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February 19, 2025BrainOpen Access

Dominant rhabdomyolysis linked to a recurrent ATP2A2 variant reducing SERCA2 function in muscle

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Key result

Novel ATP2A2 variant linked to recurrent rhabdomyolysis by slowing SERCA-mediated Ca2+ reuptake ~2.5-fold.

  • P<0.005
  • n=20

Why the study?

Recurrent rhabdomyolysis is often associated with genetic defects, but heterozygous loss-of-function variants in ATP2A2 had not previously been associated with rhabdomyolysis.

Design

Genetic and functional laboratory study

Authors

SMSivasankar MalaichamyRIRomane IdouxKPKiran Polavarapu

Discussion

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Overview

May warrant ATP2A2 testing in unexplained recurrent rhabdomyolysis; leaves open validation in larger cohorts.

Study Design

Type

Observational (n=20)

Multicenter

Yes

PICO

P
Population
Autosomal dominant recurrent rhabdomyolysis (n=20)
I
Intervention / Comparator
ATP2A2 c.1583G>A (p.R528Q) variant vs Wild-type (unaffected controls)
O
Primary Outcome
Time constant decay of Ca2+ reuptake in myotubes (seconds), p=<0.005

Main Result

Absolute Event Rate: 5.02% vs 2.03%

p-value: p=<0.005

Cite This Study

Malaichamy et al. (2025) conducted an observational in Autosomal dominant recurrent rhabdomyolysis (n=20). ATP2A2 c.1583G>A (p.R528Q) variant vs. Wild-type (unaffected controls) was evaluated on Time constant decay of Ca2+ reuptake in myotubes (seconds) (p=<0.005). A novel heterozygous missense variant in the ATP2A2 gene (c.1583G>A, p.R528Q) caused autosomal dominant recurrent rhabdomyolysis by significantly slowing SERCA-mediated Ca2+ reuptake in muscle cells.

synapsesocial.com/papers/6a16b3cfc23c548e2a7b7d15https://doi.org/10.1093/brain/awaf067
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Replacement of the Muscle-Specific Sarcoplasmic Reticulum Ca 2+ -ATPase Isoform SERCA2a by the Nonmuscle SERCA2b Homologue Causes Mild Concentric Hypertrophy and Impairs Contraction-Relaxation of the Heart2001 · 105 citations
  2. 2Identification of a pathogenic mutation in <i>ATP2A1</i> via in silico analysis of exome data for cryptic aberrant splice sites2019 · 12 citations
  3. 3Sarcoplasmic reticulum adenosine triphosphatase deficiency with probable autosomal dominant inheritance1988 · 36 citations
  4. 4Analysis of a zebrafish behavioral mutant reveals a dominant mutation in atp2a1/SERCA12010 · 23 citations
  5. 5Ca <sup>2+</sup> Uptake by the Sarcoplasmic Reticulum in Ventricular Myocytes of the <i>SERCA2</i> <sup>b/b</sup> Mouse Is Impaired at Higher Ca <sup>2+</sup> Loads Only2003 · 25 citations