A homozygous missense variant in CHRM3 associated with familial urinary bladder disease

Glenda M Beaman, Gabriella Galatà, Keng W Teik, Jill E Urquhart, Ali Aishah, James O'Sullivan, Sanjeev S Bhaskar, Katherine A Wood, Huw B Thomas, Raymond T O'Keefe, Adrian S Woolf, Helen M Stuart, William G Newman

Research output: Contribution to journalArticlepeer-review


CHRM3 codes for the M3 muscarinic acetylcholine receptor that is located on the surface of smooth muscle cells of the detrusor, the muscle that effects urinary voiding. Previously, we reported brothers in a family affected by a congenital prune belly-like syndrome with mydriasis due to homozygous CHRM3 frameshift variants. In this study we describe two sisters with bladders that failed to empty completely and pupils that failed to constrict fully in response to light, who are homozygous for the missense CHRM3 variant c.352G>A; p.(Gly118Arg). Samples were not available for genotyping from their brother, who had a history of multiple urinary tract infections and underwent surgical bladder draining in the first year of life. He died at six years. This is the first independent report of biallelic variants in CHRM3 in a family with a rare serious bladder disorder associated with mydriasis and provides important evidence of this association.
Original languageEnglish
Pages (from-to)515-520
Number of pages6
JournalClinical Genetics
Issue number6
Early online date23 Aug 2019
Publication statusPublished - 19 Nov 2019


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