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An autosomal recessive inherited myopathy caused by mutations in the NEB gene. It is characterized by generalized hypotonia and skeletal muscle weakness.
Features include very common findings: Weakness of facial musculature; and common findings: Narrow mouth, Fatty replacement of skeletal muscle, Falsely enlarged calf muscles (calf muscle pseudohypertrophy), and Foot dorsiflexor weakness and others. 57 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 22 | Muscle fiber splitting, Flexion contracture, Fatty replacement of skeletal muscle |
NEB encodes nebulin (8,525 aa). This giant muscle protein may be involved in maintaining the structural integrity of sarcomeres and the membrane system associated with the myofibrils. Binds and stabilize F-actin Highest expression in Muscle Skeletal (846.4 TPM) and Heart Atrial Appendage (4.5 TPM).
Nemaline myopathy 2 is caused by mutations in the NEB gene on chromosome 2.
NEB is classified as a druggable target with score 0.0.
Genetic testing for NEB is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for nemaline myopathy 2 has been reported in the published literature.
Phenotype severity distribution: 1 very common feature, 7 common features.
No clinical trials have been registered for nemaline myopathy 2.
20 publications have been identified in PubMed for nemaline myopathy 2. Research spans Case Report / Case Series (45%), Basic Science / Preclinical (40%), and Epidemiology / Natural History (10%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 9 | 45% |
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 6:54 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Brain and nerves | 9 | Inability to walk, Spinal rigidity, Hyporeflexia |
Bones and joints | 4 | Fatty replacement of skeletal muscle, Excessive inward curvature of the lower spine (hyperlordosis), Skeletal muscle atrophy |
Arms and legs | 3 | Foot dorsiflexor weakness, Hand clenching, Limb muscle weakness |
Head and neck | 3 | Cleft palate, Weakness of facial musculature, High palate |
Pregnancy and birth | 3 | Congenital contracture, Decreased fetal movement, Neonatal hypotonia |
Digestive system | 2 | Feeding difficulties, Difficulty swallowing (dysphagia) |
Lungs and breathing | 2 | Difficulty breathing due to muscle weakness (respiratory insufficiency due to muscle weakness), Apnea |
Eyes | 1 | Abnormality of the eye |
Lab test results | 1 | Mildly elevated creatine kinase |
Age of onset: adulthood.
8 |
40% |
Disease patterns and progression | 2 | 10% |
Testing and diagnosis research | 1 | 5% |
Yeşildaş PY (2026). [PMID: 41975597](https://pubmed.ncbi.nlm.nih.gov/41975597/). *Ann Indian Acad Neurol*. [Case Report / Case Series]
Hedberg-Oldfors C (2025). [PMID: 41111967](https://pubmed.ncbi.nlm.nih.gov/41111967/). *Frontiers in neurology*. [Diagnostic / Biomarker]
Mizutani H (2025). [PMID: 40091977](https://pubmed.ncbi.nlm.nih.gov/40091977/). *Cureus*. [Case Report / Case Series]
López-Cabrera A (2025). [PMID: 40003902](https://pubmed.ncbi.nlm.nih.gov/40003902/). *International journal of molecular sciences*. [Epidemiology / Natural History]
Coulson Z (2025). [PMID: 40108735](https://pubmed.ncbi.nlm.nih.gov/40108735/). *Skeletal muscle*. [Basic Science / Preclinical]
Wang Y (2025). [PMID: 40583855](https://pubmed.ncbi.nlm.nih.gov/40583855/). *Muscle & nerve*. [Case Report / Case Series]
Sagath L (2025). [PMID: 40517164](https://pubmed.ncbi.nlm.nih.gov/40517164/). *European journal of human genetics : EJHG*. [Epidemiology / Natural History]
Hildebrandt C (2025). [PMID: 40661861](https://pubmed.ncbi.nlm.nih.gov/40661861/). *Neurology. Genetics*. [Basic Science / Preclinical]
Laarne M (2025). [PMID: 41313434](https://pubmed.ncbi.nlm.nih.gov/41313434/). *Journal of neurology*. [Case Report / Case Series]
Coulson Z (2024). [PMID: 39764134](https://pubmed.ncbi.nlm.nih.gov/39764134/). *Research square*. [Case Report / Case Series]