Overview
TRAPPC11-related limb-girdle muscular dystrophy R18 (LGMD R18) is a rare inherited muscle disease caused by changes (mutations) in the TRAPPC11 gene. This gene provides instructions for making a protein involved in transporting materials within cells, particularly in a system called the Golgi apparatus. When this protein does not work properly, muscles throughout the body are affected, especially those around the hips and shoulders (the limb-girdle area). This is why the disease is classified as a limb-girdle muscular dystrophy. People with LGMD R18 typically develop progressive muscle weakness that begins in childhood. The weakness usually starts in the legs and hips, making it harder to walk, run, climb stairs, or get up from the floor. Over time, the arms and shoulders may also become weak. Some individuals may also experience intellectual disability, movement problems (such as difficulty with coordination), liver involvement, eye abnormalities, or seizures, though the severity and combination of symptoms can vary widely between patients. There is currently no cure for LGMD R18. Treatment focuses on managing symptoms and maintaining quality of life. This includes physical therapy to preserve muscle strength and flexibility, occupational therapy to help with daily tasks, and regular monitoring by a team of specialists. Assistive devices such as braces or wheelchairs may become necessary as the disease progresses. Research into potential therapies is ongoing, but disease-modifying treatments are not yet available.
Also known as:
Key symptoms:
Progressive muscle weakness in the hips and thighsProgressive muscle weakness in the shoulders and upper armsDifficulty walking or runningTrouble climbing stairsDifficulty getting up from the floorWaddling gaitElevated creatine kinase (a blood marker of muscle damage)Intellectual disability or learning difficultiesMovement and coordination problems (ataxia)Seizures or epilepsyEye abnormalitiesLiver problemsMuscle wasting over timeScoliosis (curvature of the spine)Fatigue
Clinical phenotype terms (27)— hover any for plain English
Autosomal recessive
Passed on when both parents carry the same gene change; often skips generations
Childhood
Begins in childhood, roughly ages 1 to 12
Treatments
No FDA-approved treatments are currently listed for TRAPPC11-related limb-girdle muscular dystrophy R18.
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Rare Disease Specialist
Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to TRAPPC11-related limb-girdle muscular dystrophy R18.
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Caregiver Resources
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Family & Caregiver Grants
Financial assistance programs specifically for caregivers of rare disease patients.
Social Security Disability
Learn how rare disease patients may qualify for SSDI/SSI benefits.
Questions for your doctor
Bring these to your next appointment
- Q1.What is the expected progression of my child's muscle weakness, and what milestones should we watch for?,How often should we have heart, lung, and liver function checked?,What physical therapy program is best to maintain strength and mobility?,Are there any clinical trials or research studies we could participate in?,Should other family members be tested for carrier status?,What assistive devices or home modifications should we consider now and in the future?,How should we manage seizures or other neurological symptoms if they develop?
Common questions about TRAPPC11-related limb-girdle muscular dystrophy R18
What is TRAPPC11-related limb-girdle muscular dystrophy R18?
TRAPPC11-related limb-girdle muscular dystrophy R18 (LGMD R18) is a rare inherited muscle disease caused by changes (mutations) in the TRAPPC11 gene. This gene provides instructions for making a protein involved in transporting materials within cells, particularly in a system called the Golgi apparatus. When this protein does not work properly, muscles throughout the body are affected, especially those around the hips and shoulders (the limb-girdle area). This is why the disease is classified as a limb-girdle muscular dystrophy. People with LGMD R18 typically develop progressive muscle weakne
How is TRAPPC11-related limb-girdle muscular dystrophy R18 inherited?
TRAPPC11-related limb-girdle muscular dystrophy R18 follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.
At what age does TRAPPC11-related limb-girdle muscular dystrophy R18 typically begin?
Typical onset of TRAPPC11-related limb-girdle muscular dystrophy R18 is childhood. Age of onset can vary across affected individuals.
Which specialists treat TRAPPC11-related limb-girdle muscular dystrophy R18?
1 specialists and care centers treating TRAPPC11-related limb-girdle muscular dystrophy R18 are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.