ABSTRACT

The congenital muscular dystrophies (CMD) are a heterogeneous group of autosomal recessive disorders a number of which have recently been shown to be associated with mutations in the genes encoding for either known or putative glycosyltransferases. These include Fukuyama CMD, Muscle-Eye-Brain disease and Walker-Warburg syndrome, which are associated with eye abnormalities and neuronal migration defects, due to mutations in jukutin , PO M G nTl and POMT1 respectively, while mutations in the fuk u tin -re la tedp ro te in (FKRP) gene causes congenital muscular dystrophy 1C a form that typically lacks brain in­ volvement. In addition another putative glycosyltransferase, Large, is mutated in the myodys­ trophy mouse and the human homologue of this gene was recendy shown to be mutated in a patient with a form of congenital muscular dystrophy named MDC1D. All of these conditions are associated with the hypoglycosylation of OC-dystroglycan thus identifying a new pathoge­ netic mechanism in the muscular dystrophies.