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Distrofia muscular congênita Ullrich
ORPHA:75840CID-10 · G71.2CID-11 · 8C70.6DOENÇA RARA

A distrofia muscular congênita de Ullrich (UCMD) é caracterizada por fraqueza muscular de início precoce, generalizada e lentamente progressiva, múltiplas contraturas articulares proximais, hipermobilidade acentuada das articulações distais e inteligência normal.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A distrofia muscular congênita de Ullrich (UCMD) é caracterizada por fraqueza muscular de início precoce, generalizada e lentamente progressiva, múltiplas contraturas articulares proximais, hipermobilidade acentuada das articulações distais e inteligência normal.

Pesquisas ativas
1 ensaio
5 total registrados no ClinicalTrials.gov
Publicações científicas
216 artigos
Último publicado: 2026 Mar 6

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.13
United Kingdom
Início
Infancy
+ neonatal
🏥
SUS: Cobertura mínimaScore: 35%
Centros em: PA, PR, SC, RS, ES +10CID-10: G71.2
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (2)
0202010694
Sequenciamento completo do exoma (WES)genetic_test
0301070040
Atendimento em reabilitação — doenças rarasrehabilitation
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

💪
Músculos
25 sintomas
🦴
Ossos e articulações
14 sintomas
😀
Face
6 sintomas
🧠
Neurológico
4 sintomas
🫁
Pulmão
3 sintomas
📏
Crescimento
2 sintomas

+ 20 sintomas em outras categorias

Características mais comuns

90%prev.
Concentração elevada de creatina quinase circulante
Muito frequente (99-80%)
90%prev.
Fraqueza muscular generalizada
Muito frequente (99-80%)
90%prev.
Contratura em flexão
Muito frequente (99-80%)
90%prev.
Aumento do tecido conjuntivo endomisial
Muito frequente (99-80%)
90%prev.
Morfologia anormal do palato
Muito frequente (99-80%)
90%prev.
Aumento da variabilidade no diâmetro da fibra muscular
Muito frequente (99-80%)
76sintomas
Muito frequente (12)
Frequente (19)
Sem dados (45)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 76 características clínicas mais associadas, ordenadas por frequência.

Concentração elevada de creatina quinase circulanteElevated circulating creatine kinase concentration
Muito frequente (99-80%)90%
Fraqueza muscular generalizadaGeneralized muscle weakness
Muito frequente (99-80%)90%
Contratura em flexãoFlexion contracture
Muito frequente (99-80%)90%
Aumento do tecido conjuntivo endomisialIncreased endomysial connective tissue
Muito frequente (99-80%)90%
Morfologia anormal do palatoAbnormal palate morphology
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico216PubMed
Últimos 10 anos112publicações
Pico202115 papers
Linha do tempo
2026Hoje · 2026🧪 2009Primeiro ensaio clínico📈 2021Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

4 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive.

COL6A3Collagen alpha-3(VI) chainDisease-causing germline mutation(s) inRestrito
FUNÇÃO

Collagen VI acts as a cell-binding protein

LOCALIZAÇÃO

Secreted, extracellular space, extracellular matrix

VIAS BIOLÓGICAS (1)
Collagen degradation
MECANISMO DE DOENÇA

Bethlem myopathy 1C

A form of Bethlem myopathy, a slowly progressive muscular dystrophy characterized by joint contractures, most frequently affecting the elbows and ankles, and muscle weakness and wasting involving the proximal and extensor muscles more than the distal and flexor ones. The clinical onset more often occurs in childhood or adulthood, but it can be prenatal with decreased fetal movements or neonatal with hypotonia. The hallmark of Bethlem myopathy is long finger flexion contractures. BTHLM1C inheritance is autosomal dominant.

OUTRAS DOENÇAS (6)
dystonia 27Ullrich congenital muscular dystrophy 1CBethlem myopathy 1Cintermediate collagen VI-related muscular dystrophy
HGNC:2213UniProt:P12111
COL12A1Collagen alpha-1(XII) chainDisease-causing germline mutation(s) (loss of function) inAltamente restrito
FUNÇÃO

Type XII collagen interacts with type I collagen-containing fibrils, the COL1 domain could be associated with the surface of the fibrils, and the COL2 and NC3 domains may be localized in the perifibrillar matrix

LOCALIZAÇÃO

Secreted, extracellular space, extracellular matrix

VIAS BIOLÓGICAS (3)
Collagen degradationAssembly of collagen fibrils and other multimeric structuresCollagen biosynthesis and modifying enzymes
MECANISMO DE DOENÇA

Ullrich congenital muscular dystrophy 2

A form of Ullrich congenital muscular dystrophy, a disease characterized by generalized muscle weakness and striking hypermobility of distal joints in conjunction with variable contractures of more proximal joints and normal intelligence. Additional findings may include kyphoscoliosis, protruded calcanei, and follicular hyperkeratosis (rough skin). More severely affected patients manifest at birth and never achieve independent ambulation, while patients with milder phenotypes might maintain ambulation into adulthood. UCMD2 is a severe, autosomal recessive form with onset at birth.

