Invitae Emery-Dreifuss Muscular Dystrophy Panel


Test description

The Invitae Emery-Dreifuss Muscular Dystrophy Panel analyzes up to eight genes that are associated with Emery-Dreifuss muscular dystrophy (EDMD), a disorder characterized by a clinical triad of joint contractures, progressive muscle weakness, and cardiac disease. These genes were curated based on current available evidence to provide a comprehensive test for the genetic causes of EDMD.

Identification of the underlying genetic cause can be useful in confirming a diagnosis of EDMD, ruling out other disorders with similar clinical features, and informing recurrence risk.

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Primary panel (3 genes)


Add-on preliminary-evidence genes (5 genes)

Preliminary-evidence genes currently have early evidence of a clinical association with the specific disease covered by this test. Some clinicians may wish to include genes which do not currently have a definitive clinical association, but which may prove to be clinically significant in the future. These genes can be added at no additional charge. Visit our Preliminary-evidence genes page to learn more.


Alternative tests to consider

For a broader analysis of genes associated with muscular dystrophies, clinicians may consider the Invitae Comprehensive Muscular Dystrophy Panel.

For a broader analysis of the genetics of hereditary neuromuscular disorders (muscular dystrophies, myopathies, and congenital myasthenic syndrome):

Emery-Dreifuss muscular dystrophy (EDMD) is characterized by a clinical triad of joint contractures, progressive muscular weakness, and cardiac disease. Age of onset, symptom severity, and progression of muscle and cardiac involvement are variable. At onset, muscle weakness typically has a humero-peroneal distribution; in later stages of the disease, muscle weakness also affects the scapular and pelvic girdle muscles. Conduction defects are the most frequent cardiac abnormalities and atrial paralysis is almost pathognomonic for EDMD. Other cardiac findings include arrhythmias and dilated cardiomyopathy. Cardiac involvement may precede significant muscle weakness and can lead to death resulting from sudden cardiac failure.

GeneInheritanceProportion of EDMD casesEDMD subtype(s)
Autosomal dominantAutosomal recessiveX-linked
EMD 60% of X-linked cases EDMD1
FHL1 10% of X-linked cases EDMD6
LMNA 45% of autosomal dominant cases EDMD2, EDMD3
SUN1* Unknown Unknown
SUN2* Unknown Unknown
SYNE1* Unknown EDMD4
SYNE2* Unknown EDMD5
TMEM43* Unknown EDMD7

*Preliminary-evidence gene

Pathogenic variants in the EMD and FHL1 genes account for 60% and 10% of individuals with X-linked EDMD, respectively. The LMNA gene accounts for 45% of autosomal dominant EDMD. The percentage of individuals with EDMD caused by the SUN1, SUN2, SYNE1, SYNE2 and TMEM43 genes is unknown.

EDMD can be inherited in an autosomal dominant, autosomal recessive, or an X-linked pattern.

The penetrance of EMD-, FHL1-, and LMNA-associated EDMD is high. Most cases of EMD-associated EDMD have onset in the first two decades of life; however, later onset cases have been reported, which may be mistaken for reduced penetrance.

The overall prevalence of EDMD is unknown. The prevalence of X-linked EDMD is estimated at 1 in 100,000. Autosomal dominant forms of LMNA-associated EDMD are thought to be more common than X-linked EDMD associated with EMD.

The clinical spectrum of EDMD is variable. Genetic testing may confirm a suspected diagnosis or rule out disorders with similar symptoms. A genetic diagnosis may also help predict disease progression and inform recurrence risk.

Assay and technical information

Invitae is a College of American Pathologists (CAP)-accredited and Clinical Laboratory Improvement Amendments (CLIA)-certified clinical diagnostic laboratory performing full-gene sequencing and deletion/duplication analysis using next-generation sequencing technology (NGS).

Our sequence analysis covers clinically important regions of each gene, including coding exons, +/- 10 base pairs of adjacent intronic sequence, and select noncoding variants. Our assay provides a Q30 quality-adjusted mean coverage depth of 350x (50x minimum, or supplemented with additional analysis). Variants classified as pathogenic or likely pathogenic are confirmed with orthogonal methods, except individual variants that have high quality scores and previously validated in at least ten unrelated samples.

Our analysis detects most intragenic deletions and duplications at single exon resolution. However, in rare situations, single-exon copy number events may not be analyzed due to inherent sequence properties or isolated reduction in data quality. If you are requesting the detection of a specific single-exon copy number variation, please contact Client Services before placing your order.

Gene Transcript reference Sequencing analysis Deletion/Duplication analysis
EMD NM_000117.2
FHL1 NM_001449.4, NM_001159702.2
LMNA NM_170707.3
SUN1 NM_001130965.2
SUN2 NM_015374.2
SYNE1 NM_033071.3
SYNE2 NM_182914.2
TMEM43 NM_024334.2