OPDM5 ABCD3

Disease ID
OPDM5
Gene ID
ABCD3
Updated
Oct 7, 2025
v2.11.0
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Disease

Name
Oculopharyngodistal myopathy type 5
Inheritance
Autosomal dominant
Description
Oculopharyngodistal myopathy (OPDM) is a rare, adult-onset hereditary muscle disease. People with OPDM present with progressive eye and throat (pharyngeal) problems and involvement of the muscles of the lower legs and arms. Symptoms may include eyelid drooping (ptosis), swallowing difficulty, hoarse and nasal voice, leg and arm weakness, as well as muscle wasting in the face and in the legs and arms. Many people have respiratory problems due to respiratory muscle weakness. In rare cases, there is also hearing loss, as well as severe weakness in muscles of the forearms and thighs. As the disease progresses, other muscles may be affected. A blood exam may show an increased creatine kinase level and an abnormal EMG1 .
Prevalence
Found in individuals of European, Japanese, and Chinese ancestry2,3 .
Age of Onset(Typical)Years10  5024  30
Age of Onset Details
Typical: 24-30; Range: 10-504 . Age of onset data is limited to 8 families.

Locus

Details
Characterized in eight unrelated families which were used to establish benign (3-44) and pathogenic (118-694) ranges4 .
Mechanism
Potentially over-expression of transcripts4 .
Year
20234
Location in Gene
5' UTR
Gene Strand

Alleles

Ref. Motif
GCC
Pathogenic (ref.)
GCC
Pathogenic (gene)
CCG
BenignPathogenicUnits3  44118  694

References

Direct supporting references for info on this page.

1
Ontology Lookup Service (OLS)
mondo:0025193
2
Neurological disorders caused by novel non-coding repeat expansions: clinical features and differential diagnosis.
Elisa,Vegezzi, Hiroyuki,Ishiura, D Cristopher,Bragg, David,Pellerin, Francesca,Magrinelli, Riccardo,Currò, Stefano,Facchini, Arianna,Tucci, John,Hardy, Nutan,Sharma, Matt C,Danzi, Stephan,Zuchner, Bernard,Brais, Mary M,Reilly, Shoji,Tsuji, Henry,Houlden, Andrea,Cortese
The Lancet. Neurology · 2024-07-01
pmid:38876750
3
Clinicopathologic Features of Oculopharyngodistal Myopathy With LRP12 CGG Repeat Expansions Compared With Other Oculopharyngodistal Myopathy Subtypes.
Theerawat,Kumutpongpanich, Masashi,Ogasawara, Ayami,Ozaki, Hiroyuki,Ishiura, Shoji,Tsuji, Narihiro,Minami, Shinichiro,Hayashi, Satoru,Noguchi, Aritoshi,Iida, Ichizo,Nishino, Madoka,Mori-Yoshimura, Yasushi,Oya, Kenjiro,Ono, Toshio,Shimizu, Akihiro,Kawata, Shun,Shimohama, Keiko,Toyooka, Kaoru,Endo, Shuta,Toru, Oga,Sasaki, Kenji,Isahaya, Masanori P,Takahashi, Kazuo,Iwasa, Jun-Ichi,Kira, Tatsuya,Yamamoto, Michi,Kawamoto, Tadanori,Hamano, Kazuma,Sugie, Nobuyuki,Eura, Tomo,Shiota, Mizuho,Koide, Kanako,Sekiya, Hideaki,Kishi, Takuto,Hideyama, Shigeru,Kawai, Satoshi,Yanagimoto, Hiroyasu,Sato, Hajime,Arahata, Shigeo,Murayama, Kayoko,Saito, Hideo,Hara, Takashi,Kanda, Hiroshi,Yaguchi, Noboru,Imai, Yuichi,Kawagashira, Mitsuru,Sanada, Kazuki,Obara, Misako,Kaido, Minori,Furuta, Takashi,Kurashige, Wataru,Hara, Daisuke,Kuzume, Mamoru,Yamamoto, Jun,Tsugawa, Hitaru,Kishida, Naoki,Ishizuka, Kohei,Morimoto, Yukio,Tsuji, Atsuko,Tsuneyama, Atsuhiro,Matsuno, Ryo,Sasaki, Daigo,Tamakoshi, Erika,Abe, Shinichiro,Yamada, Akiyuki,Uzawa
JAMA neurology · 2021-07-01
pmid:34047774
4
A CCG expansion in ABCD3 causes oculopharyngodistal myopathy in individuals of European ancestry.
Andrea,Cortese, Sarah J,Beecroft, Stefano,Facchini, Riccardo,Curro, Macarena,Cabrera-Serrano, Igor,Stevanovski, Sanjog R,Chintalaphani, Hasindu,Gamaarachchi, Ben,Weisburd, Chiara,Folland, Gavin,Monahan, Carolin K,Scriba, Lein,Dofash, Mridul,Johari, Bianca R,Grosz, Melina,Ellis, Liam G,Fearnley, Rick,Tankard, Justin,Read, Ashirwad,Merve, Natalia,Dominik, Elisa,Vegezzi, Ricardo P,Schnekenberg, Gorka,Fernandez-Eulate, Marion,Masingue, Diane,Giovannini, Martin B,Delatycki, Elsdon,Storey, Mac,Gardner, David J,Amor, Garth,Nicholson, Steve,Vucic, Robert D,Henderson, Thomas,Robertson, Jason,Dyke, Vicki,Fabian, Frank,Mastaglia, Mark R,Davis, Marina,Kennerson, Ros,Quinlivan, Simon,Hammans, Arianna,Tucci, Melanie,Bahlo, Catriona A,McLean, Nigel G,Laing, Tanya,Stojkovic, Henry,Houlden, Michael G,Hanna, Ira W,Deveson, Paul J,Lockhart, Phillipa J,Lamont, Michael C,Fahey, Enrico,Bugiardini, Gianina,Ravenscroft
Nature communications · 2024-07-27
pmid:39068203

Additional Literature

Additional literature related to this locus.

Raw PubMed search results
(All PubMed results returned by searching for this gene, tandem repeats, and disease, in medline format)

CGG repeat expansions in Charcot-Marie-Tooth disease: insights from the 100 000 Genomes Project.
Alessandro,Bertini, Stefano,Facchini, Ilaria,Quartesan, Riccardo,Currò, Ricardo Parolin,Schnekenberg, Natalia,Dominik, Gustavo,Alves, Lucia,Ferullo, Arianna,Tucci, Henry,Houlden, Mary M,Reilly, Andrea,Cortese
Journal of neurology, neurosurgery, and psychiatry · 2025-07-11
pmid:40645757