OUTRAS DOENÇAS (4)
Ullrich congenital muscular dystrophy 2Bethlem myopathy 2Bethlem myopathyUllrich congenital muscular dystrophy
HGNC:2188UniProt:Q99715
COL6A2Collagen alpha-2(VI) chainDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Collagen VI acts as a cell-binding protein

LOCALIZAÇÃO

Secreted, extracellular space, extracellular matrixMembrane

VIAS BIOLÓGICAS (2)
Collagen biosynthesis and modifying enzymesCollagen chain trimerization
MECANISMO DE DOENÇA

Bethlem myopathy 1B

A form of Bethlem myopathy, a slowly progressive muscular dystrophy characterized by joint contractures, most frequently affecting the elbows and ankles, and muscle weakness and wasting involving the proximal and extensor muscles more than the distal and flexor ones. The clinical onset more often occurs in childhood or adulthood, but it can be prenatal with decreased fetal movements or neonatal with hypotonia. The hallmark of Bethlem myopathy is long finger flexion contractures. Inheritance can be autosomal dominant or autosomal recessive.

OUTRAS DOENÇAS (6)
Ullrich congenital muscular dystrophy 1BmyosclerosisBethlem myopathy 1Bintermediate collagen VI-related muscular dystrophy
HGNC:2212UniProt:P12110
COL6A1Collagen alpha-1(VI) chainDisease-causing germline mutation(s) inTolerante
FUNÇÃO

Collagen VI acts as a cell-binding protein

LOCALIZAÇÃO

Secreted, extracellular space, extracellular matrix

VIAS BIOLÓGICAS (2)
Collagen biosynthesis and modifying enzymesCollagen chain trimerization
MECANISMO DE DOENÇA

Bethlem myopathy 1A

A form of Bethlem myopathy, a slowly progressive muscular dystrophy characterized by joint contractures, most frequently affecting the elbows and ankles, and muscle weakness and wasting involving the proximal and extensor muscles more than the distal and flexor ones. The clinical onset more often occurs in childhood or adulthood, but it can be prenatal with decreased fetal movements or neonatal with hypotonia. The hallmark of Bethlem myopathy is long finger flexion contractures. Inheritance can be autosomal dominant or autosomal recessive.

OUTRAS DOENÇAS (5)
Ullrich congenital muscular dystrophy 1ABethlem myopathy 1Aintermediate collagen VI-related muscular dystrophyBethlem myopathy
HGNC:2211UniProt:P12109

Variantes genéticas (ClinVar)

1,833 variantes patogênicas registradas no ClinVar.

🧬 COL6A3: NM_004369.4(COL6A3):c.4435C>T (p.Gln1479Ter) ()
🧬 COL6A3: NM_004369.4(COL6A3):c.9045dup (p.Gly3016fs) ()
🧬 COL6A3: NM_004369.4(COL6A3):c.6156+2T>C ()
🧬 COL6A3: NM_004369.4(COL6A3):c.2333del (p.Ala778fs) ()
🧬 COL6A3: NM_004369.4(COL6A3):c.1111C>T (p.Gln371Ter) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 3,716 variantes classificadas pelo ClinVar.

1301
2415
VUS (35.0%)
Benigna (65.0%)
VARIANTES MAIS SIGNIFICATIVAS
COL12A1: NM_004370.6(COL12A1):c.40G>A (p.Ala14Thr) [Uncertain significance]
COL12A1: NM_004370.6(COL12A1):c.4952C>A (p.Thr1651Asn) [Uncertain significance]
COL12A1: NM_004370.6(COL12A1):c.3094C>G (p.Pro1032Ala) [Uncertain significance]
COL12A1: NM_004370.6(COL12A1):c.7520-3C>T [Uncertain significance]
COL12A1: NM_004370.6(COL12A1):c.8656T>C (p.Ser2886Pro) [Uncertain significance]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

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Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 21
·Pré-clínico2
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 3 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Distrofia muscular congênita Ullrich

Centros de Referência SUS

24 centros habilitados pelo SUS para Distrofia muscular congênita Ullrich

Centros para Distrofia muscular congênita Ullrich

Detalhes dos centros

Hospital Universitário Prof. Edgard Santos (HUPES)

R. Dr. Augusto Viana, s/n - Canela, Salvador - BA, 40110-060 · CNES 0003808

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Infantil Albert Sabin

R. Tertuliano Sales, 544 - Vila União, Fortaleza - CE, 60410-794 · CNES 2407876

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital de Apoio de Brasília (HAB)

AENW 3 Lote A Setor Noroeste - Plano Piloto, Brasília - DF, 70684-831 · CNES 0010456

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Estadual Infantil e Maternidade Alzir Bernardino Alves (HIABA)

Av. Min. Salgado Filho, 918 - Soteco, Vila Velha - ES, 29106-010 · CNES 6631207

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital das Clínicas da UFG

Rua 235 QD. 68 Lote Área, Nº 285, s/nº - Setor Leste Universitário, Goiânia - GO, 74605-050 · CNES 2338424

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital Universitário da UFJF

R. Catulo Breviglieri, Bairro - s/n - Santa Catarina, Juiz de Fora - MG, 36036-110 · CNES 2297442

Atenção Especializada

Rota
Anomalias Congênitas

Hospital das Clínicas da UFMG

Av. Prof. Alfredo Balena, 110 - Santa Efigênia, Belo Horizonte - MG, 30130-100 · CNES 2280167

