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Congenital myasthenic syndrome caused by mutation(s) in the COLQ gene, encoding acetylcholinesterase collagenic tail peptide. It is inherited in an autosomal recessive manner.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 12 | Type 2 muscle fiber atrophy, Myopathy, Fatigable weakness |
Digestive system | 2 | Feeding difficulties in infancy, Difficulty swallowing (dysphagia) |
Bones and joints | 2 | Excessive inward curvature of the lower spine (hyperlordosis), Sideways curvature of the spine (scoliosis) |
Brain and nerves | 2 | Difficulty swallowing (dysphagia), Dysarthria |
Lungs and breathing | 2 | Difficulty breathing (respiratory insufficiency), Difficulty breathing due to muscle weakness (respiratory insufficiency due to muscle weakness) |
Arms and legs | 1 | Limb muscle weakness |
Lab test results | 1 | Anti-neuromuscular Junction acetylcholine receptor antibody positivity |
Eyes | 1 | Ptosis |
COLQ encodes collagen like tail subunit of asymmetric acetylcholinesterase (455 aa). Anchors the catalytic subunits of asymmetric AChE to the synaptic basal membrane, and is therefore involved in the down-regulation of colinergic synaptic transmission Highest expression in Brain Cerebellar Hemisphere (12.2 TPM) and Brain Cerebellum (11.3 TPM).
Congenital myasthenic syndrome 5 is associated with mutations in the COLQ gene on chromosome 3.
COLQ is classified as a druggable target (Druggable Genome and Enzyme categories) with score 0.0.
Genetic testing for COLQ is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 5 always present features.
No clinical trials have been registered for congenital myasthenic syndrome 5.
14 publications have been identified in PubMed for congenital myasthenic syndrome 5. Research spans Case Report / Case Series (21%), Basic Science / Preclinical (21%), and Epidemiology / Natural History (21%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 3 | 21% |
Laboratory research | 3 | 21% |
Disease patterns and progression | 3 | 21% |
Research summaries | 2 | 14% |
New treatment approaches | 2 | 14% |
Clinical study results | 1 | 7% |
Ho K (2026). [PMID: 42146855](https://pubmed.ncbi.nlm.nih.gov/42146855/). *Brain Commun*. [Gene Therapy / Novel Therapeutics]
Bulut N (2026). [PMID: 42090667](https://pubmed.ncbi.nlm.nih.gov/42090667/). *Rev Assoc Med Bras (1992)*. [Clinical Trial Publication]
McInnes A (2026). [PMID: 41058509](https://pubmed.ncbi.nlm.nih.gov/41058509/). *Human gene therapy*. [Gene Therapy / Novel Therapeutics]
Petrov K (2025). [PMID: 39740234](https://pubmed.ncbi.nlm.nih.gov/39740234/). *The Journal of physiology*. [Basic Science / Preclinical]
Amfim A (2025). [PMID: 40800064](https://pubmed.ncbi.nlm.nih.gov/40800064/). *Journal of biological methods*. [Case Report / Case Series]
Takhman M (2025). [PMID: 41382066](https://pubmed.ncbi.nlm.nih.gov/41382066/). *BMC neurology*. [Review / Meta-Analysis]
Ramjattan H (2025). [PMID: 40907058](https://pubmed.ncbi.nlm.nih.gov/40907058/). *Neuromuscular disorders : NMD*. [Epidemiology / Natural History]
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*. [Basic Science / Preclinical]
Ohno K (2025). [PMID: 40533459](https://pubmed.ncbi.nlm.nih.gov/40533459/). *Journal of human genetics*. [Review / Meta-Analysis]
Akçay AA (2025). [PMID: 41451794](https://pubmed.ncbi.nlm.nih.gov/41451794/). *Clinical genetics*. [Basic Science / Preclinical]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 11:33 PM UTC
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