RT Journal Article T1 Genotype-phenotype correlations in valosin-containing protein disease: a retrospective muticentre study. A1 Schiava, Marianela A1 Ikenaga, Chiseko A1 Villar-Quiles, Rocío Nur A1 Caballero-Ávila, Marta A1 Topf, Ana A1 Nishino, Ichizo A1 Kimonis, Virginia A1 Udd, Bjarne A1 Schoser, Benedikt A1 Zanoteli, Edmar A1 Souza, Paulo Victor Sgobbi A1 Tasca, Giorgio A1 Lloyd, Thomas A1 Lopez-de Munain, Adolfo A1 Paradas, Carmen A1 Pegoraro, Elena A1 Nadaj-Pakleza, Aleksandra A1 De Bleecker, Jan A1 Badrising, Umesh A1 Alonso-Jiménez, Alicia A1 Kostera-Pruszczyk, Anna A1 Miralles, Francesc A1 Shin, Jin-Hong A1 Bevilacqua, Jorge Alfredo A1 Olivé, Montse A1 Vorgerd, Matthias A1 Kley, Rudi A1 Brady, Stefen A1 Williams, Timothy A1 Domínguez-González, Cristina A1 Papadimas, George K A1 Warman-Chardon, Jodi A1 Claeys, Kristl G A1 de Visser, Marianne A1 Muelas, Nuria A1 LaForet, Pascal A1 Malfatti, Edoardo A1 Alfano, Lindsay N A1 Nair, Sruthi S A1 Manousakis, Georgios A1 Kushlaf, Hani A A1 Harms, Matthew B A1 Nance, Christopher A1 Ramos-Fransi, Alba A1 Rodolico, Carmelo A1 Hewamadduma, Channa A1 Cetin, Hakan A1 García-García, Jorge A1 Pál, Endre A1 Farrugia, Maria Elena A1 Lamont, Phillipa J A1 Quinn, Colin A1 Nedkova-Hristova, Velina A1 Peric, Stojan A1 Luo, Sushan A1 Oldfors, Anders A1 Taylor, Kate A1 Ralston, Stuart A1 Stojkovic, Tanya A1 Weihl, Conrad A1 Diaz-Manera, Jordi A1 VCP International Study Group, A1 VCP International Study Group, K1 FRONTOTEMPORAL DEMENTIA K1 GENETICS K1 INCL BODY MYOSITIS K1 MUSCLE DISEASE K1 MYOPATHY AB Valosin-containing protein (VCP) disease, caused by mutations in the VCP gene, results in myopathy, Paget's disease of bone (PBD) and frontotemporal dementia (FTD). Natural history and genotype-phenotype correlation data are limited. This study characterises patients with mutations in VCP gene and investigates genotype-phenotype correlations. Descriptive retrospective international study collecting clinical and genetic data of patients with mutations in the VCP gene. Two hundred and fifty-five patients (70.0% males) were included in the study. Mean age was 56.8±9.6 years and mean age of onset 45.6±9.3 years. Mean diagnostic delay was 7.7±6 years. Symmetric lower limb weakness was reported in 50% at onset progressing to generalised muscle weakness. Other common symptoms were ventilatory insufficiency 40.3%, PDB 28.2%, dysautonomia 21.4% and FTD 14.3%. Fifty-seven genetic variants were identified, 18 of these no previously reported. c.464G>A (p.Arg155His) was the most frequent variant, identified in the 28%. Full time wheelchair users accounted for 19.1% with a median time from disease onset to been wheelchair user of 8.5 years. Variant c.463C>T (p.Arg155Cys) showed an earlier onset (37.8±7.6 year) and a higher frequency of axial and upper limb weakness, scapular winging and cognitive impairment. Forced vital capacity (FVC) below 50% was as risk factor for being full-time wheelchair user, while FVC A (p.Arg155His) was the most frequent variant, identified in the 28%. Full time wheelchair users accounted for 19.1% with a median time from disease onset to been wheelchair user of 8.5 years. Variant c.463C>T (p.Arg155Cys) showed an earlier onset (37.8±7.6 year) and a higher frequency of axial and upper limb weakness, scapular winging and cognitive impairment. Forced vital capacity (FVC) below 50% was as risk factor for being full-time wheelchair user, while FVC T (p.Arg155Cys) showed an earlier onset (37.8±7.6 year) and a higher frequency of axial and upper limb weakness, scapular winging and cognitive impairment. Forced vital capacity (FVC) below 50% was as risk factor for being full-time wheelchair user, while FVC This study expands the knowledge on the phenotypic presentation, natural history, genotype-phenotype correlations and risk factors for disease progression of VCP disease and is useful to improve the care provided to patient with this complex disease. YR 2022 FD 2022-07-27 LK http://hdl.handle.net/10668/20162 UL http://hdl.handle.net/10668/20162 LA en DS RISalud RD May 10, 2025