Curation OPMD PABPN1

Gene PABPN1
Disease OPMD
Inheritance AD/AR
Score

12 + 0.5 = 12.5 / 18

Genetic + experimental = total
Classification
0
18
Refuted
Moderate
Definitive
Last Updated 08/14/2025
Pubs Reviewed 5
Publication Span 24.58 years
Publication Interval 24.58 years
Curator(s) Macayla Weiner, Laurel Hiatt, Harriet Dashnow
Description

Oculopharyngeal muscular dystrophy (OPMD) is an adult-onset myopathy characterized by ptosis, dysphagia, and proximal limb weakness. The curated locus is the short GCN/GCG repeat in exon 1 of PABPN1 (formerly PABP2), where expansions enlarge the N-terminal polyalanine tract and are associated with autosomal dominant and recessive OPMD. Uploaded genetic evidence supports pathogenic repeat expansions through large clinically characterized cohorts, founder/segregation haplotype data, and genotype–phenotype correlations including expansion-size and gene-dose effects.

Genetic evidence

Total: 12

Category
Type
Citation
Score
Details
Singular Evidence
Probands
6

Canary Islands cohort of 123 genetically diagnosed OPMD patients; 113/120 analyzed patients (94.2%) carried a heterozygous PABPN1 (GCN)15 expanded allele, with typical OPMD features including ptosis, dysphagia, and later proximal weakness.

Collective Evidence
Allele
2

PMID 28011929: French cohort of 354 unrelated index cases showed pathogenic PABPN1 (GCN)11–17 alleles and a correlation between expansion size and age at diagnosis/severity, with homozygous patients more severely affected. PMID 9392020: linkage study supports the chromosome 14 OPMD locus but is gene/locus-mapping evidence, not repeat allele size-specific.

Collective Evidence
Segregation
1.5

In 23 Bukhara Jewish patients from 8 unrelated families, all carried the PABP2/PABPN1 (GCG)9 mutation and shared a four-marker haplotype, supporting segregation of a shared founder mutation in this population.

Collective Evidence
Segregation
1.5

Linkage analysis in 11 large French Canadian families with OPMD identified a 1.5cM region around D14S990 that includes PABPN1 (LOD = 26.05).

Statistics
Case-control data
6

French diagnostic cohort of 354 unrelated PABPN1 expansion-positive index cases characterized pathogenic (GCN)11–17 alleles; 200 control chromosomes had no (GCN)11 allele, supporting enrichment/rarity of expanded alleles in affected individuals versus controls.

Experimental evidence

Total: 0.5

Category
Type
Citation
Score
Details
Function
Biochemical function
0.5

Gene-level, not repeat-locus-specific: PABP2 (now known as PABPN1) is a nuclear poly(A)-binding protein involved in mRNA polyadenylation; the paper proposed that expanded polyalanine PABP2 may accumulate as nuclear filament inclusions.

Maximum score caps apply at evidence type, category, and supercategory levels, so section totals may be lower than the raw sum of row scores.