ONTOLOGY REPORT - ANNOTATIONS


Term:congenital myasthenic syndrome
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Accession:DOID:3635 term browser browse the term
Definition:A heterogeneous group of disorders characterized by a congenital defect in neuromuscular transmission at the NEUROMUSCULAR JUNCTION. This includes presynaptic, synaptic, and postsynaptic disorders (that are not of autoimmune origin). The majority of these diseases are caused by mutations of various subunits of the nicotinic acetylcholine receptor (RECEPTORS, NICOTINIC) on the postsynaptic surface of the junction. (From Arch Neurol 1999 Feb;56(2):163-7)
Synonyms:exact_synonym: congenital myasthenia;   congenital myasthenia gravi;   congenital myasthenia gravis;   congenital myasthenic syndrome, dominant/recessive;   congenital myasthenic syndromes;   congenital slow channel myasthenic syndromes;   congenital slow-channel myasthenic syndrome;   familial limb-girdle myasthenia;   postsynaptic congenital myasthenic syndromes;   presynaptic congenital myasthenic syndromes
 narrow_synonym: congenital myasthenic syndrome, CHRNE-related;   congenital myasthenic syndrome, due to CHRNE;   congenital myasthenic syndrome, recessive
 primary_id: MESH:D020294
 alt_id: OMIA:000685;   RDO:0001518
 xref: GARD:11902;   OMIM:PS601462;   OMIM:PS610542;   ORDO:590
For additional species annotation, visit the Alliance of Genome Resources.


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congenital myasthenic syndrome term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Agrn agrin JBrowse link 5 173,589,910 173,622,813 RGD:8554872
RGD:11554173
G Alg14 ALG14, UDP-N-acetylglucosaminyltransferase subunit JBrowse link 2 224,851,352 224,931,461 RGD:11554173
G Alg2 ALG2, alpha-1,3/1,6-mannosyltransferase JBrowse link 5 63,187,466 63,192,025 RGD:11554173
G Brca1 BRCA1, DNA repair associated JBrowse link 10 89,394,821 89,455,093 RGD:8554872
G Brca2 BRCA2, DNA repair associated JBrowse link 12 503,660 544,754 RGD:8554872
G Cacna1c calcium voltage-gated channel subunit alpha1 C JBrowse link 4 150,635,808 151,270,790 RGD:8554872
G Chat choline O-acetyltransferase JBrowse link 16 8,576,858 8,686,131 RGD:8554872
G Chrna1 cholinergic receptor nicotinic alpha 1 subunit JBrowse link 3 60,445,657 60,460,724 RGD:8554872
G Chrnb1 cholinergic receptor nicotinic beta 1 subunit JBrowse link 10 56,390,671 56,403,255 RGD:8554872
RGD:11554173
G Chrnd cholinergic receptor nicotinic delta subunit JBrowse link 9 94,286,550 94,294,968 RGD:8554872
RGD:11554173
G Chrne cholinergic receptor nicotinic epsilon subunit JBrowse link 10 57,238,960 57,246,750 RGD:8554872
G Chrng cholinergic receptor nicotinic gamma subunit JBrowse link 9 94,302,218 94,308,591 RGD:11554173
RGD:8554872
G Col13a1 collagen type XIII alpha 1 chain JBrowse link 20 31,456,502 31,598,360 RGD:11554173
G Colq collagen like tail subunit of asymmetric acetylcholinesterase JBrowse link 16 7,626,380 7,681,621 RGD:8554872
G Dok7 docking protein 7 JBrowse link 14 80,925,409 80,963,454 RGD:8554872
G Dpagt1 dolichyl-phosphate N-acetylglucosaminephosphotransferase 1 JBrowse link 8 48,657,779 48,664,531 RGD:11554173
G Gfpt1 glutamine fructose-6-phosphate transaminase 1 JBrowse link 4 118,852,046 118,901,583 RGD:8554872
RGD:11554173
G Jag1 jagged canonical Notch ligand 1 JBrowse link 3 130,079,361 130,114,781 RGD:8554872
G LOC687707 hypothetical protein LOC687707 JBrowse link 10 57,239,993 57,240,948 RGD:8554872
G Lrp4 LDL receptor related protein 4 JBrowse link 3 80,362,643 80,416,684 RGD:11554173
G Mink1 misshapen-like kinase 1 JBrowse link 10 57,185,310 57,238,531 RGD:8554872
G Musk muscle associated receptor tyrosine kinase JBrowse link 5 75,392,790 75,498,694 RGD:8554872
G Myo9a myosin IXA JBrowse link 8 64,573,248 64,777,607 RGD:8554872
G Prepl prolyl endopeptidase-like JBrowse link 6 8,316,861 8,346,293 RGD:11554173
G Rapsn receptor-associated protein of the synapse JBrowse link 3 79,859,815 79,869,486 RGD:8554872
G Ryr1 ryanodine receptor 1 JBrowse link 1 87,959,596 88,066,252 RGD:8554872
G Scn4a sodium voltage-gated channel alpha subunit 4 JBrowse link 10 94,505,026 94,557,803 RGD:8554872
