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A congenital myasthenic syndrome characterized by autosomal recessive inheritance of postsynaptic neuromuscular junction defects, early-onset muscle weakness, and low amplitude of the miniature endplate potential and current that has material basis in ompound heterozygous mutation in the CHRNB1 gene on chromosome 17p13.
Features include always present findings: Feeding difficulties, Difficulty breathing (respiratory insufficiency), and EMG: decremental response of compound muscle action potential to repetitive nerve stimulation. 8 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 5 | Myopathy, Low muscle tone (hypotonia), Neonatal hypotonia |
CHRNB1 encodes cholinergic receptor nicotinic beta 1 subunit (501 aa). After binding acetylcholine, the AChR responds by an extensive change in conformation that affects all subunits and leads to opening of an ion-conducting channel across the plasma membrane
Congenital myasthenic syndrome 2C is caused by mutations in the CHRNB1 gene on chromosome 17.
CHRNB1 is classified as a druggable target (Druggable Genome, Ion Channel, and Transporter categories) with score 0.5.
Genetic testing for CHRNB1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for congenital myasthenic syndrome 2C has been reported in the published literature.
Phenotype severity distribution: 3 always present features.
No clinical trials have been registered for congenital myasthenic syndrome 2C.
4 publications have been identified in PubMed for congenital myasthenic syndrome 2C. Research spans Diagnostic / Biomarker (100%).
Ouyang X (2025). [PMID: 40129607](https://pubmed.ncbi.nlm.nih.gov/40129607/). *Frontiers in genetics*. [Diagnostic / Biomarker]
Kurtovic-Kozaric A (2024). [PMID: 39720176](https://pubmed.ncbi.nlm.nih.gov/39720176/). *Frontiers in genetics*. [Diagnostic / Biomarker]
Ryan-Phillips F (2024). [PMID: 39595115](https://pubmed.ncbi.nlm.nih.gov/39595115/). *Biomedicines*. [Diagnostic / Biomarker]
Schroeter CB (2024). [PMID: 38888758](https://pubmed.ncbi.nlm.nih.gov/38888758/). *Acta neuropathologica*. [Diagnostic / Biomarker]
Data assembled from 6 of 12 sources · Last updated Oct 4, 2026, 12:13 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Digestive system |
1 |
Feeding difficulties |
Pregnancy and birth | 1 | Neonatal hypotonia |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
Lab test results | 1 | Anti-neuromuscular Junction acetylcholine receptor antibody positivity |
Age of onset: newborn period.