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A congenital myopathy caused by mutations in the multiple epidermal growth factor-like domains 10 (MEGF10) gene, which causes early-onset myopathy characterized by severe weakness, scoliosis, joint contractures, areflexia, respiratory distress, and dysphagia, and a milder phenotype of minicore myopathy.
Features include always present findings: Poor head control, Low muscle tone (hypotonia), Difficulty swallowing (dysphagia), and Respiratory distress; and very common findings: Respiratory failure, Sideways curvature of the spine (scoliosis), EMG: myopathic abnormalities, and Increased variability in muscle fiber diameter. 33 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 7 | Low muscle tone (hypotonia), Tongue fasciculations, Diaphragmatic weakness |
MEGF10 encodes multiple EGF like domains 10 (1,140 aa). Membrane receptor involved in phagocytosis by macrophages and astrocytes of apoptotic cells. Highest expression in Brain Spinal cord cervical c-1 (16.1 TPM) and Brain Caudate basal ganglia (10.4 TPM).
MEGF10-related myopathy is caused by mutations in the MEGF10 gene on chromosome 5.
MEGF10 is classified as a druggable target with score 0.0.
Genetic testing for MEGF10 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 4 always present features, 4 very common features, 6 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for MEGF10-related myopathy.
8 publications have been identified in PubMed for MEGF10-related myopathy. Research spans Case Report / Case Series (75%), Other (13%), and Basic Science / Preclinical (13%).
Zhu B (2026). [PMID: 41475242](https://pubmed.ncbi.nlm.nih.gov/41475242/). *Neuromuscul Disord*. [Case Report / Case Series]
Kleiser B (2025). [PMID: 41262623](https://pubmed.ncbi.nlm.nih.gov/41262623/). *Case Rep Neurol Med*. [Case Report / Case Series]
Feng KF (2025). [PMID: 41402106](https://pubmed.ncbi.nlm.nih.gov/41402106/). *Zhonghua Xin Xue Guan Bing Za Zhi*. [Case Report / Case Series]
Darfallah L (2025). [PMID: 39827508](https://pubmed.ncbi.nlm.nih.gov/39827508/). *Rev Esp Patol*. [Case Report / Case Series]
Dofash L (2024). [PMID: 39121631](https://pubmed.ncbi.nlm.nih.gov/39121631/). *Neuromuscul Disord*. [Case Report / Case Series]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 3:06 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about MEGF10-related myopathy
Brain and nerves | 5 | Seizure, Tongue fasciculations, Hyporeflexia |
Lungs and breathing | 4 | Respiratory failure, Respiratory distress, Difficulty breathing (respiratory insufficiency) |
Head and neck | 3 | Facial palsy, High palate, Cleft palate |
Digestive system | 2 | Gastroesophageal reflux, Difficulty swallowing (dysphagia) |
Pregnancy and birth | 2 | Decreased fetal movement, Neonatal hypotonia |
Lab test results | 1 | Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |
Arms and legs | 1 | Camptodactyly of finger |
Growth and development | 1 | Failure to thrive |
Bones and joints | 1 | Sideways curvature of the spine (scoliosis) |
Age of onset: before birth.
Juros D (2024). [PMID: 38760872](https://pubmed.ncbi.nlm.nih.gov/38760872/). *Skelet Muscle*. [Basic Science / Preclinical]
Figueiredo AS (2024). [PMID: 39654593](https://pubmed.ncbi.nlm.nih.gov/39654593/). *Cureus*. [Other]