RGD:11554173
G Slc18a3 solute carrier family 18 member A3 JBrowse link 16 8,682,668 8,685,529 RGD:11554173
G Slc5a7 solute carrier family 5 member 7 JBrowse link 9 5,294,377 5,330,822 RGD:11554173
G Snap25 synaptosome associated protein 25 JBrowse link 3 129,697,408 129,788,417 RGD:11554173
G Syt2 synaptotagmin 2 JBrowse link 13 51,569,248 51,577,824 RGD:11554173
G Tapbpl TAP binding protein-like JBrowse link 4 157,735,748 157,743,199 RGD:8554872
G Ttn titin JBrowse link 3 63,565,160 63,837,815 RGD:8554872
G Vamp1 vesicle-associated membrane protein 1 JBrowse link 4 157,726,941 157,733,644 RGD:8554872
Compton-North congenital myopathy term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Cntn1 contactin 1 JBrowse link 7 133,290,606 133,588,314 RGD:7240710
RGD:8554872
congenital myasthenic syndrome 10 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Brca1 BRCA1, DNA repair associated JBrowse link 10 89,394,821 89,455,093 RGD:8554872
G Brca2 BRCA2, DNA repair associated JBrowse link 12 503,660 544,754 RGD:8554872
G Cacna1c calcium voltage-gated channel subunit alpha1 C JBrowse link 4 150,635,808 151,270,790 RGD:8554872
G Dok7 docking protein 7 JBrowse link 14 80,925,409 80,963,454 RGD:7240710
G Jag1 jagged canonical Notch ligand 1 JBrowse link 3 130,079,361 130,114,781 RGD:8554872
G Ttn titin JBrowse link 3 63,565,160 63,837,815 RGD:8554872
congenital myasthenic syndrome 11 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Rapsn receptor-associated protein of the synapse JBrowse link 3 79,859,815 79,869,486 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 12 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Gfpt1 glutamine fructose-6-phosphate transaminase 1 JBrowse link 4 118,852,046 118,901,583 RGD:7240710
RGD:8554872
congenital myasthenic syndrome 13 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Dpagt1 dolichyl-phosphate N-acetylglucosaminephosphotransferase 1 JBrowse link 8 48,657,779 48,664,531 RGD:7240710
RGD:8554872
congenital myasthenic syndrome 14 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Alg2 ALG2, alpha-1,3/1,6-mannosyltransferase JBrowse link 5 63,187,466 63,192,025 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 15 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Alg14 ALG14, UDP-N-acetylglucosaminyltransferase subunit JBrowse link 2 224,851,352 224,931,461 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 16 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Cox10 cytochrome c oxidase assembly factor heme A:farnesyltransferase COX10 JBrowse link 10 50,439,778 50,563,920 RGD:8554872
G Cox15 cytochrome c oxidase assembly homolog COX15 JBrowse link 1 263,494,850 263,511,510 RGD:8554872
G Scn4a sodium voltage-gated channel alpha subunit 4 JBrowse link 10 94,505,026 94,557,803 RGD:7240710
RGD:8554872
G Surf1 SURF1, cytochrome c oxidase assembly factor JBrowse link 3 5,461,717 5,464,560 RGD:8554872
G Taco1 translational activator of cytochrome c oxidase I JBrowse link 10 94,260,148 94,268,276 RGD:8554872
congenital myasthenic syndrome 17 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Lrp4 LDL receptor related protein 4 JBrowse link 3 80,362,643 80,416,684 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 18 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Snap25 synaptosome associated protein 25 JBrowse link 3 129,697,408 129,788,417 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 19 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Col13a1 collagen type XIII alpha 1 chain JBrowse link 20 31,456,502 31,598,360 RGD:7240710
RGD:8554872
congenital myasthenic syndrome 1A term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Cast calpastatin JBrowse link 2 1,452,111 1,561,669 RGD:5509810
G Chrna1 cholinergic receptor nicotinic alpha 1 subunit JBrowse link 3 60,445,657 60,460,724 RGD:7240710
RGD:8554872
congenital myasthenic syndrome 1B term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrna1 cholinergic receptor nicotinic alpha 1 subunit JBrowse link 3 60,445,657 60,460,724 RGD:7240710
RGD:8554872
G Chrne cholinergic receptor nicotinic epsilon subunit JBrowse link 10 57,238,960 57,246,750 RGD:8554872
