Autosomal dominant calpainopathy due to heterozygous CAPN3 C.643_663del21

Jennifer M. Martinez-Thompson, Zhiyv Niu, Jennifer A. Tracy, Steven A. Moore, Andrea Swenson, Eric D. Wieben, Margherita Milone

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Introduction: A calpain-3 (CAPN3) gene heterozygous deletion (c.643_663del21) was recently linked to autosomal dominant (AD) limb-girdle muscular dystrophy. However, the possibility of digenic disease was raised. We describe 3 families with AD calpainopathy carrying this isolated mutation. Methods: Probands heterozygous for CAPN3 c.643_663del21 were identified by targeted next generation or whole exome sequencing. Clinical findings were collected for probands and families. Calpain-3 muscle Western blots were performed in 3 unrelated individuals. Results: Probands reported variable weakness in their 40s or 50s, with myalgia, back pain, or hyperlordosis. Pelvic girdle muscles were affected with adductor and hamstring sparing. Creatine kinase was normal to 1,800 U/L, independent of weakness severity. Imaging demonstrated lumbar paraspinal muscle atrophy. Electromyographic findings and muscle biopsies were normal to mildly myopathic. Muscle calpain-3 expression was reduced. Discussion: This study provides further evidence for AD calpainopathy associated with CAPN3 c.643_663del21. No pathogenic variants in other genes known to cause myopathy were detected. Muscle Nerve 57: 679–683, 2018.

Original languageEnglish (US)
Pages (from-to)679-683
Number of pages5
JournalMuscle and Nerve
Issue number4
StatePublished - Apr 2018


  • CAPN3
  • autosomal dominant myopathy
  • axial myopathy
  • limb-girdle muscular dystrophy

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)


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