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Julio Müller (HUJM)

R. Luis Philippe Pereira Leite, s/n - Alvorada, Cuiabá - MT, 78048-902 · CNES 2726092

Atenção Especializada

Rota
Anomalias Congênitas

Hospital Universitário João de Barros Barreto

R. dos Mundurucus, 4487 - Guamá, Belém - PA, 66073-000 · CNES 2337878

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Lauro Wanderley (HULW)

R. Tabeliao Estanislau Eloy, 585 - Castelo Branco, João Pessoa - PB, 58050-585 · CNES 0002470

Atenção Especializada

Rota
Anomalias Congênitas

Instituto de Medicina Integral Prof. Fernando Figueira (IMIP)

R. dos Coelhos, 300 - Boa Vista, Recife - PE, 50070-902 · CNES 0000647

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Pequeno Príncipe

R. Des. Motta, 1070 - Água Verde, Curitiba - PR, 80250-060 · CNES 3143805

Serviço de Referência

Rota
Anomalias CongênitasDeficiência Intelectual

Hospital Universitário Regional de Maringá (HUM)

Av. Mandacaru, 1590 - Parque das Laranjeiras, Maringá - PR, 87083-240 · CNES 2216108

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UFPR

R. Gen. Carneiro, 181 - Alto da Glória, Curitiba - PR, 80060-900 · CNES 2364980

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário Pedro Ernesto (HUPE-UERJ)

Blvd. 28 de Setembro, 77 - Vila Isabel, Rio de Janeiro - RJ, 20551-030 · CNES 2280221

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz)

Av. Rui Barbosa, 716 - Flamengo, Rio de Janeiro - RJ, 22250-020 · CNES 2269988

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital São Lucas da PUCRS

Av. Ipiranga, 6690 - Jardim Botânico, Porto Alegre - RS, 90610-000 · CNES 2232928

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital de Clínicas de Porto Alegre (HCPA)

Rua Ramiro Barcelos, 2350 Bloco A - Av. Protásio Alves, 211 - Bloco B e C - Santa Cecília, Porto Alegre - RS, 90035-903 · CNES 2237601

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital Universitário da UFSC (HU-UFSC)

R. Profa. Maria Flora Pausewang - Trindade, Florianópolis - SC, 88036-800 · CNES 2560356

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo

Hospital das Clínicas da FMUSP

R. Dr. Ovídio Pires de Campos, 225 - Cerqueira César, São Paulo - SP, 05403-010 · CNES 2077485

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Base de São José do Rio Preto

Av. Brg. Faria Lima, 5544 - Vila Sao Jose, São José do Rio Preto - SP, 15090-000 · CNES 2079798

Atenção Especializada

Rota
Anomalias Congênitas

Hospital de Clínicas da UNICAMP

R. Vital Brasil, 251 - Cidade Universitária, Campinas - SP, 13083-888 · CNES 2748223

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

Hospital de Clínicas de Ribeirão Preto (HCRP-USP)

R. Ten. Catão Roxo, 3900 - Vila Monte Alegre, Ribeirão Preto - SP, 14015-010 · CNES 2082187

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do MetabolismoDeficiência Intelectual

UNIFESP / Hospital São Paulo

R. Napoleão de Barros, 715 - Vila Clementino, São Paulo - SP, 04024-002 · CNES 2688689

Serviço de Referência

Rota
Anomalias CongênitasErros Inatos do Metabolismo
Sobre os centros SUS: Estes centros são habilitados pelo Ministério da Saúde como Serviços de Referência em Doenças Raras ou Serviços de Atenção Especializada. O atendimento é pelo SUS, com encaminhamento da rede de atenção básica.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

1 pesquisa recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

5 ensaios clínicos encontrados, 1 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
113 papers (10 anos)
#1

Skipping the Biopsy: Real-World Experience of Whole-Exome Sequencing as First-Tier Testing in Pediatric Muscular Disorders.

International journal of molecular sciences2026 Mar 06

Muscle biopsy has long been regarded as the cornerstone for diagnosing pediatric muscular disorders; however, it is invasive and may be limited by sampling error and inconclusive histopathological findings. This study aimed to evaluate whether whole-exome sequencing (WES) can effectively replace muscle biopsy as a first-line diagnostic approach in children with suspected neuromuscular disorders. Between January 2018 and December 2025, we prospectively enrolled 47 pediatric patients presenting with clinical features suggestive of muscular disorders at a tertiary medical center in Taiwan. The cohort included patients with suspected muscular dystrophies (n = 21), congenital myopathies (n = 23), and multiplex ligation-dependent probe amplification (MLPA)-negative Duchenne muscular dystrophy (DMD; n = 3). All patients underwent WES as the initial diagnostic test without prior muscle biopsy. Trio-based analysis using parental samples was performed in 29.8% of cases. Variant interpretation followed the American College of Medical Genetics and Genomics (ACMG) guidelines. WES identified a definitive molecular diagnosis in 72.3% of patients (34/47). Diagnostic yields varied by subgroup: 100% (3/3) in MLPA-negative DMD, 71.4% (15/21) in muscular dystrophies, and 69.6% (16/23) in congenital myopathies. Pathogenic or likely pathogenic variants were detected in 31 distinct genes, including COL6A1 and COL6A3, which are associated with Ullrich congenital muscular dystrophy. Notably, 58.8% of diagnosed patients (20/34) received molecular diagnoses that differed from their initial clinical impression, encompassing conditions such as ZSWIM6-associated neurodevelopmental disorders, GJB2-related hearing loss, OCRL-associated Lowe syndrome, and various metabolic or syndromic disorders. In all three MLPA-negative DMD cases, WES identified point mutations amenable to mutation-specific therapies. No patient required a muscle biopsy for diagnostic confirmation during the study period. First-tier WES demonstrates high diagnostic utility in pediatric muscular disorders while avoiding invasive muscle biopsy. The high rate of diagnostic reclassification underscores the substantial phenotypic overlap between primary neuromuscular diseases and other neurological or systemic conditions. These findings support the early implementation of genetic testing to enable accurate diagnosis and timely initiation of targeted therapies.

