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Table 1 Clinical features of reported AGRN-mutant CMS

From: Novel SEA and LG2 Agrin mutations causing congenital Myasthenic syndrome

Reports

Gender

Onset

Fluctuation

Clinical forms

RNS

Mutations

Affected domain

Response to Treatment

Ocular/Facial/Proximal/Distal/Respiratory

(3 Hz)

AChEI

3,4-DAP

β2-receptor agonist

2009 [15]

F

Early childhood

+a

+/+/+/+/ND

+

G1709R

LG2

+

G1709R

2009 [15]

M

Early childhood

+

+/ND/+/ND/ND

+

G1709R

LG2

+

+

G1709R

2012 [17]

F

Early childhood

+

+/+/+/+/+

+

V1727F

LG2

+

Q353X

FS

2014[16]

F

15y

−/−/+/+/ND

+

G76S

NtA

ND

ND

chr1del

chr1del

2014[16]

M

15y

−/−/−/+/ND

+

G76S

NtA

ND

ND

chr1del

chr1del

2014[16]

M

2y

+

−/−/+/+/−

+

N105I

NtA

+

S455Q

FS

2014[16]

F

At birth

+

−/+/ND/+/−

+

N105I

NtA

+

S455Q

FS

2014[16]

M

5y

+/ND/+/+/ND

+

G1871R

LG3

ND

ND

+

G1871R

2017 [18]

M

1.5y

ND

+/ND/+/−/ND

+

G1675S

LG2

+

ND

+

G1675S

2017[19]

M

21y

+

−/−/+/+/−

+

A1768P

LG2

+/−b

ND

+

A1768P

2017[19]

F

7y

ND

−/−/+/+/−

ND

A1768P

LG2

+/−b

ND

+

A1768P

2017[19]

F

ND

ND

ND

ND

A1768P

LG2

+/−b

ND

+

A1768P

P1

M

16y

+

−/−/+/+/−

+

L1176P

SEA

ND

P2

M

9y

+

−/−/+/+/−

+

R1698C

LG2

ND

+

  1. M male, F female, y years old, AChEI acetylcholinesterase inhibitor, 3,4-DAP 3,4-diaminopyridine, ND not determined, aworsened during periods and pregnancy, P1 patient 1, P2 patient 2, chr1del large deletion covering entire AGRN gene, FS follistatin-like domain, bbeneficial response during the 1st month, but then symptoms aggravated