Key result
Novel ATP2A2 variant linked to recurrent rhabdomyolysis by slowing SERCA-mediated Ca2+ reuptake ~2.5-fold.
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
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May warrant ATP2A2 testing in unexplained recurrent rhabdomyolysis; leaves open validation in larger cohorts.
Observational (n=20)
Yes
Absolute Event Rate: 5.02% vs 2.03%
p-value: p=<0.005
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.
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