and distal myopathies. Sources: Literature
Mode of inheritance for gene: TNNI1 was set to BOTH monoallelic and biallelic, autosomal or pseudoautosomal
Publications for gene: TNNI1 were set to PMID: 38569017
Review for gene: TNNI1 was set to GREEN
Added comment: The study describes: "We identified recessive loss-of-function TNNI1 variants as well as dominant gain-of-function TNNI1 variants as a cause of muscle disease, each with distinct physiological consequences and disease mechanisms. We identified three families with biallelic TNNI1 variants (F1: p.R14H/c.190-9G>A, F2 and F3: homozygous p.R14C), resulting in loss of function, manifesting with early-onset progressive muscle weakness and rod formation on histology. We also identified two families with a dominantly acting heterozygous TNNI1 variant (F4: p.R174Q and F5: p.K176del), resulting in gain of function, manifesting with muscle cramping, myalgias, and rod formation in F5."
Sources: Literature