#2

The Absence of Collagen VI Reduces Systolic Function but Paradoxically Increases Ca2+ Release in the Rat Heart.

Acta physiologica (Oxford, England)2026 Jan

Collagen VI has recently been strongly linked to poor outcomes in heart failure through increased endotrophin, a collagen VI-derived signaling molecule linked to fibrotic remodeling in cardiovascular disease. The mutation of collagen VI can result in Ullrich congenital muscular dystrophy and Bethlem myopathy, pointing to a critical function in muscle physiology. However, the functional role of collagen VI in the heart is poorly understood. In human heart failure with reduced ejection fraction, collagen VI is increased within the remodeled T-tubules, suggesting a possible role in tubular structure and Ca2+ dynamics. To investigate this hypothesis, a global knockout of the collagen VI alpha 1 gene (Col6a1-/-) was generated in the rat. T-tubule structure and ryanodine receptor cluster organization were unchanged, but echocardiography demonstrated reduced systolic function. Consistent with this, isolated trabeculae from Col6a1-/- hearts generated significantly less peak stress, confirming impaired contractile force at the tissue level. Paradoxically, isolated cardiomyocytes from the Col6a1-/- rat had increased Ca2+ transient amplitude and increased sarcoplasmic reticulum Ca2+ load that would be expected to increase force. β-adrenergic stimulation further increased Ca2+ transient amplitude and was associated with diastolic Ca2+ release events in Col6a1-/- cardiomyocytes. Furthermore, β-adrenergic stimulation of Col6a1-/- trabeculae exhibited spontaneous contractions, indicating an increased susceptibility to arrhythmic activity. Together, these results indicate collagen VI has a role in both force transduction and Ca2+ cycling in the heart.

#3

Tendon Dysfunction in Collagen VI-Related Myopathies: Novel Mechanistic Insights with Therapeutic Potential.

International journal of molecular sciences2025 Dec 13

Collagen VI-related myopathies (COL6-RM) encompass a spectrum of disorders characterized by muscle weakness, joint contractures, and connective tissue abnormalities resulting from mutations in the collagen VI genes. While muscle pathology has been extensively studied, tendon dysfunction has emerged as a critical yet underexplored contributor to disease severity, particularly in the development of joint contractures. Tendons from patients and animal models show disrupted collagen fibrillogenesis, altered extracellular matrix (ECM) composition, and impaired cellular mechanotransduction. Various defects in ECM remodeling pathways further exacerbate tendon pathology. Importantly, current clinical management remains limited to orthopedic interventions with modest outcomes, and targeted pharmacological strategies or gene-editing therapies are not yet available for clinical application. Therefore, understanding the basic pathogenic mechanisms underlying tendon dysfunction is essential for identifying novel therapeutic targets. This review provides a comprehensive synthesis of current understanding and recent advances concerning the role of mutated collagen VI in cellular and molecular mechanisms underlying tendon dysfunction. Emphasis is placed on the role of mutated collagen VI in the modulation of key signaling pathways related to mechanotransduction and primary cilium function in COL6-RM. By discussing these multifaceted contributions to disease pathogenesis, this review outlines future research directions in the field and highlights potential pathways for targeted therapeutic interventions.

#4

[iPS cell-based therapy for muscular disorders].

Rinsho shinkeigaku = Clinical neurology2025 Oct 22

Induced pluripotent stem cells (iPSCs) have been used in research for the development of treatments for various intractable diseases due to their unlimited proliferative and multipotent potential. We are aiming to develop novel therapies for intractable muscular diseases using iPS cells by two approaches i.e. cell therapy and drug screening. In this presentation, I focus on the cell therapy research. We have developed a differentiation induction method that mimics the developmental stages and have succeeded in inducing skeletal muscle stem cells that are applicable to cell transplantation therapy. We have found that cell transplantation into Duchenne muscular dystrophy (DMD) model mice is effective in regenerating more than 10% of dystrophin-positive fibers. In addition, some of the cells have been engrafted as satellite cells in vivo, and it is expected that the therapeutic effect will continue for a long period of time. As for the efficacy to the motor function, we have recently revealed that the regeneration of dystrophin positive myofibers in DMD model mice mainly ameliorates muscle fatigue tolerance rather than maximal contraction force in vivo. We have also developed a differentiation method to induce mesenchymal stromal cells (MSCs) from iPSCs. Transplantation of iPSC-derived MSCs (iMSCs) into Ullrich congenital muscular dystrophy (UCMD) model mice enabled the restoration of collagen type VI which resulted in enhancement of muscle regeneration. Interestingly, somatic MSCs such as bone marrow-derived MSC or adipose-derived MSC do not have therapeutic effect even they can also restore collagen type VI by the transplantation. We have recently found one of the candidates which is responsible for the muscle regeneration and is specifically expressed in the iMSCs.

