Key result
Optimized assay reveals ~65% lower SERCA activity in Brody disease muscle versus healthy controls.
Why the study?
Measurement of SERCA activity aids in confirming ATP2A1 variant pathogenicity in Brody disease and studying excitation-contraction coupling, requiring a fully reassessed and robust assay.
The optimized SERCA activity assay provides a reliable method to distinguish patients with Brody disease from healthy controls, aiding in the diagnosis of this rare myopathy.
Answers are grounded in this paper and cite their sources.
Facilitates diagnosis of Brody disease in practice; confirms optimized SERCA assay utility and extends reference values for researchers.
The sarco-/endoplasmatic reticulum calcium ATPase (SERCA) is a calcium transporter that plays a key role in the excitation-contraction-relaxation cycle by enabling muscle relaxation. Pathogenic variants in the SERCA-encoding ATP2A1 gene cause Brody disease, a rare recessive myopathy with exercise-induced muscle stiffness as the main feature. Measurement of SERCA activity is an important in vitro functional assay to aid in confirming the pathogenicity of variants in this gene. Furthermore, measurement of SERCA activity is used to study physiological and pathological excitation-contraction (de)coupling. For both, a robust assay is of the utmost importance. We aimed to fully reassess the SERCA activity assay, establish new reference values, and validate the assay by measurement of Brody disease muscle samples. All different SERCA assay parameters were extensively re-evaluated and optimized, including time linearity, the effect of sonication and pH, and the effects of homogenate, KCl/Imidazole, ATP, MgCl 2 , and CaCl 2 concentrations. With the optimized assay, SERCA activity was assessed in muscle samples from healthy controls ( n = 28) and patients with Brody disease ( n = 4). We were able to provide new reference values and demonstrate marked decreased SERCA activity in Brody disease muscle samples (30.0 ± 4.2 mU/mg protein) compared to controls (86.7 ± 25.1 mU/mg protein). We developed a robust enzyme assay to measure SERCA activity with high discriminative power to distinguish patients with Brody disease from controls. Thus, this assay provides a reliable method of studying this important calcium pump for both clinical and scientific purposes. • We developed a robust assay to measure SERCA activity in human skeletal muscle. • Assay was validated by detecting decreased SERCA activity in Brody disease samples. • Assay can help confirm pathogenicity of ATP2A1 variants for Brody disease diagnosis.
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Molenaar et al. (2026) studied this question. An optimized enzyme assay demonstrated markedly decreased SERCA activity in Brody disease muscle samples compared to healthy controls.
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