Description:
                                                    
                                                    
                                                         
                                                            
                                                            NEMALINE MYOPATHY 3; NEM3 
                                                            
                                                            ACTIN, ALPHA-1, SKELETAL MUSCLE; ACTA1 
                                                            
                                                    
                                                 
                                                
                                                
                                                
                                                
                                             
                                         
                                     
                                    
                                        
                                            
                                            
                                            
                                            
                                                
                                                    
                                                        
                                                            
                                                            
                                                                
                                                                    
                                                                        | 
                                                                            Repository
                                                                         | 
                                                                        
                                                                            NIGMS Human Genetic Cell Repository
                                                                         | 
                                                                     
                                                                
                                                                
                                                                
	| Subcollection | 
	Heritable Diseases Muscular Dystrophies CMD Specific PIGI Consented Sample | 
 
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                    
                                                                        | 
                                                                            Cell Type
                                                                         | 
                                                                        
                                                                            Fibroblast
                                                                         | 
                                                                     
                                                                
                                                                
                                                                    
                                                                        | 
                                                                            Tissue Type
                                                                         | 
                                                                        
                                                                            Skin
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                                                                        | 
                                                                            Transformant
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                                                                            Untransformed
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                                                                        | 
                                                                            Race
                                                                         | 
                                                                        
                                                                            White
                                                                         | 
                                                                     
                                                                
                                                                
                                                                
                                                                
                                                                    
                                                                        | 
                                                                            Ethnicity
                                                                         | 
                                                                        
                                                                            Not Hispanic/Latino
                                                                         | 
                                                                     
                                                                
                                                                
                                                                    
                                                                        | 
                                                                            Ethnicity
                                                                         | 
                                                                        
                                                                            English, Irish, German
                                                                         | 
                                                                     
                                                                
                                                                
                                                                    
                                                                        | 
                                                                            Country of Origin
                                                                         | 
                                                                        
                                                                            USA
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                                                                        | 
                                                                            Family Member
                                                                         | 
                                                                        
                                                                            1
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	| 
                                                                            Family History
                                                                         | 
	
                                                                            N
                                                                         | 
 
                                                                
                                                                
                                                                    
                                                                        | 
                                                                            Relation to Proband
                                                                         | 
                                                                        
                                                                            proband
                                                                         | 
                                                                     
                                                                
                                                                
                                                                    
                                                                        | 
                                                                            Confirmation
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                                                                            Biochemical characterization before cell line submission to CCR
                                                                         | 
                                                                     
                                                                
                                                                
                                                                
                                                                    
                                                                        | 
                                                                            Species
                                                                         | 
                                                                        
                                                                            Homo sapiens
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                                                                        | 
                                                                            Common Name
                                                                         | 
                                                                        
                                                                            Human
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                                                                        | 
                                                                            Remarks
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	| PDL at Freeze | 
	6.1 | 
 
	| Passage Frozen | 
	2 | 
 
	|   | 
 
                                                                
	| IDENTIFICATION OF SPECIES OF ORIGIN | 
	Species of Origin Confirmed by LINE assay | 
 
	|   | 
 
                                                                
	| Gene | 
	ACTA1 | 
 
	| Chromosomal Location | 
	1q42.13 | 
 
	| Allelic Variant 1 | 
	p.Pro72Arg; NEMALINE MYOPATHY 3; NEM3 | 
 
	| Identified Mutation | 
	c.215C>G | 
 
                                                                
                                                                
                                                                
                                                                
                                                                
                                                                
                                                             
                                                         
                                                     
                                                 
                                                
                                                    
                                                        
                                                            
                                                            
                                                            
                                                                
	| Demographic Data | 
 
	| Relation to Proband | 
	proband | 
 
	| Age at Sampling | 
	8 YR | 
 
	| Sex | 
	Male | 
 
	| Age at Diagnosis(If not a control) | 
	10 WK | 
 
	| Hispanic or Latino/Not Hispanic or Latino | 
	Not Hispanic/Latino | 
 
	| Racial Category | 
	White | 
 
	| Country | 
	USA | 
 
	|   | 
 
	| Data Elements | 
 
	| Clinical Element Type: General NIGMS Catalog Remarks | 
 
	|    (Baseline)  | 
 
	| Mutation Information | 
 
	| Age of Symptom Onset and Age at Diagnosis | 
 
	| In Utero History Information | 
 
	|   | 
	 | 
 
	| Birth History Information | 
 
	|   | 
	 | 
 
	| Dysmorphic Features | 
 
	|   | 
	 | 
 
	| Neurological Symptoms | 
 
	|   | 
	 | 
 
	| Optical and Audiological Symptoms | 
 
	|   | 
	 | 
 
	| Musculoskeletal Symptoms | 
 
	|   | 
	 | 
 
	| Developmental Milestones | 
 
	|   | 
	 | 
 
	| Gastrointestinal Symptoms | 
 
	|   | 
	 | 
 
	| Genitourinary Symptoms | 
 
	|   | 
	 | 
 
	| Respiratory and Cardiovascular Symptoms | 
 
	|   | 
	 | 
 
	| Cognitive and Behavioral Symptoms | 
 
	|   | 
	 | 
 
	| Additional Information | 
 
	| Testing Performed  | 
 
	| Treatments and Assistive Devices | 
 
	|   | 
	 | 
 
	| Medications | 
 
	| Family History | 
 
	| Remarks | 
	Clinically affected; age of diagnosis is 10 weeks; age of symptom onset was at birth; born with severe arthrogryposis and respiratory failure; talipes equinovarus deformity of foot bilaterally; significant genu valgus at the knees; myopathic facial appearance; prominent thoracic kyphoscoliosis with a compensatory exaggerated lumbar lordosis and cervical lordosis; previous significant recurrent respiratory tract infections; nocturnal hypoventilation requiring gastronomy feeds; developmental delay; can use some words and noises to communicate; low level of intellectual functioning; able to mobilize up to a half an hour using a walker frame; de novo heterozygous variant found on exon 3 in ACTA1 gene c.215C>G (p.Pro72Arg); muscle biopsy noted the presence of fuscinophilic rod bodies within some of the muscle fibres studied, nemaline rods in numerous fibres found which led to diagnosis of nemaline rod myopathy; neuropsychological assessment found significant deficits in physical, motor, speech, and expressive language skills; assistive devices include wheelchair, orthotics, communication/learning device, and non-invasive ventilation/walker; medications include L-tryosine; surgeries include gastrostomy, fundoplication, and orchiopexy; uses BiPAP mainly at night; severe respiratory issues began to improve once given antibiotics, regular chest physiotherapy, use of a vibration plate, regular hypertonic saline nebs 3 times per day, and regular suctioning; lymph (GM27144). | 
 
                                                                
                                                             
                                                            
                                                            
                                                         
                                                     
                                                 
                                                
                                                
                                                
                                                
                                                    
                                                        
                                                            
                                                            
                                                                
	| Cumulative PDL at Freeze | 
	6.1 | 
 
	| Passage Frozen | 
	2 | 
 
	| Split Ratio | 
	1:6 | 
 
	| Temperature | 
	37 C | 
 
	| Percent CO2 | 
	5% | 
 
	| Percent O2 | 
	3% | 
 
	| Medium | 
	Eagle's Minimum Essential Medium with Earle's salts and non-essential amino acids with 2mM L-glutamine or equivalent | 
 
	| Serum | 
	15% fetal bovine serum Not inactivated           | 
 
	| Supplement | 
	- | 
 
                                                                
                                                                
                                                             
                                                         
                                                     
                                                 
                                             
                                         
                                     
                                 
                                
                             
                         
                     
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