#5

Myopathic Ehlers-Danlos Syndrome (mEDS) Related to COL12A1: Two Novel Families and Literature Review.

International journal of molecular sciences2025 Jun 04

Myopathic Ehlers-Danlos syndrome (RmEDS) is an emerging hybrid phenotype that combines connective and muscle tissue abnormalities. It has been associated with variants of the COL12A1 gene, which are known as Ullrich congenital muscular dystrophy-2 (UCMD2; 616470) and Bethlem myopathy-2 (BTHLM2; 616471). Here, we report two splicing mutations of COL12A1 identified in three patients from two unrelated families who present a combination of joint hypermobility and axial, distal, and proximal weakness. The muscular strength of their neck and limb muscles was assessed at 4/5 (MRC); however, when measured with a myometer, the expected percentage by age and sex ranged from 35% to 40% for elbow flexion, 37% to 75% for knee extension, and was 50% for neck flexion. In addition to confirming the characteristic atrophy of the rectus femoris, we presented evidence of involvement of the neck and lumbar muscles through MRI and CT imaging. In vitro studies revealed filamentous disorganization and an altered pattern of collagen XII alpha 1 chain migration due to the skipping of exons 55 and 56 of collagen XII. Additionally, we review the myopathic involvement of COL12-RM in 30 patients across 18 families with dominant mutations and 15 patients from 13 families with recessive mutations.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC81 artigos no totalmostrando 112

2026

Skipping the Biopsy: Real-World Experience of Whole-Exome Sequencing as First-Tier Testing in Pediatric Muscular Disorders.

International journal of molecular sciences
2025

Tendon Dysfunction in Collagen VI-Related Myopathies: Novel Mechanistic Insights with Therapeutic Potential.

International journal of molecular sciences
2026

The Absence of Collagen VI Reduces Systolic Function but Paradoxically Increases Ca2+ Release in the Rat Heart.

Acta physiologica (Oxford, England)
2025

Landscape Analysis of COL6A1, COL6A2, and COL6A3 Pathogenic Variants in a Large Italian Cohort Presenting with Collagen VI-Related Myopathies: A Nationwide Report.

Biomolecules
2025

[iPS cell-based therapy for muscular disorders].

Rinsho shinkeigaku = Clinical neurology
2025

A Novel COL12A1 Mutation Causes Oral Tissue Abnormalities by Regulating Gingival Fibroblast Function.

Oral diseases
2025

Myopathic Ehlers-Danlos Syndrome (mEDS) Related to COL12A1: Two Novel Families and Literature Review.

International journal of molecular sciences
2025

Collablots: Quantification of Collagen VI Levels and Its Structural Disorganisation in Cell Cultures From Patients With Collagen VI-Related Dystrophies.

Neuropathology and applied neurobiology
2025

A Challenge in Perioperative Anesthetic Management: A Case Report of an Infant With Concurrent Ullrich Congenital Muscular Dystrophy and Pierre Robin Sequence.

Cureus
2024

Clinical, Pathologic, and Genetic Spectrum of Collagen VI-Related Disorder in China-A Retrospective Observational Multicenter Study.

Human mutation
2025

Inter- and intra-familial phenotypic variability of autosomal dominant collagen VI related disorder.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Characterization of severe COL6-related dystrophy due to the recurrent variant COL6A1 c.930+189C>T.

Brain : a journal of neurology
2025

Novel variant of COL12A1 gene causing neonatal hypotonia and respiratory failure.

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
2025

Generation of a human induced pluripotent stem cell line (CRICKi021-A) from a patient with Ullrich congenital muscular dystrophy carrying a pathogenic mutation in the COL6A1 gene.

Stem cell research
2024

Restored Collagen VI Microfilaments Network in the Extracellular Matrix of CRISPR-Edited Ullrich Congenital Muscular Dystrophy Fibroblasts.

Biomolecules
2024

A Novel Splice Site Variant in COL6A1 Causes Ullrich Congenital Muscular Dystrophy in a Consanguineous Malian Family.

Molecular genetics &amp; genomic medicine
2024

Distinct muscle regenerative capacity of human induced pluripotent stem cell-derived mesenchymal stromal cells in Ullrich congenital muscular dystrophy model mice.

Stem cell research &amp; therapy
2024

Clinical and Molecular Profiles of a Cohort of Egyptian Patients with Collagen VI-Related Dystrophy.

Journal of molecular neuroscience : MN
2024

COL12A1 Gene Variant and a Review of the Literature: A Case Report of Ullrich Congenital Muscular Dystrophy.

Molecular syndromology
2024

A novel homozygous nonsense variant in COL12A1 causes myopathic Ehlers-Danlos syndrome: A case report and literature review.

