FB2026_01 , released March 12, 2026
FB2026_01 , released March 12, 2026
Human Disease Model Report: myopathy, areflexia, respiratory distress, and dysphagia, early-onset
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General Information
Name
myopathy, areflexia, respiratory distress, and dysphagia, early-onset
FlyBase ID
FBhh0000393
Overview

This report describes myopathy, areflexia, respiratory distress, and dysphagia, early-onset (EMARDD), an autosomal recessive form of congenital myopathy. The human gene implicated in this disease is MEGF10, which encodes a protein that contains multiple EGF-like domains and plays a role in cell adhesion, motility and proliferation, apoptotic cell phagocytosis, and amyloid-beta peptide uptake in the brain. There is a single fly ortholog, drpr, for which classical amorphic and loss-of-function alleles, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated. Dmel\drpr is also orthologous to three other genes in human, MEGF11, PEAR1, and MEGF6.

The human MEGF10 gene has not been introduced into flies.

Animals homozygous for an amorphic mutation of Dmel\drpr survive to adulthood, but show an age-dependent decline in locomotor activity. In larval, pupal, and adult stages, defects in phagocytic clearance of debris in neurons are observed following injury or normal dendritic pruning. Physical and genetic interactions have been described for drpr; see below and in the gene report for drpr.

[updated Sep. 2016 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: myopathy, areflexia, respiratory distress, and dysphagia, early-onset
OMIM report

[CONGENITAL MYOPATHY 10A, SEVERE VARIANT; CMYO10A](https://omim.org/entry/614399)

Human gene(s) implicated

[MULTIPLE EPIDERMAL GROWTH FACTOR-LIKE DOMAINS 10; MEGF10](https://omim.org/entry/612453)

Symptoms and phenotype

This disorder represents a congenital myopathy characterized by proximal and generalized muscle weakness, respiratory difficulties, joint contractures, and scoliosis. [from MIM:614399; 2016.09.08]

Genetics

EMARDD, a form of congenital myopathy, is caused by homozygous or compound heterozygous mutation in the MEGF10 gene (autosomal recessive). [from MIM:614399; 2016.09.08]

Cellular phenotype and pathology

Muscle biopsies from affected individuals show myopathic changes, replacement of myofibers with fatty tissue, small and incompletely fused muscle fibers, and variation in fiber size. Short regions of sarcomeric disorganization with few or no mitochondria (minicores) have been observed in some cases. [from UniProt:Q96KG7; 2016.09.08]

Molecular information

The multiple EGF-like domains 10 gene (MEGF10) encodes a protein that plays a role in cell adhesion, motility and proliferation; is a critical mediator of apoptotic cell phagocytosis and amyloid-beta peptide uptake in the brain. [Genetics Home Reference, MEGF10; 2016.09.08]

External links
Disease synonyms
early-onset myopathy, areflexia, respiratory distress, and dysphagia
EMARDD
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    Many to one: 4 human to 1 Drosophila. The additional human genes are MEGF11, PEAR1, and MEGF6.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      draper (drpr) encodes a single-pass transmembrane receptor that is involved in phagocytosis by glia, macrophages, and epithelia. It signals downstream through the proteins encoded by Src42A and Shark to promote Rac1 function and transcriptional changes through the products of Jra and Stat92E. It is also required for activation of autophagy in salivary glands. [Date last reviewed: 2019-03-21]
      Gene Groups / Pathways
      Comments on ortholog(s)

      One to many: Dmel\drpr is a high-scoring ortholog of human MEGF10 and MEGF11; lower-scoring ortholog of PEAR1 and MEGF6. Dmel\drpr shares 34-35% identity and 47% similarity with MEGF10 and MEGF11.

      Orthologs and Alignments from DRSC
      DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
      Other Genes Used: Viral, Bacterial, Synthetic (0)
        Summary of Physical Interactions (9 groups)
        protein-protein
        Interacting group
        Assay
        References
        solid phase assay, identification by antibody, affinity chromatography technology, Identification by mass spectrometry
        pull down, western blot
        anti bait coimmunoprecipitation, anti tag western blot
        anti tag coimmunoprecipitation, anti tag western blot
        anti tag coimmunoprecipitation, anti tag western blot
        colocalization, fluorescence microscopy, inferred by author
        pull down, peptide massfingerprinting, anti tag western blot, western blot
        two hybrid, fluorescent resonance energy transfer, fluorescence technology, anti tag coimmunoprecipitation, anti tag western blot, anti bait coimmunoprecipitation
        anti tag coimmunoprecipitation, anti tag western blot
        Alleles Reported to Model Human Disease (Disease Ontology) (6 alleles)
        Alleles Representing Disease-Implicated Variants
        Genetic Tools, Stocks and Reagents
        Sources of Stocks
        Contact lab of origin for a reagent not available from a public stock center.
        Bloomington Stock Center Disease Page
        Related mammalian, viral, bacterial, or synthetic transgenes
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila transgenes
        Allele
        Transgene
        Publicly Available Stocks
        RNAi constructs available
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila classical alleles
        Allele
        Allele class
        Mutagen
        Publicly Available Stocks
        amorphic allele - molecular evidence
        P-element activity
        References (8)