G LOC687707 hypothetical protein LOC687707 JBrowse link 10 57,239,993 57,240,948 RGD:8554872
congenital myasthenic syndrome 20 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Slc5a7 solute carrier family 5 member 7 JBrowse link 9 5,294,377 5,330,822 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 21 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chat choline O-acetyltransferase JBrowse link 16 8,576,858 8,686,131 RGD:8554872
G Slc18a3 solute carrier family 18 member A3 JBrowse link 16 8,682,668 8,685,529 RGD:8554872
RGD:7240710
Congenital Myasthenic Syndrome 22 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Prepl prolyl endopeptidase-like JBrowse link 6 8,316,861 8,346,293 RGD:8554872
RGD:7240710
G Slc3a1 solute carrier family 3 member 1 JBrowse link 6 8,284,937 8,318,649 RGD:8554872
Congenital Myasthenic Syndrome 23 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Slc25a1 solute carrier family 25 member 1 JBrowse link 11 87,204,248 87,207,265 RGD:8554872
RGD:7240710
Congenital Myasthenic Syndrome 24 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Myo9a myosin IXA JBrowse link 8 64,573,248 64,777,607 RGD:8554872
RGD:7240710
Congenital Myasthenic Syndrome 25 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Tapbpl TAP binding protein-like JBrowse link 4 157,735,748 157,743,199 RGD:8554872
G Vamp1 vesicle-associated membrane protein 1 JBrowse link 4 157,726,941 157,733,644 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 2A term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrnb1 cholinergic receptor nicotinic beta 1 subunit JBrowse link 10 56,390,671 56,403,255 RGD:7240710
RGD:8554872
congenital myasthenic syndrome 2C term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrnb1 cholinergic receptor nicotinic beta 1 subunit JBrowse link 10 56,390,671 56,403,255 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 3A term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrnd cholinergic receptor nicotinic delta subunit JBrowse link 9 94,286,550 94,294,968 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 3B term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrnd cholinergic receptor nicotinic delta subunit JBrowse link 9 94,286,550 94,294,968 RGD:7240710
RGD:8554872
congenital myasthenic syndrome 3C term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrnd cholinergic receptor nicotinic delta subunit JBrowse link 9 94,286,550 94,294,968 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 4A term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrne cholinergic receptor nicotinic epsilon subunit JBrowse link 10 57,238,960 57,246,750 RGD:7240710
RGD:8554872
G LOC687707 hypothetical protein LOC687707 JBrowse link 10 57,239,993 57,240,948 RGD:8554872
congenital myasthenic syndrome 4B term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrne cholinergic receptor nicotinic epsilon subunit JBrowse link 10 57,238,960 57,246,750 RGD:7240710
RGD:8554872
G LOC687707 hypothetical protein LOC687707 JBrowse link 10 57,239,993 57,240,948 RGD:8554872
congenital myasthenic syndrome 4C term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chat choline O-acetyltransferase JBrowse link 16 8,576,858 8,686,131 RGD:8554872
G Chrnb1 cholinergic receptor nicotinic beta 1 subunit JBrowse link 10 56,390,671 56,403,255 RGD:8554872
G Chrne cholinergic receptor nicotinic epsilon subunit JBrowse link 10 57,238,960 57,246,750 RGD:7240710
RGD:8554872
G Dok7 docking protein 7 JBrowse link 14 80,925,409 80,963,454 RGD:8554872
G Gfpt1 glutamine fructose-6-phosphate transaminase 1 JBrowse link 4 118,852,046 118,901,583 RGD:11554173
G LOC687707 hypothetical protein LOC687707 JBrowse link 10 57,239,993 57,240,948 RGD:8554872
G Musk muscle associated receptor tyrosine kinase JBrowse link 5 75,392,790 75,498,694 RGD:8554872
G Ntrk1 neurotrophic receptor tyrosine kinase 1 JBrowse link 2 187,143,568 187,160,373 RGD:8554872
G Pten phosphatase and tensin homolog JBrowse link 1 251,421,814 251,487,634 RGD:8554872
G Rapsn receptor-associated protein of the synapse JBrowse link 3 79,859,815 79,869,486 RGD:8554872