Neuropathology and applied neurobiology
2024

Characterization of Proteome Changes in Aged and Collagen VI-Deficient Human Pericyte Cultures.

International journal of molecular sciences
2024

Strategies to improve the design of gapmer antisense oligonucleotide on allele-specific silencing.

Molecular therapy. Nucleic acids
2024

Optimized allele-specific silencing of the dominant-negative COL6A1 G293R substitution causing collagen VI-related dystrophy.

Molecular therapy. Nucleic acids
2024

The recurrent deep intronic pseudoexon-inducing variant COL6A1 c.930+189C>T results in a consistently severe phenotype of COL6-related dystrophy: Towards clinical trial readiness for splice-modulating therapy.

medRxiv : the preprint server for health sciences
2024

Splicing Switching of Alternative Last Exons Due to a Deletion Including Canonical Polyadenylation Site in COL6A2 Gene Causes Recessive UCMD.

Neurology. Genetics
2024

Collagen VI Deficiency Impairs Tendon Fibroblasts Mechanoresponse in Ullrich Congenital Muscular Dystrophy.

Cells
2023

Collagen XII-Related Myopathy: An Emerging Spectrum of Extracellular Matrix-Related Myopathy.

Neurology India
2023

Retrospective clinical and genetic analysis of COL6-RD patients with a long-term follow-up at a single French center.

Frontiers in genetics
2023

Spontaneous mutation in the COL6A2 gene causing Ullrich congenital muscular dystrophy type 1 in a Chinese child: A case report.

Medicine
2023

A Diagnostic Challenge in an Adolescent with Collagen VI-Related Myopathy and Emotional Disorder-Case Report.

Journal of personalized medicine
2024

Unexpected partial RNA deletion by two different novel COL6A2 mutations leads to Ullrich congenital muscular dystrophy.

QJM : monthly journal of the Association of Physicians
2023

The UCMD-Causing COL6A1 (c.930 + 189C > T) Intron Mutation Leads to the Secretion and Aggregation of Single Mutated Collagen VI α1 Chains.

Human mutation
2023

New Clinical and Immunofluoresence Data of Collagen VI-Related Myopathy: A Single Center Cohort of 69 Patients.

International journal of molecular sciences
2023

Whole exome sequencing identifies a novel variant in the COL12A1 gene in a family with Ullrich congenital muscular dystrophy 2.

Molecular biology reports
2023

Homozygous splice variant (c.1741-6G>A) of the COL6A1 gene in three patients with Ullrich congenital muscular dystrophy.

Neuromuscular disorders : NMD
2023

Alopecia in Patients with Collagen VI-Related Myopathies: A Novel/Unrecognized Scalp Phenotype.

International journal of molecular sciences
2023

Collagen VI-related myopathies: clinical variability, phenotype-genotype correlation and exploratory transcriptome study.

Neuromuscular disorders : NMD
2023

Extracellular Matrix Disorganization and Sarcolemmal Alterations in COL6-Related Myopathy Patients with New Variants of COL6 Genes.

International journal of molecular sciences
2023

Collagen VI in the Musculoskeletal System.

International journal of molecular sciences
2023

Exon-Skipping for a Pathogenic COL6A1 Variant in Ullrich Congenital Muscular Dystrophy.

Methods in molecular biology (Clifton, N.J.)
2022

The Presentation of Two Unrelated Clinical Cases from the Republic of North Ossetia-Alania with the Same Previously Undescribed Variant in the COL6A2 Gene.

International journal of molecular sciences
2022

Collagen VI deficiency causes behavioral abnormalities and cortical dopaminergic dysfunction.

Disease models &amp; mechanisms
2022

[Anesthesia for thoracic surgery in a female patient with Ullrich congenital muscular dystrophy].

Die Anaesthesiologie
2023

Lack of COL6/collagen VI causes megakaryocyte dysfunction by impairing autophagy and inducing apoptosis.

Autophagy
2022

Autosomal dominant Ullrich congenital muscular dystrophy due to a de novo mutation in COL6A3 gene. A case report.

Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology
2022

The Use of Autologous Blood Patch in Ullrich Muscular Dystrophy and Recurrent Pneumothorax.

Cureus
2022

Personalized in vitro Extracellular Matrix Models of Collagen VI-Related Muscular Dystrophies.

Frontiers in bioengineering and biotechnology
2022

Early Morphological Changes of the Rectus Femoris Muscle and Deep Fascia in Ullrich Congenital Muscular Dystrophy.

International journal of environmental research and public health
2022

Clinical manifestations and prenatal diagnosis of Ullrich congenital muscular dystrophy: A case report.

World journal of clinical cases
2021

An Infant with Blended Phenotype of Zellweger Spectrum Disorder and Congenital Muscular Dystrophy.

Annals of Indian Academy of Neurology
2022

Keratosis pilaris in collagen type VI-related disorders.

Pediatric dermatology
2021

Systemic Supplementation of Collagen VI by Neonatal Transplantation of iPSC-Derived MSCs Improves Histological Phenotype and Function of Col6-Deficient Model Mice.

Frontiers in cell and developmental biology
2021

Collagen VI Muscle Disorders: Mutation Types, Pathogenic Mechanisms and Approaches to Therapy.

