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Any nemaline myopathy in which the cause of the disease is a mutation in the KLHL41 gene.
Features include common findings: Breech presentation; and sometimes findings: Cleft palate, Polyhydramnios, Sideways curvature of the spine (scoliosis), and Difficulty breathing (respiratory insufficiency) and others. 14 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 2 | Cleft palate, High palate |
KLHL41 encodes kelch like family member 41 (606 aa). Involved in skeletal muscle development and differentiation. Highest expression in Muscle Skeletal (3,420 TPM) and Heart Left Ventricle (56.8 TPM).
Nemaline myopathy 9 has been associated with mutations in the KLHL41 gene on chromosome 2.
KLHL41 is classified as a druggable target with score 0.0.
Genetic testing for KLHL41 is available. Testing is considered supportive for diagnosis.
Phenotype severity distribution: 1 common feature.
No clinical trials have been registered for nemaline myopathy 9.
10 publications have been identified in PubMed for nemaline myopathy 9. Research spans Case Report / Case Series (30%), Basic Science / Preclinical (30%), and Epidemiology / Natural History (20%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 3 | 30% |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 3:02 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Muscles
2 |
Joint stiffness present at birth (arthrogryposis multiplex congenita), Muscle weakness |
Bones and joints | 1 | Sideways curvature of the spine (scoliosis) |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
Heart and blood vessels | 1 | Ventricular septal defect |
Pregnancy and birth | 1 | Fetal akinesia sequence |
3 |
30% |
Disease patterns and progression | 2 | 20% |
Other research | 1 | 10% |
Clinical study results | 1 | 10% |
Havner C (2026). [PMID: 42258833](https://pubmed.ncbi.nlm.nih.gov/42258833/). *Eur J Orthod*. [Other]
Sagath L (2025). [PMID: 40517164](https://pubmed.ncbi.nlm.nih.gov/40517164/). *European journal of human genetics : EJHG*. [Basic Science / Preclinical]
Souvannanorath S (2025). [PMID: 40311393](https://pubmed.ncbi.nlm.nih.gov/40311393/). *Neuromuscular disorders : NMD*. [Case Report / Case Series]
Segal Y (2025). [PMID: 41052400](https://pubmed.ncbi.nlm.nih.gov/41052400/). *Neurology(R) neuroimmunology & neuroinflammation*. [Epidemiology / Natural History]
Han H (2025). [PMID: 40501557](https://pubmed.ncbi.nlm.nih.gov/40501557/). *bioRxiv : the preprint server for biology*. [Basic Science / Preclinical]
Hildebrandt C (2025). [PMID: 40661861](https://pubmed.ncbi.nlm.nih.gov/40661861/). *Neurology. Genetics*. [Epidemiology / Natural History]
Vlajnic D (2025). [PMID: 40564727](https://pubmed.ncbi.nlm.nih.gov/40564727/). *Children (Basel, Switzerland)*. [Basic Science / Preclinical]
Belkhribchia MR (2025). [PMID: 41040771](https://pubmed.ncbi.nlm.nih.gov/41040771/). *Cureus*. [Case Report / Case Series]
Guo C (2025). [PMID: 41230347](https://pubmed.ncbi.nlm.nih.gov/41230347/). *European heart journal. Case reports*. [Case Report / Case Series]
van Kleef ESB (2024). [PMID: 39651462](https://pubmed.ncbi.nlm.nih.gov/39651462/). *Neurology. Genetics*. [Clinical Trial Publication]