Homozygous Duplication in the CHRNE in a Family with Congenital Myasthenic Syndrome 4C: 18-Year Follow Up
Abstract
:1. Introduction
2. Materials and Methods
2.1. Human Subjects and Ethical Approval
2.2. Extraction of Genomic DNA and Quantification
2.3. Exome Sequencing
2.4. Sanger Sequencing and In Silico Analysis
3. Results
3.1. Clinical Assessment
3.2. Genetic Analysis
3.3. CHRNE Protein Conservation and Interaction Network Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Clinical Features | Description |
---|---|
Early onset | Since birth |
Fluctuating symptoms | Increasing viral infection and activity |
Muscle fatigue and muscular weakness | Yes, improved with treatment |
Breastfeeding difficulties chokes developed post-partum | Yes, improved gradually at 9 months |
Ocular muscle impairment | Ptosis and sometime squint |
Bulbar symptoms | Yes, improved with treatment |
Scoliosis | Mild |
Improvement with pyridostigmine | Up to 80% improvement |
Mental development | Normal |
Facial weakness | None |
Little functional restriction | None |
Delayed motor milestones | None |
High-arched palate | None |
Gene | Nucleotide Variant | Exon | Protein Variant | Zygosity | gnomAD Exome Freq | ACMG Franklin | VarSome | ClinVar |
---|---|---|---|---|---|---|---|---|
CHRNE | c.1220-8_1227dup | 11 | N/A | Homo | Not reported | Likely Pathogenic | Pathogenic | Pathogenic |
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Almatrafi, A.M.; Alluqmani, M.M.; Basit, S. Homozygous Duplication in the CHRNE in a Family with Congenital Myasthenic Syndrome 4C: 18-Year Follow Up. Biomedicines 2023, 11, 2983. https://doi.org/10.3390/biomedicines11112983
Almatrafi AM, Alluqmani MM, Basit S. Homozygous Duplication in the CHRNE in a Family with Congenital Myasthenic Syndrome 4C: 18-Year Follow Up. Biomedicines. 2023; 11(11):2983. https://doi.org/10.3390/biomedicines11112983
Chicago/Turabian StyleAlmatrafi, Ahmad M., Majed M. Alluqmani, and Sulman Basit. 2023. "Homozygous Duplication in the CHRNE in a Family with Congenital Myasthenic Syndrome 4C: 18-Year Follow Up" Biomedicines 11, no. 11: 2983. https://doi.org/10.3390/biomedicines11112983