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Any congenital myasthenic syndromes with glycosylation defect in which the cause of the disease is a mutation in the ALG2 gene.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 12 | Fatigable weakness, Low muscle tone (hypotonia), Gowers sign |
Bones and joints | 4 | Distal joint hypermobility, Excessive inward curvature of the lower spine (hyperlordosis), Centrally nucleated skeletal muscle fibers |
Head and neck | 2 | Weakness of facial musculature, High palate |
Kidneys and urinary system | 1 | Muscle fiber tubular inclusions |
Brain and nerves | 1 | Waddling gait |
Arms and legs | 1 | Limb-girdle muscle weakness |
Lab test results | 1 | Mildly elevated creatine kinase |
Eyes | 1 | Ptosis |
ALG2 encodes ALG2 alpha-1,3/1,6-mannosyltransferase (416 aa). Mannosyltransferase that operates in the biosynthetic pathway of dolichol-linked oligosaccharides, the glycan precursors employed in protein asparagine (N)-glycosylation. Highest expression in Cells Cultured fibroblasts (46.5 TPM) and Cells EBV-transformed lymphocytes (40.5 TPM).
Congenital myasthenic syndrome 14 is associated with mutations in the ALG2 gene on chromosome 9.
The ALG2 protein participates in ALG2 72_75delinsSPR, Defective ALG2 causes CDG-1i, and Defective ALG14 causes ALG14-CMS pathways.
ALG2 is classified as a druggable target (Enzyme category) with score 0.0.
Genetic testing for ALG2 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for congenital myasthenic syndrome 14 has been reported in the published literature.
Phenotype severity distribution: 5 always present features, 1 very common feature, 9 common features.
No clinical trials have been registered for congenital myasthenic syndrome 14.
21 publications have been identified in PubMed for congenital myasthenic syndrome 14. Research spans Case Report / Case Series (24%), Epidemiology / Natural History (24%), and Gene Therapy / Novel Therapeutics (19%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 5 | 24% |
Disease patterns and progression | 5 | 24% |
New treatment approaches | 4 | 19% |
Research summaries | 3 | 14% |
Laboratory research | 2 | 10% |
Testing and diagnosis research | 1 | 5% |
Clinical study results | 1 | 5% |
McInnes A (2026). [PMID: 41058509](https://pubmed.ncbi.nlm.nih.gov/41058509/). *Human gene therapy*. [Gene Therapy / Novel Therapeutics]
Wang T (2026). [PMID: 41547082](https://pubmed.ncbi.nlm.nih.gov/41547082/). *Pediatric neurology*. [Epidemiology / Natural History]
Ramezani M (2026). [PMID: 41312578](https://pubmed.ncbi.nlm.nih.gov/41312578/). *Muscle & nerve*. [Epidemiology / Natural History]
Akçay AA (2026). [PMID: 41451794](https://pubmed.ncbi.nlm.nih.gov/41451794/). *Clinical genetics*. [Basic Science / Preclinical]
Guan J (2025). [PMID: 40768883](https://pubmed.ncbi.nlm.nih.gov/40768883/). *Brain & development*. [Case Report / Case Series]
Akiyama M (2025). [PMID: 39913008](https://pubmed.ncbi.nlm.nih.gov/39913008/). *CEN case reports*. [Case Report / Case Series]
Parrey AH (2025). [PMID: 41280347](https://pubmed.ncbi.nlm.nih.gov/41280347/). *American journal of neurodegenerative disease*. [Case Report / Case Series]
Liu Y (2025). [PMID: 40704522](https://pubmed.ncbi.nlm.nih.gov/40704522/). *FASEB journal : official publication of the Federation of American Societies for Experimental Biology*. [Gene Therapy / Novel Therapeutics]
Takhman M (2025). [PMID: 41382066](https://pubmed.ncbi.nlm.nih.gov/41382066/). *BMC neurology*. [Review / Meta-Analysis]
AlHabsi R (2025). [PMID: 39902012](https://pubmed.ncbi.nlm.nih.gov/39902012/). *Cureus*. [Case Report / Case Series]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 4:51 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
AI-curated news mentioning congenital myasthenic syndrome 14
Updated Jul 17, 2026
A study highlights the diagnostic challenges and therapeutic pathways for congenital myasthenic syndromes in Southeast Asian adults. The findings underscore the need for improved awareness and resources in this region.