This report describes muscular dystrophy, limb-girdle, type 2Z (LGMD2Z), which is a subtype of muscular dystrophy, limb-girdle; LGMD2Z exhibits autosomal recessive inheritance. The human gene implicated in this disease is protein O-glucosyltransferase 1 (POGLUT1), which targets extracellular EGF repeats of various proteins, including NOTCH proteins. There is a single high-scoring ortholog in Drosophila, rumi, for which classical loss of function alleles and RNAi-targeting constructs have been generated. In human, LGMD2Z is also implicated in a second disease, Dowling-Degos disease 4 (MIM:615696).
Multiple UAS constructs of the human Hsap\POGLUT1 gene have been introduced into flies, including wild type and a variant implicated in LGMD2Z. Heterologous rescue (functional complementation) is observed: overexpression of wild-type human POGLUT1 in muscle progenitors rescues the muscle phenotypes of a temperature-sensitive loss-of-function allele of Dmel\rumi; a variant implicated in LGMD2Z exhibits weaker, variable rescue. Variant(s) implicated in human disease tested (as transgenic human gene, POGLUT1): the D233E variant form has been introduced into flies.
At restrictive temperatures, animals homozygous for a temperature-sensitive mutation of Dmel\rumi exhibit decreased numbers of myoblasts and muscle defects at the pupal stage. Adults homozygous for a second temperature-sensitive mutation exhibit eye (rhabdomere) phenotypes at permissive temperatures. Embryos lacking both maternal and zygotic rumi function have a neurogenic phenotype; mitotic clones exhibit the loss of thoracic sensory bristles and margin loss and vein expansion in the wing. Genetic interactions of rumi have been described; see the rumi gene report.
[updated May 2018 by FlyBase; FBrf0222196]
Limb-girdle muscular dystrophy primarily affects the proximal muscles, resulting in difficulty walking. The age at onset varies, but most patients show onset in childhood, and the disorder is progressive. Involvement is first evident in either the pelvic or, less frequently, the shoulder girdle, often with asymmetry of wasting when the upper limbs are first involved; spread from the lower to the upper limbs or vice versa occurs within 20 years (Chung and Morton, 1959; pubmed:13810212). [from MIM:253600; 2016.03.11]
[MUSCULAR DYSTROPHY, LIMB-GIRDLE, AUTOSOMAL RECESSIVE 21; LGMDR21](https://omim.org/entry/617232)
[PROTEIN O-GLUCOSYLTRANSFERASE 1; POGLUT1](https://omim.org/entry/615618)
Limb-girdle muscular dystrophy type 2Z (LGMD2Z) is an autosomal recessive muscular disorder characterized by young-adult onset of slowly progressive proximal upper and lower limb muscle weakness and atrophy (summary by Servian-Morilla et al., 2016; pubmed:27807076). [from MIM:617232; 2108.05.14]
Limb-girdle muscular dystrophy type 2Z (LGMD2Z) is caused by homozygous mutation in the POGLUT1 gene; on such family has been reported. [from MIM:617232; 2108.05.14]
Loss of muscle satellite cells is observed; these cells are required for muscle regeneration. [from MIM:617232; 2108.05.14]
LGMD2Z encodes a protein with both O-glucosyltransferase and O-xylosyltransferase activity which localizes to the lumen of the endoplasmic reticulum. LGMD2Z specifically targets extracellular EGF repeats of protein such as CRB2, F7, F9 and NOTCH2. [Gene Cards, POGLUT1; 2018.05.14]
POGLUT1 is an endoplasmic reticulum O-glucosyltransferase that adds glucose moieties to serine residues in EGF-like repeats, such as those found in the transactivating NOTCH intracellular domain (Chu et al., 2013; pubmed:23692084). [from MIM:615618; 2108.05.14]
Many to many; human POGLUT1 is most closely related to Dmel\rumi.
High-scoring ortholog of human POGLUT1; lower-scoring orthologs in both species. Dmel\rumi shares 58% identity and 71% similarity with POGLUT1.