Congenital myasthenic syndromes and the formation of the neuromuscular junction.

The congenital myasthenic syndromes (CMS) are a heterogeneous group of disorders affecting neuromuscular transmission. Underlying mutations have been identified in at least 11 different genes. The majority of CMS patients have disorders due to mutations in postsynaptic proteins. Initial studies focu...

Full description

Bibliographic Details
Main Authors: Beeson, D, Webster, R, Cossins, J, Lashley, D, Spearman, H, Maxwell, S, Slater, C, Newsom-Davis, J, Palace, J, Vincent, A
Format: Conference item
Published: 2008
_version_ 1826279310032371712
author Beeson, D
Webster, R
Cossins, J
Lashley, D
Spearman, H
Maxwell, S
Slater, C
Newsom-Davis, J
Palace, J
Vincent, A
author_facet Beeson, D
Webster, R
Cossins, J
Lashley, D
Spearman, H
Maxwell, S
Slater, C
Newsom-Davis, J
Palace, J
Vincent, A
author_sort Beeson, D
collection OXFORD
description The congenital myasthenic syndromes (CMS) are a heterogeneous group of disorders affecting neuromuscular transmission. Underlying mutations have been identified in at least 11 different genes. The majority of CMS patients have disorders due to mutations in postsynaptic proteins. Initial studies focused on dysfunction of the acetylcholine receptor (AChR) itself as the major cause of CMS. However, it is becoming apparent that mutations of proteins involved in clustering the AChR and maintaining neuromuscular junction structure form important subgroups. Analysis of the mutations in the AChR-clustering protein, rapsyn, show diverse causes for defective AChR localization and suggest that the common mutation rapsyn-N88K results in AChR clusters that are less stable than those generated by wild-type rapsyn. More recently, mutations in the newly identified endplate protein Dok-7 have been shown to affect AChR clustering and the generation and maintenance of specialized structures at the endplate. Dok-7 binds MuSK and many of the mutations of DOK7 impair the MuSK signaling pathway. Components of this pathway will provide attractive gene candidates for additional forms of CMS. The phenotypic characteristics of the different CMS in which muscle groups may be differentially affected not only provide clues for targeted genetic screening, but also pose further intriguing questions about underlying molecular mechanisms.
first_indexed 2024-03-06T23:56:48Z
format Conference item
id oxford-uuid:747e0c11-fea7-4c32-86b0-b83377d0db04
institution University of Oxford
last_indexed 2024-03-06T23:56:48Z
publishDate 2008
record_format dspace
spelling oxford-uuid:747e0c11-fea7-4c32-86b0-b83377d0db042022-03-26T20:03:19ZCongenital myasthenic syndromes and the formation of the neuromuscular junction.Conference itemhttp://purl.org/coar/resource_type/c_5794uuid:747e0c11-fea7-4c32-86b0-b83377d0db04Symplectic Elements at Oxford2008Beeson, DWebster, RCossins, JLashley, DSpearman, HMaxwell, SSlater, CNewsom-Davis, JPalace, JVincent, AThe congenital myasthenic syndromes (CMS) are a heterogeneous group of disorders affecting neuromuscular transmission. Underlying mutations have been identified in at least 11 different genes. The majority of CMS patients have disorders due to mutations in postsynaptic proteins. Initial studies focused on dysfunction of the acetylcholine receptor (AChR) itself as the major cause of CMS. However, it is becoming apparent that mutations of proteins involved in clustering the AChR and maintaining neuromuscular junction structure form important subgroups. Analysis of the mutations in the AChR-clustering protein, rapsyn, show diverse causes for defective AChR localization and suggest that the common mutation rapsyn-N88K results in AChR clusters that are less stable than those generated by wild-type rapsyn. More recently, mutations in the newly identified endplate protein Dok-7 have been shown to affect AChR clustering and the generation and maintenance of specialized structures at the endplate. Dok-7 binds MuSK and many of the mutations of DOK7 impair the MuSK signaling pathway. Components of this pathway will provide attractive gene candidates for additional forms of CMS. The phenotypic characteristics of the different CMS in which muscle groups may be differentially affected not only provide clues for targeted genetic screening, but also pose further intriguing questions about underlying molecular mechanisms.
spellingShingle Beeson, D
Webster, R
Cossins, J
Lashley, D
Spearman, H
Maxwell, S
Slater, C
Newsom-Davis, J
Palace, J
Vincent, A
Congenital myasthenic syndromes and the formation of the neuromuscular junction.
title Congenital myasthenic syndromes and the formation of the neuromuscular junction.
title_full Congenital myasthenic syndromes and the formation of the neuromuscular junction.
title_fullStr Congenital myasthenic syndromes and the formation of the neuromuscular junction.
title_full_unstemmed Congenital myasthenic syndromes and the formation of the neuromuscular junction.
title_short Congenital myasthenic syndromes and the formation of the neuromuscular junction.
title_sort congenital myasthenic syndromes and the formation of the neuromuscular junction
work_keys_str_mv AT beesond congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT websterr congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT cossinsj congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT lashleyd congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT spearmanh congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT maxwells congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT slaterc congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT newsomdavisj congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT palacej congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction
AT vincenta congenitalmyasthenicsyndromesandtheformationoftheneuromuscularjunction