Key result
Novel ACTC1 missense variants linked to arthrogryposis multiplex congenita and impaired actin filament assembly.
Why the study?
ACTC1 variants cause heart disorders but have only been reported in six families with arthrogryposis multiplex congenita.
Case Report (n=2)
Yes
Expands the phenotypic spectrum of ACTC1-related arthrogryposis multiplex congenita to include Shone's complex and demonstrates variant-specific effects on actin filament assembly.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for ACTC1 testing in AMC with cardiac anomalies; larger studies needed to confirm variant effects and phenotypes.
Arthrogryposis multiplex congenita (AMC) is a group of conditions with congenital joint contractures in at least two body regions. ACTC1 variants cause heart disorders but have also been reported in six families with AMC. We report on two individuals with AMC who were heterozygous for ACTC1 missense variants (NM_005159.5; c.325G>A, p.Glu109Lys and c.650A>C, p.Lys217Thr). Individual 1 had scoliosis and no reported cardiac phenotype. Individual 2 had Shone's complex with coarctation of the aorta, which has not been reported in ACTC1-related AMC before. In vitro testing demonstrated that p.Glu109Lys caused impaired actin filament assembly and reduced ACTC1 protein levels, effects not apparent for p.Lys217Thr. Our findings characterize two novel variants that cause ACTC1-related AMC and expand the list of phenotypes observed in this disorder.
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Kerr et al. (2026) conducted a case report in Arthrogryposis multiplex congenita (AMC) (n=2). ACTC1 missense variants (p.Glu109Lys and p.Lys217Thr) was evaluated on Clinical phenotype and in vitro actin filament assembly. Two novel ACTC1 missense variants were identified as causes of arthrogryposis multiplex congenita, with one variant impairing actin filament assembly and one patient presenting with Shone's complex.
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