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Any congenital myasthenic syndrome in which the cause of the disease is a mutation in the MUSK gene.
Features include always present findings: Fatigable weakness, Low muscle tone (hypotonia), Weakness of facial musculature, and Tongue atrophy and others; and very common findings: Gowers sign. 28 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 15 | Fatigable weakness, Flexion contracture, Anti-muscle-specific tyrosine kinase antibody |
MUSK encodes muscle associated receptor tyrosine kinase (869 aa). Receptor tyrosine kinase which plays a central role in the formation and the maintenance of the neuromuscular junction (NMJ), the synapse between the motor neuron and the skeletal muscle. Highest expression in Small Intestine Terminal Ileum (3.1 TPM) and Bladder (1.9 TPM).
Congenital myasthenic syndrome 9 is associated with mutations in the MUSK gene on chromosome 9.
MUSK is classified as a druggable target (Clinically Actionable, Druggable Genome, Enzyme, Kinase, and Tyrosine Kinase categories) with score 2.6.
Genetic testing for MUSK is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for congenital myasthenic syndrome 9 has been reported in the published literature.
Phenotype severity distribution: 12 always present features, 1 very common feature, 9 common features.
No clinical trials have been registered for congenital myasthenic syndrome 9.
27 publications have been identified in PubMed for congenital myasthenic syndrome 9. Research spans Basic Science / Preclinical (26%), Epidemiology / Natural History (26%), and Case Report / Case Series (22%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 7 | 26% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 9:41 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Brain and nerves |
4 |
Fasciculations, Waddling gait, Difficulty swallowing (dysphagia) |
Lab test results | 2 | Anti-muscle-specific tyrosine kinase antibody, Anti-neuromuscular Junction acetylcholine receptor antibody positivity |
Bones and joints | 2 | Excessive inward curvature of the lower spine (hyperlordosis), Sideways curvature of the spine (scoliosis) |
Arms and legs | 2 | Proximal upper limb muscle weakness, Distal lower limb amyotrophy |
Lungs and breathing | 2 | Difficulty breathing (respiratory insufficiency), Sleep apnea |
Head and neck | 1 | Weakness of facial musculature |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Eyes | 1 | Ptosis |
Pregnancy and birth | 1 | Neonatal hypotonia |
Disease patterns and progression
7 |
26% |
Patient case studies | 6 | 22% |
Research summaries | 3 | 11% |
Testing and diagnosis research | 2 | 7% |
Other research | 1 | 4% |
New treatment approaches | 1 | 4% |
Ostojić S (2026). [PMID: 42123532](https://pubmed.ncbi.nlm.nih.gov/42123532/). *Int J Mol Sci*. [Diagnostic / Biomarker]
Ehrlich KC (2026). [PMID: 41892369](https://pubmed.ncbi.nlm.nih.gov/41892369/). *Epigenomes*. [Basic Science / Preclinical]
Rossini E (2026). [PMID: 41251564](https://pubmed.ncbi.nlm.nih.gov/41251564/). *Muscle & nerve*. [Epidemiology / Natural History]
Ivanovic V (2026). [PMID: 41940306](https://pubmed.ncbi.nlm.nih.gov/41940306/). *Front Neurol*. [Other]
Ho K (2026). [PMID: 42146855](https://pubmed.ncbi.nlm.nih.gov/42146855/). *Brain Commun*. [Gene Therapy / Novel Therapeutics]
Kulsirichawaroj P (2025). [PMID: 40494860](https://pubmed.ncbi.nlm.nih.gov/40494860/). *Pediatric research*. [Diagnostic / Biomarker]
Ohno K (2025). [PMID: 40533459](https://pubmed.ncbi.nlm.nih.gov/40533459/). *Journal of human genetics*. [Review / Meta-Analysis]
Guan J (2025). [PMID: 40768883](https://pubmed.ncbi.nlm.nih.gov/40768883/). *Brain & development*. [Basic Science / Preclinical]
Khalil MR (2025). [PMID: 40267037](https://pubmed.ncbi.nlm.nih.gov/40267037/). *The American journal of case reports*. [Case Report / Case Series]
Li J (2025). [PMID: 40200352](https://pubmed.ncbi.nlm.nih.gov/40200352/). *Orphanet journal of rare diseases*. [Epidemiology / Natural History]