MTM1 gene testing – X-linked myotubular myopathy congenital
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MTM1 gene mutations cause X-linked myotubular myopathy (XLMTM). This is a serious, mostly early fatal disease. The X-linked recessive form (XLMTM) is caused by mutations in the myotubularin 1 gene (MTM1). Male offspring are affected. Women are carriers and do not have clinical difficulties. Most children die in the perinatal period, although papers describing patients surviving into childhood have been published. The MTM1 gene – whose mutations are the cause of XLMTM – is located on the long arm of the X chromosome, has 15 exons, of which 14 are coding. Affected patients are tested by polymerase chain reaction (PCR), whereby all 14 coding exons of the MTM1 gene are amplified. PCR products for individual exons are sequenced using the BDTv3.1 sequencing kit and analysed on an automatic genetic analyzer. The obtained sequences are compared with the reference sequence and evidence of mutation (found/not found) is determined.