ANO5 (anoctamin 5) is a multi-pass membrane protein localized to the sarcolemma and sarcoplasmic reticulum that plays a crucial role in plasma membrane repair through a process involving annexins 1. Unlike other anoctamins, ANO5 does not exhibit calcium-activated chloride channel activity but instead functions in membrane repair mechanisms. Mutations in ANO5 cause autosomal recessive limb-girdle muscular dystrophy R12 (LGMD-R12) and Miyoshi muscular dystrophy 3 (MMD3), representing a significant portion of muscular dystrophy cases 23. ANO5-related myopathy accounts for 7-26% of LGMD cases across different populations, making it one of the major contributing genes to LGMD phenotypes 24. The disease exhibits notable sex differences, with males more frequently presenting with moderate to severe skeletal muscle pathology and elevated creatine kinase levels, while females may develop cardiomyopathy features 5. Clinical presentation includes progressive muscle weakness, with wide variation in age of onset (0-72 years) and cardiac abnormalities occurring in approximately 17% of patients 4. The estimated minimum prevalence is 14.4 × 10-6 in the Netherlands 4. ANO5 myopathy represents part of a clinical continuum with varying degrees of muscle cell pathologies, and no clear genotype-phenotype correlation exists 1.