RT info:eu-repo/semantics/article T1 Expanding the phenotypic spectrum ofTRAPPC11-related muscular dystrophy: 25 Roma individuals carrying a founder variant A1 Justel, Maria A1 Jou, Cristina A1 Sariego-Jamardo, Andrea A1 Juliá-Palacios, Natalia Alexandra A1 Ortez, Carlos A1 Poch, Maria Luisa A1 Hedrera Fernández, Antonio A1 Gomez-Martin, Hilario A1 Codina, Anna A1 Dominguez-Carral, Jana A1 Muxart, Jordi A1 Hernández-Laín, Aurelio A1 Vila-Bedmar, Sara A1 Zulaica, Miren A1 Castro, Margarita del Carmen A1 de la Osa-Langreo, Alberto A1 Peña-Valenceja, Alfonso A1 Marcos-Vadillo, Elena A1 Prieto-Matos, Pablo A1 Pascual-Pascual, Samuel Ignacio A1 López de Munain, Adolfo A1 Camacho, Ana A1 Estevez-Arias, Berta A1 Musokhranova, Uliana A1 Olivella, Mireia A1 Oyarzábal, Alfonso A1 Jimenez-Mallebrera, Cecilia A1 Domínguez-González, Cristina A1 Nascimento, Andrés A1 García Cazorla, Àngels A1 Natera-de Benito, Daniel A1 Cancho Candela, Ramón AB Background Limb-girdle muscular dystrophies (LGMD) are a heterogeneous group of genetically determined muscle disorders. TRAPPC11-related LGMD is an autosomal-recessive condition characterised by muscle weakness and intellectual disability.Methods A clinical and histopathological characterisation of 25 Roma individuals with LGMD R18 caused by the homozygous TRAPPC11 c.1287+5G>A variant is reported. Functional effects of the variant on mitochondrial function were investigated.Results The c.1287+5G>A variant leads to a phenotype characterised by early onset muscle weakness, movement disorder, intellectual disability and elevated serum creatine kinase, which is similar to other series. As novel clinical findings, we found that microcephaly is almost universal and that infections in the first years of life seem to act as triggers for a psychomotor regression and onset of seizures in several individuals with TRAPPC11 variants, who showed pseudometabolic crises triggered by infections. Our functional studies expanded the role of TRAPPC11 deficiency in mitochondrial function, as a decreased mitochondrial ATP production capacity and alterations in the mitochondrial network architecture were detected.Conclusion We provide a comprehensive phenotypic characterisation of the pathogenic variant TRAPPC11 c.1287+5G>A, which is founder in the Roma population. Our observations indicate that some typical features of golgipathies, such as microcephaly and clinical decompensation associated with infections, are prevalent in individuals with LGMD R18 PB BMJ SN 0022-2593 YR 2023 FD 2023 LK https://uvadoc.uva.es/handle/10324/64655 UL https://uvadoc.uva.es/handle/10324/64655 LA spa NO Journal of Medical Genetics. 2023 May 16:jmg-2022-109132. DS UVaDOC RD 24-abr-2025