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A rare genetic skeletal muscle disease characterized by abnormal chimeric aggregates of desmin and other cytoskeletal proteins and granulofilamentous material at the ultrastructural level in muscle biopsies and variable clinical/ myopathological features, age of disease onset and rate of disease progression. Patients present with bilateral skeletal muscle weakness that starts in distal leg muscles and spreads proximally, sometimes involving trunk, neck flexors and facial muscles and often cardiomyopathy manifested by conduction blocks, arrhythmias, chronic heart failure, and sometimes tachyarrhythmia. Weakness eventually leads to wheelchair dependence. Respiratory insufficiency can be a major cause of disability and death, beginning with nocturnal hyperventilation with oxygen desaturation and progressing to daytime respiratory failure.
Features include sometimes findings: Bradycardia, Third degree atrioventricular block, Thickened heart muscle (hypertrophic cardiomyopathy), and Restrictive cardiomyopathy and others. 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 5 | Bradycardia, Third degree atrioventricular block, Thickened heart muscle (hypertrophic cardiomyopathy) |
Muscles | 5 | Late-onset proximal muscle weakness, Distal muscle weakness, Difficulty breathing due to muscle weakness (respiratory insufficiency due to muscle weakness) |
Digestive system | 2 | Diarrhea, Constipation |
Head and neck | 1 | Facial palsy |
Lungs and breathing | 1 | Difficulty breathing due to muscle weakness (respiratory insufficiency due to muscle weakness) |
Brain and nerves | 1 | Hyporeflexia of lower limbs |
Arms and legs | 1 | Hyporeflexia of lower limbs |
DES encodes desmin (470 aa). Muscle-specific type III intermediate filament essential for proper muscular structure and function. Highest expression in Esophagus Muscularis (14,058 TPM) and Colon Sigmoid (13,011 TPM).
Myofibrillar myopathy 1 is associated with mutations in the DES gene on chromosome 2.
The DES protein participates in Des-acyl Ghrelin, Preproghrelin and prepro-des-Gln14-ghrelin, and Proghrelin and Pro-des-Gln14-ghrelin pathways.
DES is classified as a druggable target with score 17.4.
Genetic testing for DES is available. Testing is considered confirmatory for diagnosis.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for myofibrillar myopathy 1.
33 publications have been identified in PubMed for myofibrillar myopathy 1. Research spans Basic Science / Preclinical (39%), Case Report / Case Series (33%), and Epidemiology / Natural History (24%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 13 | 39% |
Patient case studies | 11 | 33% |
Disease patterns and progression | 8 | 24% |
Research summaries | 1 | 3% |
Guérémy A (2026). [PMID: 41943552](https://pubmed.ncbi.nlm.nih.gov/41943552/). *Muscle Nerve*. [Epidemiology / Natural History]
Baskar D (2026). [PMID: 41406637](https://pubmed.ncbi.nlm.nih.gov/41406637/). *Neuromuscular disorders : NMD*. [Basic Science / Preclinical]
De Los Reyes FVA (2026). [PMID: 42104873](https://pubmed.ncbi.nlm.nih.gov/42104873/). *Muscle Nerve*. [Case Report / Case Series]
Mathy CS (2026). [PMID: 41854206](https://pubmed.ncbi.nlm.nih.gov/41854206/). *Journal of cachexia, sarcopenia and muscle*. [Case Report / Case Series]
Bruge C (2026). [PMID: 41869723](https://pubmed.ncbi.nlm.nih.gov/41869723/). *JCI Insight*. [Basic Science / Preclinical]
Batoumeni V (2025). [PMID: 40639258](https://pubmed.ncbi.nlm.nih.gov/40639258/). *European journal of cell biology*. [Case Report / Case Series]
Sanchez-Casado L (2025). [PMID: 39798170](https://pubmed.ncbi.nlm.nih.gov/39798170/). *Neuromuscular disorders : NMD*. [Case Report / Case Series]
Stentenbach M (2025). [PMID: 40480980](https://pubmed.ncbi.nlm.nih.gov/40480980/). *Nature communications*. [Basic Science / Preclinical]
Eggers B (2025). [PMID: 40033788](https://pubmed.ncbi.nlm.nih.gov/40033788/). *Muscle & nerve*. [Basic Science / Preclinical]
Holtzhausen C (2025). [PMID: 40947309](https://pubmed.ncbi.nlm.nih.gov/40947309/). *Neuropathology and applied neurobiology*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 6:34 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center