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Selcen type muscular dystrophy is characterized by progressive limb and axial muscle weakness associated with cardiomyopathy and severe respiratory insufficiency during adolescence. The disease manifests during childhood and progresses rapidly.
Features include always present findings: Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration), Difficulty breathing (respiratory insufficiency), and EMG: myopathic abnormalities; and common findings: Scapular winging, Distal muscle weakness, Lower limb muscle weakness, and Reduced forced vital capacity and others. 32 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 9 | Distal muscle weakness, Lower limb muscle weakness, Axial muscle weakness |
Brain and nerves | 5 | Spinal rigidity, Demyelinating peripheral neuropathy, Hyporeflexia |
Heart and blood vessels | 3 | Restrictive cardiomyopathy, Thickened heart muscle (hypertrophic cardiomyopathy), Mitral regurgitation |
Arms and legs | 2 | Lower limb muscle weakness, Tip-toe gait |
Bones and joints | 2 | Sideways curvature of the spine (scoliosis), Thoracic scoliosis |
Lungs and breathing | 2 | Difficulty breathing (respiratory insufficiency), Restrictive ventilatory defect |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |
Head and neck | 1 | Facial palsy |
BAG3 encodes BAG cochaperone 3 (575 aa). Co-chaperone and adapter protein that connects different classes of molecular chaperones including heat shock proteins 70 (HSP70s), e.g. Highest expression in Muscle Skeletal (370.4 TPM) and Artery Aorta (139.2 TPM).
Myofibrillar myopathy 6 is associated with mutations in the BAG3 gene on chromosome 10.
The BAG3 protein participates in CREB3L4 translocates from the cytosol to the nucleus pathway.
BAG3 is classified as a druggable target with score 0.0.
Genetic testing for BAG3 is available. Testing is considered confirmatory for diagnosis.
No approved treatments are currently available for myofibrillar myopathy 6. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for myofibrillar myopathy 6, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for myofibrillar myopathy 6. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
Chaenomelis Fructus Extract | Chaenomelis Fructus Extract | Centre for Chinese Herbal Medicine Drug Development Limited | 2023 | — | Designated |
Gene therapy approaches for myofibrillar myopathy 6 have been reported in the published literature.
View trials for myofibrillar myopathy 6
Phenotype severity distribution: 3 always present features, 20 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for myofibrillar myopathy 6.
15 publications have been identified in PubMed for myofibrillar myopathy 6. Research spans Basic Science / Preclinical (47%), Epidemiology / Natural History (20%), and Review / Meta-Analysis (13%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 7 | 47% |
Disease patterns and progression | 3 | 20% |
Research summaries | 2 | 13% |
New treatment approaches | 2 | 13% |
Other research | 1 | 7% |
Filippi K (2026). [PMID: 41965903](https://pubmed.ncbi.nlm.nih.gov/41965903/). *Nature communications*. [Basic Science / Preclinical]
Ozes B (2026). [PMID: 42137292](https://pubmed.ncbi.nlm.nih.gov/42137292/). *Mol Ther Adv*. [Gene Therapy / Novel Therapeutics]
Zhou W (2026). [PMID: 41951012](https://pubmed.ncbi.nlm.nih.gov/41951012/). *Biochim Biophys Acta Mol Basis Dis*. [Review / Meta-Analysis]
Daire E (2026). [PMID: 41736716](https://pubmed.ncbi.nlm.nih.gov/41736716/). *Front Genet*. [Other]
Riße I (2025). [PMID: 39729860](https://pubmed.ncbi.nlm.nih.gov/39729860/). *Stem cell research*. [Gene Therapy / Novel Therapeutics]
Zrelski MM (2025). [PMID: 40641151](https://pubmed.ncbi.nlm.nih.gov/40641151/). *Journal of cachexia, sarcopenia and muscle*. [Basic Science / Preclinical]
Filippi K (2025). [PMID: 39662463](https://pubmed.ncbi.nlm.nih.gov/39662463/). *Stem cell research*. [Basic Science / Preclinical]
Filippi K (2025). [PMID: 40318522](https://pubmed.ncbi.nlm.nih.gov/40318522/). *Stem cell research*. [Basic Science / Preclinical]
Filippi K (2025). [PMID: 39662461](https://pubmed.ncbi.nlm.nih.gov/39662461/). *Stem cell research*. [Basic Science / Preclinical]
Batonnet-Pichon S (2025). [PMID: 41165044](https://pubmed.ncbi.nlm.nih.gov/41165044/). *Journal of cachexia, sarcopenia and muscle*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 11:55 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning myofibrillar myopathy 6
Updated Apr 11, 2026
Research reveals that blockage of autophagy leads to significant skeletal muscle disruption in a mouse model for myofibrillar myopathy 6. This study enhances understanding of the disease's underlying mechanisms.