Advances in experimental medicine and biology
2021

Genotype-Phenotype Correlation of the Childhood-Onset Bethlem Myopathy in the Mediterranean Region of Turkey.

Annals of Indian Academy of Neurology
2021

Ablation of collagen VI leads to the release of platelets with altered function.

Blood advances
2021

Collagen-VI supplementation by cell transplantation improves muscle regeneration in Ullrich congenital muscular dystrophy model mice.

Stem cell research &amp; therapy
2021

Perioperative Pulmonary Optimization With Average Volume-Assured Pressure Support of a Pediatric Patient With Ullrich Congenital Muscular Dystrophy: A Case Report.

A&amp;A practice
2021

Causative variant profile of collagen VI-related dystrophy in Japan.

Orphanet journal of rare diseases
2021

Surgical treatment of scoliosis in Ullrich Congenital Muscular Dystrophy: a case series of 3 patients.

Intractable &amp; rare diseases research
2021

A novel variant in the COL6A1 gene causing Ullrich congenital muscular dystrophy in a consanguineous family: a case report.

BMC neurology
2021

Clinical and Molecular Spectrum Associated with COL6A3 c.7447A>G p.(Lys2483Glu) Variant: Elucidating its Role in Collagen VI-related Myopathies.

Journal of neuromuscular diseases
2021

Anesthesia and Ullrich Congenital Muscular Dystrophy: Comment.

Anesthesiology
2021

Association of Initial Maximal Motor Ability With Long-term Functional Outcome in Patients With COL6-Related Dystrophies.

Neurology
2021

COL6A1 related muscular dystrophy in Landseer dogs: A canine model for Ullrich congenital muscular dystrophy.

Muscle &amp; nerve
2021

Intrafamilial Phenotypic Variability of Collagen VI-Related Myopathy Due to a New Mutation in the COL6A1 Gene.

Journal of neuromuscular diseases
2020

Congenital muscular dystrophy-associated inflammatory chemokines provide axes for effective recruitment of therapeutic adult stem cell into muscles.

Stem cell research &amp; therapy
2020

Gapmer Antisense Oligonucleotides to Selectively Suppress the Mutant Allele in COL6A Genes in Dominant Ullrich Congenital Muscular Dystrophy.

Methods in molecular biology (Clifton, N.J.)
2020

Mandibular and Maxillary Cysts in a Pediatric Patient with Pierre Robin Sequence and Ullrich Congenital Muscular Dystrophy.

Anesthesiology
2020

Structure of a collagen VI α3 chain VWA domain array: adaptability and functional implications of myopathy causing mutations.

The Journal of biological chemistry
2020

The Common miRNA Signatures Associated with Mitochondrial Dysfunction in Different Muscular Dystrophies.

The American journal of pathology
2020

Cervical Hyperextension Treated by Posterior Spinal Correction and Fusion in A Patient with Ullrich Congenital Muscular Dystrophy: A Case Report.

JBJS case connector
2020

Circulating Biomarkers in Muscular Dystrophies: Disease and Therapy Monitoring.

Molecular therapy. Methods &amp; clinical development
2020

Collagen VI-related limb-girdle syndrome caused by frequent mutation in COL6A3 gene with conflicting reports of pathogenicity.

Neuromuscular disorders : NMD
2020

Pathogenic variants in COL6A3 cause Ullrich-like congenital muscular dystrophy in young Labrador Retriever dogs.

Neuromuscular disorders : NMD
2020

Clinical features of collagen VI-related dystrophies: A large Brazilian cohort.

Clinical neurology and neurosurgery
2020

Tendon Extracellular Matrix Remodeling and Defective Cell Polarization in the Presence of Collagen VI Mutations.

Cells
2019

Autosomal recessive Bethlem myopathy: A clinical, genetic and functional study.

Neuromuscular disorders : NMD
2019

Overexpression of miR-29 Leads to Myopathy that Resemble Pathology of Ullrich Congenital Muscular Dystrophy.

Cells
2019

Two closely spaced mutations in cis result in Ullrich congenital muscular dystrophy.

Human genome variation
2019

[Clinical manifestations and genetics analysis of collagen type Ⅵ-related myopathy caused by variants in COL6A3 gene].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2018

Prediction of postnatal developmental disabilities using the antenatal fetal neurodevelopmental test: KANET assessment.

Journal of perinatal medicine
2018

[Collagen VI related myopathies. When to suspect, how to identify. The contribution of muscle magnetic resonance].

Revista chilena de pediatria
2018

Two novel COL6A3 mutations disrupt extracellular matrix formation and lead to myopathy from Ullrich congenital muscular dystrophy and Bethlem myopathy spectrum.

Gene
2017

Bethlem myopathy in a Portuguese patient - case report.

Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology
2018

Collagen VI is required for the structural and functional integrity of the neuromuscular junction.

Acta neuropathologica
2018

A Qualitative Approach to Health Related Quality-of-Life in Congenital Muscular Dystrophy.

Journal of neuromuscular diseases
2018

Genetic and clinical findings in a Chinese cohort of patients with collagen VI-related myopathies.

Clinical genetics
2018

Collagen VI-related myopathy: Expanding the clinical and genetic spectrum.

Muscle &amp; nerve
2018

Collagen VI disorders: Insights on form and function in the extracellular matrix and beyond.