congenital myasthenic syndrome 5 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Colq collagen like tail subunit of asymmetric acetylcholinesterase JBrowse link 16 7,626,380 7,681,621 RGD:7240710
RGD:8554872
RGD:11554173
congenital myasthenic syndrome 6 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chat choline O-acetyltransferase JBrowse link 16 8,576,858 8,686,131 RGD:1600831
RGD:8554872
RGD:7240710
congenital myasthenic syndrome 7 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Syt2 synaptotagmin 2 JBrowse link 13 51,569,248 51,577,824 RGD:8554872
RGD:7240710
congenital myasthenic syndrome 8 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Acap3 ArfGAP with coiled-coil, ankyrin repeat and PH domains 3 JBrowse link 5 173,340,060 173,354,756 RGD:8554872
G Agrn agrin JBrowse link 5 173,589,910 173,622,813 RGD:8554872
RGD:7240710
G B3galt6 Beta-1,3-galactosyltransferase 6 JBrowse link 5 173,423,475 173,425,611 RGD:8554872
G C1qtnf12 C1q and TNF related 12 JBrowse link 5 173,390,901 173,395,276 RGD:8554872
G Ints11 integrator complex subunit 11 JBrowse link 5 173,318,435 173,336,930 RGD:8554872
G Mir200a microRNA 200a JBrowse link 5 173,489,366 173,489,454 RGD:8554872
G Mir200b microRNA 200b JBrowse link 5 173,490,144 173,490,238 RGD:8554872
G Mir429 microRNA 429 JBrowse link 5 173,488,331 173,488,415 RGD:8554872
G Pusl1 pseudouridine synthase like 1 JBrowse link 5 173,326,755 173,339,934 RGD:8554872
G RGD1311517 similar to RIKEN cDNA 9430015G10 JBrowse link 5 173,542,058 173,559,761 RGD:8554872
G Rnf223 ring finger protein 223 JBrowse link 5 173,561,016 173,566,844 RGD:8554872
G Sdf4 stromal cell derived factor 4 JBrowse link 5 173,425,922 173,444,478 RGD:8554872
G Tnfrsf18 TNF receptor superfamily member 18 JBrowse link 5 173,459,371 173,463,980 RGD:8554872
G Tnfrsf4 TNF receptor superfamily member 4 JBrowse link 5 173,447,784 173,450,474 RGD:8554872
G Ttll10 tubulin tyrosine ligase like 10 JBrowse link 5 173,471,020 173,517,783 RGD:8554872
G Ube2j2 ubiquitin-conjugating enzyme E2, J2 JBrowse link 5 173,372,659 173,387,084 RGD:8554872
congenital myasthenic syndrome 9 term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Musk muscle associated receptor tyrosine kinase JBrowse link 5 75,392,790 75,498,694 RGD:8554872
RGD:7240710
Congenital Myasthenic Syndrome, Fast-Channel term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrna1 cholinergic receptor nicotinic alpha 1 subunit JBrowse link 3 60,445,657 60,460,724 RGD:8554872
RGD:11554173
G Chrnd cholinergic receptor nicotinic delta subunit JBrowse link 9 94,286,550 94,294,968 RGD:8554872
RGD:11554173
G Chrne cholinergic receptor nicotinic epsilon subunit JBrowse link 10 57,238,960 57,246,750 RGD:8554872
RGD:11554173
G LOC687707 hypothetical protein LOC687707 JBrowse link 10 57,239,993 57,240,948 RGD:8554872
Congenital Myasthenic Syndrome, with Facial Dysmorphism, associated with Acetylcholine Receptor Deficiency term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Chrnb1 cholinergic receptor nicotinic beta 1 subunit JBrowse link 10 56,390,671 56,403,255 RGD:11554173
G Chrnd cholinergic receptor nicotinic delta subunit JBrowse link 9 94,286,550 94,294,968 RGD:11554173
G Musk muscle associated receptor tyrosine kinase JBrowse link 5 75,392,790 75,498,694 RGD:11554173
G Rapsn receptor-associated protein of the synapse JBrowse link 3 79,859,815 79,869,486 RGD:11554173
RGD:8554872
Limb-Girdle Myasthenia, with Tubular Aggregates term browser
Symbol Object Name JBrowse Chr Start Stop Reference
G Gfpt1 glutamine fructose-6-phosphate transaminase 1 JBrowse link 4 118,852,046 118,901,583 RGD:8554872

Term paths to the root
Path 1
Term Annotations click to browse term
  disease 14926
    Developmental Diseases 7774
      Congenital, Hereditary, and Neonatal Diseases and Abnormalities 7096
        genetic disease 6457
          congenital myasthenic syndrome 59
            Compton-North congenital myopathy 1
            Congenital Myasthenia, Refractory to Acetylcholinesterase Inhibitors 0
            Congenital Myasthenic Syndrome 22 2
            Congenital Myasthenic Syndrome 23 1
            Congenital Myasthenic Syndrome 24 1
            Congenital Myasthenic Syndrome 25 2
