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]
[CONGENITAL MYOPATHY 10A, SEVERE VARIANT; CMYO10A](https://omim.org/entry/614399)
[MULTIPLE EPIDERMAL GROWTH FACTOR-LIKE DOMAINS 10; MEGF10](https://omim.org/entry/612453)
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]
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]
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]
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]
Many to one: 4 human to 1 Drosophila. The additional human genes are MEGF11, PEAR1, and MEGF6.