Matrix biology : journal of the International Society for Matrix Biology
2017

Transcriptome profiling identifies regulators of pathogenesis in collagen VI related muscular dystrophy.

PloS one
2017

Skin Biopsy for Diagnosis of Ullrich Congenital Muscular Dystrophy: An Observational Study.

Journal of child neurology
2017

A novel de novo COL6A1 mutation emphasizes the role of intron 14 donor splice site defects as a cause of moderate-progressive form of ColVI myopathy - a case report and review of the genotype-phenotype correlation.

Folia neuropathologica
2017

Gapmer Antisense Oligonucleotides Suppress the Mutant Allele of COL6A3 and Restore Functional Protein in Ullrich Muscular Dystrophy.

Molecular therapy. Nucleic acids
2017

Differences in Adipose Tissue and Lean Mass Distribution in Patients with Collagen VI Related Myopathies Are Associated with Disease Severity and Physical Ability.

Frontiers in aging neuroscience
2017

Clinical, Pathologic, and Genetic Features of Collagen VI-Related Myopathy in Korea.

Journal of clinical neurology (Seoul, Korea)
2017

Somatic mosaicism represents an underestimated event underlying collagen 6-related disorders.

European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society
2017

Pneumothoraces in collagen VI-related dystrophy: a case series and recommendations for management.

ERJ open research
2017

Collagen type VI-related myopathy.

Practical neurology
2016

[Correlation between thigh muscle magnetic resonance imaging findings and clinical features of congenital muscular dystrophies: a preliminary study].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2016

Collagen VI-NG2 axis in human tendon fibroblasts under conditions mimicking injury response.

Matrix biology : journal of the International Society for Matrix Biology
2016

Autophagy activation in COL6 myopathic patients by a low-protein-diet pilot trial.

Autophagy
2016

"Target" and "Sandwich" Signs in Thigh Muscles have High Diagnostic Values for Collagen VI-related Myopathies.

Chinese medical journal
2016

Tendon Extracellular Matrix Alterations in Ullrich Congenital Muscular Dystrophy.

Frontiers in aging neuroscience
2017

Novel Col12A1 variant expands the clinical picture of congenital myopathies with extracellular matrix defects.

Muscle &amp; nerve
2016

Deep RNA profiling identified CLOCK and molecular clock genes as pathophysiological signatures in collagen VI myopathy.

Journal of cell science
2015

[Application of targeted capture technology and next generation sequencing in molecular diagnosis of inherited myopathy].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2016

Collagens VI and XII form complexes mediating osteoblast interactions during osteogenesis.

Cell and tissue research
2015

Transcriptome Analysis of Ullrich Congenital Muscular Dystrophy Fibroblasts Reveals a Disease Extracellular Matrix Signature and Key Molecular Regulators.

PloS one
2015

A Nonsense Variant in COL6A1 in Landseer Dogs with Muscular Dystrophy.

G3 (Bethesda, Md.)
2015

A TALEN-Exon Skipping Design for a Bethlem Myopathy Model in Zebrafish.

PloS one
2015

[Ullrich congenital muscular dystrophy. The usefulness of muscular magnetic resonance imaging in its diagnosis].

Revista de neurologia
2015

Paternal germline mosaicism in collagen VI related myopathies.

European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society

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Doenças relacionadas

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Ordenadas pelo número de sintomas em comum.

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Skipping the Biopsy: Real-World Experience of Whole-Exome Sequencing as First-Tier Testing in Pediatric Muscular Disorders.
    International journal of molecular sciences· 2026· PMID 41828661mais citado
  2. The Absence of Collagen VI Reduces Systolic Function but Paradoxically Increases Ca2+ Release in the Rat Heart.
    Acta physiologica (Oxford, England)· 2026· PMID 41424287mais citado
  3. Tendon Dysfunction in Collagen VI-Related Myopathies: Novel Mechanistic Insights with Therapeutic Potential.
    International journal of molecular sciences· 2025· PMID 41465448mais citado
  4. [iPS cell-based therapy for muscular disorders].
    Rinsho shinkeigaku = Clinical neurology· 2025· PMID 41016756mais citado
  5. Myopathic Ehlers-Danlos Syndrome (mEDS) Related to COL12A1: Two Novel Families and Literature Review.
    International journal of molecular sciences· 2025· PMID 40508193mais citado
  6. Landscape Analysis of COL6A1, COL6A2, and COL6A3 Pathogenic Variants in a Large Italian Cohort Presenting with Collagen VI-Related Myopathies: A Nationwide Report.
    Biomolecules· 2025· PMID 41154655recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:75840(Orphanet)
  2. MONDO:0000355(MONDO)
  3. GARD:4769(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q3711812(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Distrofia muscular congênita Ullrich
Compêndio · Raras BR

Distrofia muscular congênita Ullrich

ORPHA:75840 · MONDO:0000355
Prevalência
1-9 / 1 000 000
Herança
Autosomal dominant, Autosomal recessive
CID-10
G71.2 · Miopatias congênitas
CID-11
Ensaios
1 ativos
Início
Infancy, Neonatal
Prevalência
0.13 (United Kingdom)
MedGen
UMLS
C0410179
EuropePMC
Wikidata
Papers 10a
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