            Congenital Myasthenic Syndrome, Fast-Channel + 4
            Congenital Myasthenic Syndrome, with Facial Dysmorphism 0
            Congenital Myasthenic Syndrome, with Facial Dysmorphism, associated with Acetylcholine Receptor Deficiency + 4
            Limb-Girdle Myasthenia, Autoimmune 0
            Limb-Girdle Myasthenia, with Tubular Aggregates 1
            congenital myasthenic syndrome 10 6
            congenital myasthenic syndrome 11 1
            congenital myasthenic syndrome 12 1
            congenital myasthenic syndrome 13 1
            congenital myasthenic syndrome 14 1
            congenital myasthenic syndrome 15 1
            congenital myasthenic syndrome 16 5
            congenital myasthenic syndrome 17 1
            congenital myasthenic syndrome 18 1
            congenital myasthenic syndrome 19 1
            congenital myasthenic syndrome 1A 2
            congenital myasthenic syndrome 20 1
            congenital myasthenic syndrome 21 2
            congenital myasthenic syndrome 2A 1
            congenital myasthenic syndrome 2C 1
            congenital myasthenic syndrome 3A 1
            congenital myasthenic syndrome 3B 1
            congenital myasthenic syndrome 3C 1
            congenital myasthenic syndrome 4A 2
            congenital myasthenic syndrome 4C 10
            congenital myasthenic syndrome 5 1
            congenital myasthenic syndrome 6 1
            congenital myasthenic syndrome 7 1
            congenital myasthenic syndrome 8 16
            congenital myasthenic syndrome 9 1
Path 2
Term Annotations click to browse term
  disease 14926
    disease of anatomical entity 14092
      nervous system disease 9154
        peripheral nervous system disease 2018
          neuropathy 1839
            neuromuscular disease 1413
              neuromuscular junction disease 87
                congenital myasthenic syndrome 59
                  Compton-North congenital myopathy 1
                  Congenital Myasthenia, Refractory to Acetylcholinesterase Inhibitors 0
                  Congenital Myasthenic Syndrome 22 2
                  Congenital Myasthenic Syndrome 23 1
                  Congenital Myasthenic Syndrome 24 1
                  Congenital Myasthenic Syndrome 25 2
                  Congenital Myasthenic Syndrome, Fast-Channel + 4
                  Congenital Myasthenic Syndrome, with Facial Dysmorphism 0
                  Congenital Myasthenic Syndrome, with Facial Dysmorphism, associated with Acetylcholine Receptor Deficiency + 4
                  Limb-Girdle Myasthenia, Autoimmune 0
                  Limb-Girdle Myasthenia, with Tubular Aggregates 1
                  congenital myasthenic syndrome 10 6
                  congenital myasthenic syndrome 11 1
                  congenital myasthenic syndrome 12 1
                  congenital myasthenic syndrome 13 1
                  congenital myasthenic syndrome 14 1
                  congenital myasthenic syndrome 15 1
                  congenital myasthenic syndrome 16 5
                  congenital myasthenic syndrome 17 1
                  congenital myasthenic syndrome 18 1
                  congenital myasthenic syndrome 19 1
                  congenital myasthenic syndrome 1A 2
                  congenital myasthenic syndrome 20 1
                  congenital myasthenic syndrome 21 2
                  congenital myasthenic syndrome 2A 1
                  congenital myasthenic syndrome 2C 1
                  congenital myasthenic syndrome 3A 1
                  congenital myasthenic syndrome 3B 1
                  congenital myasthenic syndrome 3C 1
                  congenital myasthenic syndrome 4A 2
                  congenital myasthenic syndrome 4C 10
                  congenital myasthenic syndrome 5 1
                  congenital myasthenic syndrome 6 1
                  congenital myasthenic syndrome 7 1
                  congenital myasthenic syndrome 8 16
                  congenital myasthenic syndrome 9 1
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RGD is funded by grant HL64541 from the National Heart, Lung, and Blood Institute on behalf of the NIH.