This report describes nemaline myopathy 7 (NEM7), a subtype of nemaline myopathy; NEM7 exhibits autosomal recessive inheritance. The human gene implicated in this disease is CFL2, which encodes a protein involved in the regulation of actin polymerization and depolymerization. The highest-scoring ortholog in Drosophila is tsr, for which loss-of-function mutations, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated. There are additional homologous genes in both human (CFL1 and DSTN) and flies (CG6873).
UAS constructs of the human Hsap\CFL2 gene have been introduced into flies, including wild-type and a variant implicated in NEM7. A UAS construct of the wild-type Hsap\CFL1 gene has also been introduced into flies. Heterologous rescue (functional complementation) is observed: both wild-type human genes improve larval mobility of animals with muscle-specific knockdown of Dmel\tsr.
Variant(s) implicated in human disease tested (as transgenic human gene, CFL2): the V7M variant variant of the human gene have been introduced into flies. Variant(s) implicated in human disease tested (as analogous mutation in fly gene: V7M in the fly tsr gene (corresponds to the V7M in the human CFL2 gene). This variant also improves larval mobility of animals with muscle-specific knockdown of Dmel\tsr, but to a lesser extent than wild-type Hsap\CFL2 or Hsap\CFL1. It is postulated to be a partial loss-of-function mutation.
Animals homozygous for loss-of-function mutations of Dmel\tsr typically die in the larval stage. Muscle-specific knockdown in embryos and larvae, effected by RNAi, results in little change up to the end of embryogenesis; during larval stages disruption of sarcomere structure and progressive deterioration of muscle function are observed.
[updated Aug. 2020 by FlyBase; FBrf0222196]
Nemaline myopathy is a form of congenital myopathy; the clinical phenotype is highly variable, with differing age at onset and of severity. Muscle weakness typically involves proximal muscles, with involvement of the facial, bulbar, and respiratory muscles (Ilkovski et al., 2001; pubmed:11333380). Typical nemaline myopathy is the most common form, presenting as infantile hypotonia and muscle weakness. It is slowly progressive or nonprogressive, and most adults achieve ambulation. The severe form of the disorder is characterized by absence of spontaneous movement or respiration at birth, arthrogryposis, and death in the first months of life. Much less commonly, late-childhood or adult-onset can occur (Wallgren-Pettersson et al., 1999, pubmed:10619714; Sanoudou and Beggs, 2001, pubmed:11516997). [from MIM:161800; 2017.07.24]
[NEMALINE MYOPATHY 7; NEM7](https://omim.org/entry/610687)
[COFILIN 2; CFL2](https://omim.org/entry/601443)
Nemaline myopathy 7 is an autosomal recessive congenital myopathy characterized by very early onset of hypotonia and delayed motor development. Affected individuals have difficulty walking and running due to proximal muscle weakness. The disorder is slowly progressive, and patients may lose independent ambulation (summary by Ockeloen et al., 2012; pubmed:22560515). [from MIM:610687; 2020.08.29]
Nemaline myopathy-7 (NEM7) is caused by homozygous mutation in the CFL2 gene. [from MIM:610687; 2020.08.29]
Muscle biopsy shows nemaline rods and may later show minicores, abnormal protein aggregates, and dystrophic changes (summary by Ockeloen et al., 2012; pubmed:22560515). [from MIM:610687; 2020.08.29]
CFL2 protein is a major component of the intranuclear and cytoplasmic stress-related protein inclusions called cofilin-actin rods. Normally, these rods dissociate quickly following relief of the transient stress (Munsie and Truant, 2012; pubmed:23267414).
CFL2 (cofilin 2) encodes an intracellular protein that is involved in the regulation of actin-filament dynamics. It can bind G- and F-actin in a 1:1 ratio of cofilin to actin, and it reversibly controls actin polymerization and depolymerization in a pH-dependent manner. [Gene Cards, CFL2; 2020.08.29]
Many to many: 3 human to 2 Drosophila.